Monday, July 29, 2013

Poor Air Quality Raises Diabetes Risk In Children

Bad news for those who live in areas with air pollution: exposure to air pollution raises the risk of resistance to insulin in children, according to a new study in Diabetolgia, the journal of the European Association for the Study of Diabetes.
A study of about 400 10 year old German children found that insulin resistance increased 17 percent for every 10.6 micrograms per cubic meter increase in ambient nitrogen dioxide and by 19 percent for every 6 micrograms per cubic meter increase in particular matter.
Previous research indicated a link between traffic-related air pollution and the development of diabetes in adults. These studies show that exposure to fine pollution particles that get into the respiratory system, heart, and vessels increases inflammation, which can be linked to insulin resistance, says study author Joachim Heinrich, of the German Research Center for Environmental Health.
"Given the ubiquitous nature of air pollution and the high incidence of insulin resistance in the general population, the associations examined here may have potentially important public health effects," said Heinrich in the paper.
Blood samples were collected from 397 children who were included in two German birth cohort studies. Exposure to air pollutants at their addresses was estimated by analyzing emissions from road traffic, population density, and land use. Measurements of blood insulin levels and air pollutants were taken at various times so the findings "should be regarded with caution," says Jon Ayres, a professor of environmental and respiratory medicine at the University of Birmingham in England. Ayres said in the statement that a larger study should be done to confirm the link.
Study participants will be tested again at age 15 to see how the findings evolve during and after puberty and the effect of moving to a different location.
Reference: Business Week.
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
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Thursday, July 25, 2013

Diabetic Recipe of the Week: Chickpea Soup With Mini Meatballs

Makes: 6 servings
Serving Size: 1 1/2 cups
Preparation Time: 20 minutes
Cooking Time: 45 minutes
Ingredients
2 tsp. olive oil
1 large carrot, diced
1 large onion, diced
2 celery stalks, diced
2 garlic cloves, minced
2 tsp. dried rosemary
2 cans (15 oz. each) chickpeas, drained and rinsed
3 1/2 cups low-fat, reduced-sodium chicken broth
1 can (14.5 oz) diced tomatoes
Salt and pepper to taste
Mini meatballs
1/2 lb. lean (93%) ground beef
2 1/12 Tbsp. cold water
1 garlic clove, minced
1 scallion, minced
Salt and pepper to taste
Preparation 
1. Heat the oil in a large pot over medium heat. Reduce the heat to medium low. Add the carrot, onion, and celery, and saute for 7 to 8 minutes. Add the garlic and rosemary, and saute for 2 minutes.
2. Add in the chickpeas, broth, and tomatoes, and bring to a boil. Lower the heat, and simmer for 25 minutes.
3. Meanwhile, make the meatballs. Combine all the meatball ingredients in a medium bowl and form into small meatballs, about 1 Tbsp. each. Coat a large nonstick skillet with cooking spray over medium high heat. Add the meatballs and saute on all sides for 4 to 5 minutes, or until cooked through.
4. Add the meatballs to the soup, and season well with salt and pepper.
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
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Monday, July 22, 2013

Enjoying Your Vacation When You Have Diabetes

If you're a diabetic, daily life can be difficult. You have to be careful about what you eat and how much you
eat, how often you take your medication and in what doses, and how often you check your insulin levels. Your diabetic routine can be disruptive to everyday life. So going on vacation can compound and complicate diabetic matters even worse.
But being a diabetic on vacation does not have to be complicated! When you have a routine that you stick to, even when on vacation, you ensure your blood glucose levels remain consistent, even in a foreign environment. There are ways you can keep your routine and enjoy your vacation!
First, keep your meal times consistent. When planning your vacation plan meal times that are the same as when you eat normally and keep your meals balanced. Knowing when your next meal will be helps you take the correct amount of insulin and medication.
Carry a snack with you just in case your blood sugar gets low. You will likely be more active than normal, so  bring a couple of options in case your glucose levels drop several times throughout the day.
If you have family and friends going with you who know you're diabetic, they'll understand when you have to step away and check your insulin. However, if you're travelling with people you don't know well or at all, explain to them that you have diabetes and may disappear several times throughout the day. This will help alleviate any awkwardness when you take out your meter or eat a small snack. It might also be worthwhile to explain what to do if you got into diabetic shock.
Make sure you test your insulin regularly, more so than normal, as your levels will likely be thrown off with this different routine. Just because you're getting on a roller coaster to enjoy the ride doesn't mean your diabetes has to go for a ride as well! On vacation diabetics can get fatigued or sick easily if they are not on top of their insulin levels.
Finally, drink plenty of water, more so than you would normally. You'll likely be out in the sun, walking, or doing more physical activity, and may not notice if you're feeling dehydrated. When you're dehydrated your blood sugar levels will fluctuate and you will feel sick.
Be smart about your diabetes when you're on vacation this summer. Listen to your body- it's going to tell you when you're not feeling well or quite right. If you have to stop and take a break, then don't feel ashamed or upset. You're doing what you need to to keep your body healthy and happy. Safe travels!
Reference: Diabetic Connect.
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
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Thursday, July 18, 2013

Diabetic Recipe of the Week: Agave Cinnamon Mini Scones

Makes: 16 servings
Serving Size: 1 mini scone
Preparation Time: 10 minutes
Cooking Time: 9 minutes
Ingredients
1 1/2 cups of all-purpose flour
1 cup whole wheat pastry flour
2 tsp. ground cinnamon
2 tsp. baking powder
1/2 tsp. baking soda
1/2 cup buttery spread (such as Smart Balance)
1 large egg
1/3 cup light agave nectar
1/3 cup low-fat buttermilk
2 tsp. fresh grated lemon zest
Preparation
1. Preheat the oven to 400 degrees. Line a large baking sheet with parchment paper or coat with butter flavor cooking spray.
2. In a large bowl, mix the flours, cinnamon, baking powder, and baking soda.
3. With a pastry blender or two knives, cut in the buttery spread until the flour mixture is crumbly.
4. In a small bowl, mix the egg, agave nectar, buttermilk, and lemon zest. Add the liquid mixture to the flour mixture and stir until moistened.
5. Lightly flour a clean work surface. With lightly floured hands, turn the dough onto the floured surface. Knead the dough for about 5 minutes, until smooth. Form the dough into a large square about 1/2 thick. Cut the large square into 16 mini squares.
6. Place the mini squares about 1 inch apart on the prepared baking sheet. Bake the scones for 8 to 9 minutes or until golden brown. Serve warm. Store any leftover in an airtight container for up to 4 days.
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
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Monday, July 15, 2013

How Does Fasting For Ramadan Affect My Diabetes?

During the holy month of Ramadan, fasting is one of the most important spiritual practices you will partake in. However, if you have diabetes, you may be wondering how this will affect your diabetes. There can be a lot of misinformation out there that can confuse you on what to do regarding this practice.
The practice of fasting is based on the Holy Quran as well as Islamic teachings from across the centuries. If you are someone for whom fasting would pose a health risk, the Quran states that fasting is not necessary. This would include children, pregnant or breastfeeding women, the elderly, and anyone who would make themselves ill by fasting, especially diabetics. Poorly controlled diabetics, Type 1 diabetics who take insulin, and Type 2 diabetics on a mixed insulin routine should be cautious if considering fasting.
If you know someone who is a diabetic and is fasting without any problems, remember that everyone is different. This person may be a better controlled diabetic than you are, or be on a different insulin regimen. You should make an appointment with your endocrinologist two to three months before Ramadan to talk with them about how fasting will affect your diabetes, as well as your nutritionist to discuss meals. They may recommend changing your medications to fit your change in eating schedule.
There are rumors out there that if you check your blood glucose during the day it will break your fast. This is false! It is important to monitor your glucose levels during the day in case you have to break the fast. If your levels drop below 70 mg/dl you will have to eat something.
Continue to take your medicine, but during times when you eat. Since you will be eating just twice a day you will have to plan appropriately with your doctor and ensure you are getting the correct doses.
When planning your meals, make sure they are well-balanced. Your dawn meal (Suhoor) should include lots of whole grains as well as protein and fat to slow digestion and last until you break your fast. You may want to consider meals that include whole grain cereals, plain Greek yogurt with blueberries and whole wheat toast, foul with fruit, and whole wheat roti with egg khagina.
When breaking your fast (Iftar) you should not overeat. Eat sensible portions that have an emphasis on whole grains, proteins, and healthy fats. Limit your consumption of dates to 1-2 per night and drink plenty of water. Try to avoid caffeine beverages as they can dehydrate you.
Reference: Health Canal
If you are a diabetic and do not currently see a podiatrist, call our Bristol office to make an appointment.
Richard E. Ehle, DPM
Connecticut Foot Care Centers
Diabetic Foot Care in CT
Podiatrist in Bristol, CT
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Thursday, July 11, 2013

Diabetic Recipe of the Week: Raspberry Ice Cream Floats


Makes: 4 glasses
Serving Size: 1 1/3 cups
Ingredients
2 cups fresh raspberries
1/2 tsp. Splenda sugar substitute
2 1/2 cups no-sugar added, reduced fat vanilla ice cream (such as Breyers Double Churn No Sugar Added French Vanilla)
3 1/2 cups low-sodium club soda
Preparation
1. Press the raspberries through a fine sieve over a small bowl and discard the seeds. Combine the raspberry pulp and Splenda.
2. Divide the raspberry mixture evenly over four 8 oz. glasses.
3. Spoon 2 Tbsp. of the ice cream into each glass. Stir in 2 Tbsp. of the club soda. Top with about 1/2 cup more of the ice cream and pour in about 3/4 cup of club soda over the ice cream. Serve immediately.
This recipe is from Diabetes Forecast.
If you are a diabetic and do not currently see a podiatrist, call our Bristol office to make an appointment.
Richard E. Ehle, DPM
Connecticut Foot Care Centers
Diabetic Foot Care in CT
Podiatrist in Bristol, CT
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Monday, July 8, 2013

Diabetes Costs $245 Billion Annually

What would you do with $245 billion dollars? Would you pay off debt, purchase a new house, car, or
donate money to charity?
What we as a nation have done with $245 billion is spent it on diabetes related care. It's an astronomical amount, especially considering it increased 41 percent from $174 billion in 2007. And that was just five years ago.
A new study, called Economic Costs of Diabetes in the U.S. in 2012, commissioned by the American Diabetes Association, was published in the April issue of Diabetes Care. The study estimated the health care and work-related costs of diagnosed diabetes.
John Anderson, president of medicine and science for the ADA, says the cost has risen because of the increased number of patients with the disease. "When you look at the per-patient cost of diabetes, it has remained roughly flat," he said.
Matt Peterson, the ADA's managing director of medical information adds, "Overall, we're not seeing that each person with diabetes is costing us more." He also said that medication costs did not increase significantly and hospitalization costs decreased.
The study reported that roughly 22.3 million Americans were diagnosed with diabetes last year alone. The earlier study published in 2007 estimated that 17.5 million people were diagnosed with either Type 1 or Type 2 diabetes in that year.
Direct medical costs totaled $176 billion, which included hospital and emergency care, office visits, and medications. Indirect costs were $69 billion, and accounted for work absenteeism, reduced or lost productivity, and unemployment caused by the disease.
Government insurance, like Medicare, Medicaid, and the military, covered 62.4 percent of the costs of diabetes care, while private insurance covered 34.4 percent and 3.2 percent was self-pay. Yearly per person costs were broken down by gender. Women paid $8,331 in total per-capita health expenditures and men paid $7,458. California, the state with the largest percentage of diabetics, had the highest costs for diabetes, which totaled $27.55 billion.
Reference: USA Today
If you are a diabetic and do not currently see a podiatrist, call our Bristol office to make an appointment.
Richard E. Ehle, DPM
Connecticut Foot Care Centers
Diabetic Foot Care in CT
Podiatrist in Bristol, CT
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Thursday, July 4, 2013

Diabetic Recipe of the Week: Mediterranean Tuna Salad


Makes: 5 servings
Serving Size: 1 cup
Preparation Time: 15 minutes
Ingredients
Dressing
3 Tbsp. plain nonfat yogurt
3 Tbsp. nonfat mayonnaise
2 Tbsp. fresh lemon juice
1 tsp. honey
1/4 tsp. kosher salt
1/4 tsp. freshly ground black pepper
Salad
1 can (15 oz.) chickpeas, drained and rinsed
1 can (12 oz.) white-meat tuna packed in water, drained
1 medium red bell pepper, cored, seeded, and diced (about 1/2 cup)
1/2 cup diced red onion
1/2 cup sliced fresh basil
1 1/2 Tbsp. capers, drained
Preparation
1. In a small bowl, whisk together the dressing ingredients; set aside. In a large salad bowl, combine the chickpeas, tuna, red bell pepper, red onion, basil, and capers. Pour the dressing on the tuna mixture and combine. Serve with crispbread crackers or over greens, if desired.
This recipe is from Diabetes Forecast
If you are a diabetic and do not currently see a podiatrist, call our Bristol office to make an appointment.
Richard E. Ehle, DPM
Connecticut Foot Care Centers
Diabetic Foot Care in CT
Podiatrist in Bristol, CT
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Monday, July 1, 2013

Diabetics: Stay Away From Soft Drinks!

If you like drinking soft drinks, be careful: drinking one or more cans of sugary soft drinks each day has been linked to an increased risk for diabetes later in life.
Europeans scientists have found that having just one can a day raises your risk by 20 percent, compared to someone who has one can or less a month.
This new research was carried out by scientists in the UK, Germany, Denmark, Italy, Spain, Sweden, France, and the Netherlands. The findings were published in the journal Diabetologia and mirrors previous US research.
More than 350,000 people participated in the study, which involved questions about their diet and was part of a larger European study on links between diet and cancer.
"The consumption of sugar sweetened soft drinks increases your risk of diabetes- so for every can of soft drinks that you drink per day, the risk is higher," said leader researcher Dora Romaguera from Imperial College London.
Romaguera called for better public health information on the effects of soft drinks. "Given the increase in sweet beverage consumption in Europe, clearer messages on its deleterious effect on health should be given to the population," said Romaguera and colleagues in their paper.
However, fruit juice consumption was not linked to an increased risk for diabetes later in life.
Dr. Matthew Hobbs, head of research at Diabetes UK, said the link between sugary drinks and Type 2 diabetes exists when you add in body mass index. The risk, therefore, is not due to the extra calories.
"Even so, it is not definitive evidence that sugar-sweetened soft drinks increase the risk of Type 2 diabetes, other than through their effect on body weight," Dr. Hobbs said.
"We do, though, already recommend limiting consumption of sugary foods and drinks as these are usually high in calories and so can lead to weight gain if you have too many of them. This is important for Type 2 diabetes because we know that maintaining a healthy weight is the single most important thing you can do to prevent it," Hobbs added.
Professor Patrick Wolfe from University College London, a statistic expert, said that just 4 percent of the UK population has Type 1 diabetes. "In and of themselves, sugary soft drinks are only part of the picture- they're just one of the potential risk factors for Type 2 diabetes. But since they are one we can easily eliminate- by switching to diet soft drinks or, even better, cutting them out of our diets altogether- it makes good sense to do so," said Wolfe.
Reference: Codewit World News
If you are a diabetic and do not currently see a podiatrist, call our Bristol office to make an appointment.
Richard E. Ehle, DPM
Connecticut Foot Care Centers
Diabetic Foot Care in CT
Podiatrist in Bristol, CT
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