Monday, April 28, 2014

Exercises For Peripheral Neuropathy: Side Leg Raise

Hold chair or table with one hand, then one fingertip, then no hands, then do exercise with eyes closed, if steady. Stand straight, directly behind chair or table, feet slightly apart. Hold chair or table for balance. Slowly lift one leg to side, 6-12 inches above the ground. Slowly lower leg and repeat with other leg. Your knee and back are straight throughout exercise.
Hold: 5-10 seconds
Repeat: 2 repetitions on each leg/2 times a day
If you are a diabetic and do not currently see a podiatrist, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Diabetic Foot Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.

Thursday, April 24, 2014

Diabetic Recipe of the Week: Spring Leek Frittata


Makes: 6
Serving Size: 1/6 of pan
Preparation Time: 10 minutes
Cooking Time: 25 minutes
Ingredients
2 1/2 tsp. olive oil
2 medium leeks, bottom part only, washed and thinly sliced
2 garlic cloves, minced
1/2 cup reduced sodium ham, diced
2 eggs
5 egg whites
1/4 cup fat-free milk
1 tsp. dried basil
1/2 tsp. dried thyme
Salt and pepper to taste
2 Tbsp. shredded reduced-fat Swiss cheese
Preparation
1. In a 10-inch nonstick oven-proof skillet or cast-iron skillet, heat the oil over medium heat. Add the leeks and garlic, and saute for about 8 to 9 minutes until leeks are very soft. Add the ham and saute for 2 minutes.
2. In a bowl, beat together the eggs, egg whites, milk, basil, thyme, and salt and pepper to taste.
3. Preheat the oven broiler, with the rack 6 inches from the heat source. Slowly add the egg mixture on top of the leeks. Cook undisturbed for about 3 minutes. Using a thin-bladed spatula, lift up some of the eggs from the sides and tilt the pan to allow some of the eggs on top to fall to the bottom of the pan. Continue to cook the frittata until the frittata is no longer runny, but the top has some uncooked egg.
4. Top the frittata with the Swiss cheese. Place the frittata in the oven and broil until the cheese melts and the top is set. Cut into wedges directly from the pan to serve.
This recipe is from Diabetes Forecast.
If you are a diabetic and do not currently see a podiatrist, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Diabetic Foot Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.

Monday, April 21, 2014

New Gene Regions Tied To Diabetes

Seven new genetic regions tied to Type 2 diabetes have been identified in the latest largest study of the genetic base of the disease.
DNA data was compiled from 48,000 patients and 139,000 healthy controls from four different ethnic groups. The research was done by scientists from 20 countries on four continents and co-led by researchers from Oxford University's Wellcome Trust Centre for Human Genetics.
Most "genome-wide association studies" have been done with people of European descent. This new research includes those of Hispanic and Asian background as well.
Researchers believe that as more genetic data becomes available, especially from those of South Asian and African origin, they will be able to map the genes involved with Type 2 diabetes.
"One of the striking features of these data is how much of the genetic variation that influences diabetes is shared between major ethnic groups," said Wellcome Trust Senior Investigator Professor Mark McCarthy from the University of Oxford. "This has allowed us to combine data from more than 50 studies from across the globe to discover new genetic regions affecting risk of diabetes."
He adds, "The overlap in signals between populations of European, Asian, and Hispanic origin argue that the risk regions we have found to date do not explain the clear differences in the patterns of diabetes between those groups."
The new regions identified by the international research team were two near the genes ARL15 and RREB1 that tend to have links to elevated insulin and glucose levels in the blood. This particular finding gives insights into the ways biomechanical processes contribute to Type 2 diabetes.
This genome-wide association study looked at more than 3 million DNA variants to find those that have the greatest impact on the development of Type 2 diabetes. For the first time, researchers were able to find regions where the effects on diabetes susceptibility are subtle.
"Although the genetic effects may be small, each signal tells us something new about the biology of the disease," said first author Dr. Anubha Mahajan of Oxford University. "These findings may lead us to new ways of thinking about the disease, with the aim ultimately of developing novel therapies to treat and prevent diabetes. There's every reason to expect that drugs acting on these biological processes would have a far larger impact on an individual's diabetes than the genetic effects we have discovered."
Principle Investigator Dr. Andrew Morris, of the Wellcome Trust Centre added, "The findings of our study should also be relevant to other common human diseases. By combining genetic data from different ethnic groups, we would expect also to be able to identify new DNA variants influencing risk of heart disease and some forms of cancer, for example, which are shared across ethnic groups. It has the potential to have a major impact on global public health."
Reference: Medical Xpress
If you are a diabetic and do not currently see a podiatrist, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Diabetic Foot Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.

Thursday, April 17, 2014

Diabetic Recipe of the Week: Wild Rice With Herbs and Mushrooms


Makes: 8 servings
Serving Size: 1/2 cup
Preparation Time: 10 minutes
Cooking Time: 30 minutes
Ingredients
1 cup dry packaged wild and white rice blend
2 Tbsp. olive oil
1 medium onion, chopped
2 garlic cloves, minced
1 large celery stalk, chopped
1 lb. mixed mushrooms, stemmed and coarsely chopped
1 Tbsp. fresh minced thyme
1 tsp. finely minced sage
Kosher salt and freshly ground black pepper to taste
1/4 cup minced fresh parsley
1/4 cup toasted chopped hazelnuts (To toast the hazelnuts: Add the chopped hazelnuts to a small dry skillet over medium heat. Toast the nuts, shaking the pan occasionally until they are lightly browned.)
Preparation
1. Prepare the rice mixture according to the package directions without using the seasoning packet, if there is one.
2. Meanwhile, heat the olive oil in a large skillet over medium heat. Add the onions, garlic, and celery, and saute for 7 to 8 minutes. Add in the mushrooms, thyme, sage, salt, and pepper, and raise the heat to medium high. Saute the mushrooms for about 5 minutes, occasionally turning them.
3. Combine the cooked rice with the mushroom blend, mixing well.
4. Garnish with minced parsley and toasted hazelnuts.
This recipe is from Diabetes Forecast.
If you are a diabetic and do not currently see a podiatrist, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Diabetic Foot Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.

Monday, April 14, 2014

Do Food Prices Affect Diabetics?

In a new study researchers from the U.S. Department of Agriculture (USDA) say that food prices are linked to blood sugar levels in those with Type 2 diabetes.
Researchers combined information from two large studies. In the first study from the National Health and Nutrition Examination Survey (NHANES), they gathered blood sugar measurements from 2,400 adults who met the criteria for Type 2 diabetes.
Researchers then compared these blood sugar levels to average grocery prices over the previous three months from 35 markets around the United States. The prices came from the Quarterly Food-at-Home Price Database.
After looking at both studies researchers found that as the prices of healthy foods like fruits, vegetables, and low-fat dairy products rose, so did blood sugar levels. Concurrently, as the prices for sugar, saturated fat, and total calories fell, blood sugar rose in those with diabetes. This relationship was the strongest among low-income customers.
"Most likely it's because people eat less produce and switch to products that are less healthy," said study author Ilya Rahkovsky, an economist with the USDA's Economic Research Service in Washington, DC.
The study was published in one of the February online issues of the American Journal of Public Health.
A study published last December by the Harvard School of Public Health says that healthy eating costs the average person about $1.50 more per day, compared unhealthy eating.
This may not be a financial stretch for middle-class families, but for low-income families, that price hike is likely cost-prohibitive. Instead of eating fruits, vegetables, and low-protein meats, families will instead purchase more processed and junk foods, which are usually higher in fat, sugars, and calories.
For every 10 cents per pound in the cost of produce, fasting blood sugar climbed 20 milligrams per deciliter, or about 13 percent of the average fasting glucose level, which was 162 mg/dL.
For every 14 cent increase in a pound of low-fat dairy, there was a 9 mg/dL decrease in fasting blood sugar, about 6 percent of the average level.
The study proved a relationship between food prices and blood sugar levels in those with Type 2 diabetes, but it did not prove a cause-and-effect link.
"Healthy foods are more expensive, and being forced to purchase unhealthy foods, maybe for economic reasons, does have health consequences," said Adam Drewnowski, director of the nutritional sciences program at the University of Washintgon in Seattle. He was not involved in the published study.
"Instead of merely advising people to consume expensive foods for better health, we ought to pay more attention to prices," he said.
Reference: Healthday
If you are a diabetic and do not currently see a podiatrist, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Diabetic Foot Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.

Thursday, April 10, 2014

Diabetic Recipe of the Week: Zabaglione


Makes: 4
Serving Size: 1/4 cup
Preparation Time: 2 minutes
Cooking Time: 5 minutes
Ingredients
4 egg yolks
4 Tbsp. sugar
Pulp from 1 vanilla bean pod
4 Tbsp. marsala wine
1 strawberry or mint sprig
Preparation
1. Fill a double boiler or large saucepan halfway with water. Heat the water to a simmer. In the top of the double boiler or a bowl that fits over the saucepan, beat the egg yolks with the sugar and vanilla until creamy.
2. Set the egg yolk mixture over the simmering water (making sure no water touches the underside of the top portion of the double boiler). Beat the mixture well with a wire whisk for 2 minutes, taking care not to let the mixture come to a boil. Remove the top of the double boiler from the heat, and whisk in the marsala. Return the top of the double boiler to the heat, and whisk for 3 to 5 minutes, until the mixture becomes light and fluffy. Spoon into small dessert dishes and serve immediately. If desired, garnish each dish with a strawberry and a mint sprig.
This recipe is from Diabetes Forecast.
If you are a diabetic and do not currently see a podiatrist, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Diabetic Foot Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.

Monday, April 7, 2014

Will New Diabetes Guidelines Under-Diagnose Children?

According to a new study by the University of Michigan, new American Diabetes Association (ADA) screening guidelines may lead to missed diagnoses of Type 2 diabetes in children.
The new research, published in the Journal of Adolescent Health, says that both pediatric and family practice medicine doctors who care for children are using screening tests for Type 2 diabetes that may miss the condition in some children, said lead author Joyce Lee, M.D., M.P.H., and associate professor at University of Michigan's Departments of Pediatrics and Communicable Diseases and Environmental Health Sciences.
The guidelines changed in 2010 when the ADA called for physicians to use Hemoglobin A1c screening tests, rather than glucose tests for identifying the disease in children and adults. This change has been controversial because of the low testing performance of HbA1c in children when compared to adults.
When presented with the ADA screening guidelines, physicians would make the switch from using glucose tests to HbA1c tests.
"This potential for increased uptake of HbA1c could to lead to missed cases of prediabetes and diabetes in children, and increased costs," says Lee.
"A number of studies have shown that HbA1c has lower test performance in pediatric compared with adult populations, and as a result, increased uptake of HbA1c alone or in combination with non-fasting tests could lead to missed diagnoses of type 2 diabetes in the pediatric population.
"Also, recent analysis of screening strategies found that HbA1c is much less cost-effective than other screening tests, which would result in higher overall costs for screening."
The study used national samples from providers across the country from both pediatricians and family practice doctors.
"Greater awareness of the 2010 ADA guidelines will likely lead to increased uptake of HbA1c and a shift to use of non-fasting tests to screen for adolescents with type 2 diabetes. This may have implications for detection rates for diabetes and overall costs of screening," said Dr. Lee
Reference: University of Michigan Health System
If you are a diabetic and do not currently see a podiatrist, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Diabetic Foot Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.

Thursday, April 3, 2014

Diabetic Recipe of the Week: Salad Bar Stir-Fry


Makes: 3 servings
Serving Size: 1 cup
Preparation Time: 15 minutes
Cooking Time: 9 minutes
Ingredients
2 tsp. canola oil
2 garlic cloves, minced
2 scallions, minced
1 Tbsp. peeled, grated fresh ginger
1/2 cup sliced red onion
1 cup red pepper slices
1 cup green pepper slices
1 cup sliced or shredded carrots
1 1/2 cups broccoli florets
3/4 cup low-fat, reduced sodium chicken broth, divided
2 Tbsp. lower-sodium soy sauce
2 Tbsp. rice vinegar
1 Tbsp. brown sugar
2 tsp. cornstarch
1/4 tsp. dried red chili flakes
2 Tbsp. roasted unsalted peanuts or toasted unsalted almond slivers
Preparation
1. Heat the canola oil in a heavy skillet or wok over medium-high heat. Add the garlic, scallions, and ginger, and stir-fry for 30 seconds.
2. Add the red onion and stir-fry for 3 minutes. Add the red and green pepper strips and carrots, and stir-fry for 4 minutes. Add the broccoli and stir-fry for 1 minute. Add 1/4 cup of the chicken broth, cover, and steam for 3 minutes.
3. Meanwhile, in a small bowl or measuring cup, mix the remaining chicken broth, soy sauce, rice vinegar, brown sugar, cornstarch, and chili flakes.
4. Uncover the pan and add the sauce. Toss gently for about 1 minute to coat the vegetables with the sauce. Garnish with the peanuts and serve.
This recipe is from Diabetes Forecast.
If you are a diabetic and do not currently see a podiatrist, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Diabetic Foot Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, like our page on Facebook, and follow my tweets on Twitter.