Among all the other complications and risks diabetics need to be mindful of, they can now add their brain to the long list.
A new study says that now have to worry about their brain health. According to R. Nick Bryan, M.D., Ph.D., professor of radiology at the Perleman School of Medicine at the University of Pennsylvania, "We found that patients having more severe diabetes had less brain tissue, suggesting brain atrophy. They did not seem to have more vascular disease due to the direct effect of diabetes."
Researchers included 614 patients taken from the University of Minnesota, Minneapolis, MN, Wake Forest Medical School, Winston-Salem, NC, Columbia University, New York, NY, and Case Western Reserve University, Cleveland, OH. Participants had a mean age of 62 with an average duration of the condition for 9.9 years. Researchers used MRIs to examine the patient's brain structure.
Researchers discovered that patients with severe cases of diabetes had less brain tissue present in their MRI scan than those with milder cases of the condition. Even when blood pressure was kept under control the difference in brain tissue was apparent. There was also less brain tissue in patients who had diabetes for more than 15 years compared to those who had the disease for four years or less. Based on this information researchers estimate that for every ten years a person lives with diabetes, the brain is two years older in comparison to those of the same age who do not have the condition.
"We found that diabetic patients have two strikes on the brain. There is the vascular effect, and now it looks as if there is a neurodegenerative insult on the brain too," said Bryan. "These results suggest that the adverse effects probably start fairly early on in the disease. They may be subtle, but they probably start early."
Bryan and his research team plan on testing the effects of aggressive treatments that lower blood sugar levels in the brain, as well as monitor
Reference: Counsel & Heal
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, June 30, 2014
Thursday, June 26, 2014
Diabetic Recipe of the Week: Italian Meatball Sliders
Makes: 12
Serving Size: 1 slider
Ingredients
Sauce
1 tsp. olive oil
1/4 cup diced onion
1 medium garlic clove, minced
1 6-ounce can no-salt-added tomato paste
1 8-ounce cans no-salt-added tomato sauce
1 tsp. dried basil, crumbled
1 tsp. dried oregano, crumbled
1/4 tsp. crushed red pepper flakes
Cooking spray
Meatballs
1 lb. extra-lean ground beef
1/4 cup panko (Japanese-style bread crumbs)
1/4 cup diced onion
1 Tbsp. minced pine nuts
1 Tbsp. dried parsley, crumbled
1 Tbsp. fat-free milk
2 medium garlic cloves, minced
1/2 tsp. pepper
1/4 tsp. crushed red pepper flakes
1 large egg, lightly beaten with a fork
12 whole-wheat slider or dinner rolls (lowest sodium available)
12 fresh basil leaves
Preparation
1. In a medium skillet, heat the oil over medium-high high, swirling to coat the bottom. Cook 1/4 cup onion for about 3 minutes, or until soft, stirring frequently. Stir in the garlic. Cook for 1 minute, stirring frequently. Stir in the tomato paste. Cook for 1 minute, stirring constantly and scraping the bottom of the skillet. Stir in the tomato sauce, basil, oregano, and red pepper flakes. Bring to a simmer. Reduce the heat and simmer, covered, for 30 minutes.
2. Meanwhile, preheat the broiler. Lightly spray the broiler pain and rack with cooking spray.
3. In a medium bowl, using your hands or a spoon, gently combine the meatball ingredients except the egg. Don't overwork the mixture or it will become too compact and the meatballs will be heavy. Gently work in the egg. Shape into 12 1/2-inch balls (about 1 1/2 teaspoons each). Transfer to the broiler rack.
4. Broil the meatballs about 4 inches from the heat for 10 to 15 minutes, or until the tops are browned. Turn over. Broil for 10 to 15 minutes, or until the meatballs are browned on the outside and no longer pink in the center. Drain on paper towels.
5. Stir the meatballs into the sauce.
6. Just before serving, split open the rolls and toast them. Place 1 basil leaf on the bottom half of each roll. Top with 1 meatball and 2 tablespoons of sauce. Put the tops of the rolls on the sliders.
This recipe is from The Go Red for Women Cookbook, published 2013 by the American Heart Association.
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.
Serving Size: 1 slider
Ingredients
Sauce
1 tsp. olive oil
1/4 cup diced onion
1 medium garlic clove, minced
1 6-ounce can no-salt-added tomato paste
1 8-ounce cans no-salt-added tomato sauce
1 tsp. dried basil, crumbled
1 tsp. dried oregano, crumbled
1/4 tsp. crushed red pepper flakes
Cooking spray
Meatballs
1 lb. extra-lean ground beef
1/4 cup panko (Japanese-style bread crumbs)
1/4 cup diced onion
1 Tbsp. minced pine nuts
1 Tbsp. dried parsley, crumbled
1 Tbsp. fat-free milk
2 medium garlic cloves, minced
1/2 tsp. pepper
1/4 tsp. crushed red pepper flakes
1 large egg, lightly beaten with a fork
12 whole-wheat slider or dinner rolls (lowest sodium available)
12 fresh basil leaves
Preparation
1. In a medium skillet, heat the oil over medium-high high, swirling to coat the bottom. Cook 1/4 cup onion for about 3 minutes, or until soft, stirring frequently. Stir in the garlic. Cook for 1 minute, stirring frequently. Stir in the tomato paste. Cook for 1 minute, stirring constantly and scraping the bottom of the skillet. Stir in the tomato sauce, basil, oregano, and red pepper flakes. Bring to a simmer. Reduce the heat and simmer, covered, for 30 minutes.
2. Meanwhile, preheat the broiler. Lightly spray the broiler pain and rack with cooking spray.
3. In a medium bowl, using your hands or a spoon, gently combine the meatball ingredients except the egg. Don't overwork the mixture or it will become too compact and the meatballs will be heavy. Gently work in the egg. Shape into 12 1/2-inch balls (about 1 1/2 teaspoons each). Transfer to the broiler rack.
4. Broil the meatballs about 4 inches from the heat for 10 to 15 minutes, or until the tops are browned. Turn over. Broil for 10 to 15 minutes, or until the meatballs are browned on the outside and no longer pink in the center. Drain on paper towels.
5. Stir the meatballs into the sauce.
6. Just before serving, split open the rolls and toast them. Place 1 basil leaf on the bottom half of each roll. Top with 1 meatball and 2 tablespoons of sauce. Put the tops of the rolls on the sliders.
This recipe is from The Go Red for Women Cookbook, published 2013 by the American Heart Association.
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, June 23, 2014
Exercise Tied To Lower Diabetes Risk In High-Risk Women
According to a new study, women who have gestational diabetes may be able to avoid getting diabetes later in life with exercise.
In women who had gestational diabetes, those who increased their exercise by at least 20 minutes per day after giving birth had half the long-term risks of women who didn't change their activity levels.
"This is kind of a hopeful message because they may think they are at a higher risk of type 2 diabetes, but this shows they shouldn't give up," said Dr. Cuilin Zhang. "Exercise more. It can help."
Zhang, the lead author in the study is from the Eunice Kennedy Shriver National Institute of Child Health and Human Development in Rockville, MD.
Gestational diabetes typically affects older, heavier, and non-white women, affecting between 2 and 10 percent of all US pregnancies. They experience symptoms similar to Type 2 diabetes, including increased thirst and the urge to urinate. If gestational diabetes isn't controlled during pregnancy, it puts babies at risk of being born earlier and heavier than usual. It also puts pregnant women at risk for high blood pressure and preeclampsia.
The condition usually disappears after childbirth, but women who have had it have an increased risk of developing diabetes, especially within the next five years.
In the new study, researchers looked at 16 years' worth of data on 4,554 women who had a history of gestational diabetes. By the end of the study period, 635 developed type 2 diabetes.
Using behaviors like exercise and time spent watching television, researchers were able to calculate a women's risk of developing type 2 diabetes.
In the 1/5 of women who exercised the least 19 percent developed diabetes later on, compared to 9 percent of the top 1/5 of women who exercised the most.
For every additional 100 minutes of exercise women added per week, the risk for developing diabetes fell by 9 percent.
Watching television was tied to an increased risk of developing type 2 diabetes. Women who watched between 11 and 20 hours of TV a week had 1.4 times the diabetes risk of women who watched 0 to 5 hours a week. This however does not mean that watching television is the source of the problem, said the authors in the JAMA Internal Medicine article. In general, it means that women who watch more television tend to be less healthy than those who don't.
The researchers caution that this data does not apply to all women in the United States- most of their data came from white women.
Zhang said that the goal of their research was to identify how medicine, lifestyle, and genetics come together to influence risk among women with a history of gestational diabetes.
Reference: Chicago Tribune
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.
In women who had gestational diabetes, those who increased their exercise by at least 20 minutes per day after giving birth had half the long-term risks of women who didn't change their activity levels.
"This is kind of a hopeful message because they may think they are at a higher risk of type 2 diabetes, but this shows they shouldn't give up," said Dr. Cuilin Zhang. "Exercise more. It can help."
Zhang, the lead author in the study is from the Eunice Kennedy Shriver National Institute of Child Health and Human Development in Rockville, MD.
Gestational diabetes typically affects older, heavier, and non-white women, affecting between 2 and 10 percent of all US pregnancies. They experience symptoms similar to Type 2 diabetes, including increased thirst and the urge to urinate. If gestational diabetes isn't controlled during pregnancy, it puts babies at risk of being born earlier and heavier than usual. It also puts pregnant women at risk for high blood pressure and preeclampsia.
The condition usually disappears after childbirth, but women who have had it have an increased risk of developing diabetes, especially within the next five years.
In the new study, researchers looked at 16 years' worth of data on 4,554 women who had a history of gestational diabetes. By the end of the study period, 635 developed type 2 diabetes.
Using behaviors like exercise and time spent watching television, researchers were able to calculate a women's risk of developing type 2 diabetes.
In the 1/5 of women who exercised the least 19 percent developed diabetes later on, compared to 9 percent of the top 1/5 of women who exercised the most.
For every additional 100 minutes of exercise women added per week, the risk for developing diabetes fell by 9 percent.
Watching television was tied to an increased risk of developing type 2 diabetes. Women who watched between 11 and 20 hours of TV a week had 1.4 times the diabetes risk of women who watched 0 to 5 hours a week. This however does not mean that watching television is the source of the problem, said the authors in the JAMA Internal Medicine article. In general, it means that women who watch more television tend to be less healthy than those who don't.
The researchers caution that this data does not apply to all women in the United States- most of their data came from white women.
Zhang said that the goal of their research was to identify how medicine, lifestyle, and genetics come together to influence risk among women with a history of gestational diabetes.
Reference: Chicago Tribune
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, June 19, 2014
Diabetic Recipe of the Week: Grilled Salmon With Lime
Serves: 4
Ingredients
2 Tbsp olive oil
2 minced garlic cloves
1/4 cup lime juice
1 Tbsp. white cooking wine
2 Tbsp. grated lime peel
1 tsp. honey
1 Tbsp. dried dill
nonstick vegetable cooking spray
4 6 oz. (24 oz.) salmon fillets
4 cups broccoli
1 cup cauliflower florets
1 cup sliced carrots
1 cup long-grain brown rice, cooking according to directions, without salt or fat
Preparation
1.Preheat grill or broiler to medium heat. In a small saucepan add olive oil and minced garlic. Cook 1 minute and stir in lime juice, cooking wine, grated lime peel, and honey. Remove from heat and stir in dill.
2. Brush salmon with olive oil mixture. Spray grill or broiler pan with nonstick vegetable cooking spray. Grill or broil salmon 3 to 4 minutes per side, basting occasionally and turning, until fish flakes easily when tested with a fork.
3. Meanwhile, steam broccoli, cauliflower, and carrots and serve with hot brown rice.
This recipe is from Cornerstones4Care
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.
Ingredients
2 Tbsp olive oil
2 minced garlic cloves
1/4 cup lime juice
1 Tbsp. white cooking wine
2 Tbsp. grated lime peel
1 tsp. honey
1 Tbsp. dried dill
nonstick vegetable cooking spray
4 6 oz. (24 oz.) salmon fillets
4 cups broccoli
1 cup cauliflower florets
1 cup sliced carrots
1 cup long-grain brown rice, cooking according to directions, without salt or fat
Preparation
1.Preheat grill or broiler to medium heat. In a small saucepan add olive oil and minced garlic. Cook 1 minute and stir in lime juice, cooking wine, grated lime peel, and honey. Remove from heat and stir in dill.
2. Brush salmon with olive oil mixture. Spray grill or broiler pan with nonstick vegetable cooking spray. Grill or broil salmon 3 to 4 minutes per side, basting occasionally and turning, until fish flakes easily when tested with a fork.
3. Meanwhile, steam broccoli, cauliflower, and carrots and serve with hot brown rice.
This recipe is from Cornerstones4Care
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, June 16, 2014
Health Risks Dropping For Diabetics
In April federal researchers reported for the first time the broad national picture of progress against the most severe complications of diabetes, finding that rates of heart attacks, strokes, kidney failures, and amputations drastically declined over the past two decades.
The largest declines were seen in rates of heart attacks and death from high blood sugar, which fell more than 60 percent from 1990 to 2010.
"This is the first really credible, reliable data that demonstrates all of the efforts at reducing risk have paid off," said Dr. David M. Nathan, director of the Diabetes Center at Massachusetts General Hospital, who was not affiliated with with the study, which was published in the New England Journal of Medicine. "Given that diabetes is the chronic epidemic of this millennium, this is a very important finding."
During the period of the study the number of diabetics nearly tripled and is currently up to 26 million. The majority of the increase came from Type 2 diabetes, which is related to obesity. More than 79 million Americans have pre-diabetes and are at high-risk for developing the disease.
Researchers credit the decline with years of efforts to improve the health of patients with the disease. Doctors have improved their treatments for the disease, including medications to control blood sugar, cholesterol and blood pressure. Efforts to better educate patients have also improved the lives of diabetics, as well as providers tracking the progress of their patients.
Edward W. Gregg, a senior epidemiologist at the Centers for Disease Control and Prevention and lead author of the study, said the research team used four federal data sets: the National Health Interview Survey, the National Hospital Discharge Survey, the United States Renal Data System, and Vital Statistics. The study included hundreds of thousands of diabetics who had heart attacks, and thousands who died from high blood sugar.
"This is the first time we've put the full spectrum together over a long period of time," said Dr. Gregg. Heart attacks, which used to be the most common complication, fell to the level of strokes, which also fell.
"We were a bit surprised by the magnitude of the decrease in heart attack and stroke," he said.
As well as the number of heart attacks and death by high blood sugar dropping, the rates of strokes and lower extremity amputations fell by half. Rates for final stage kidney failure fell about 30 percent. The study did not look at blindness.
Declines in complications began in 1995 and continued over time. Improved blood sugar control made a difference in reducing the rates of amputations and end-stage kidney disease. Decreased smoking and the use of statins to lower cholesterol and other medications to control blood pressure also helped with declines in heart attacks and strokes.
While heart attacks declined for the whole population, those without diabetes saw a decline of 31 percent since 1990 and those with diabetes had a 68 percent drop.
Since cardiovascular disease is typically what kills the most people with diabetes, the focus has shifted to treating those conditions, said Dr. Joel Zonszein, director of the Clinical Diabetes Center at the Montefiore Medical Center in the Bronx. Now there are medications not available in the past that can also help protect the kidneys and prevent or postpone kidney failure.
Dr. Nathan says that even though the average person faces fewer risks for complications, diabetes is still a growing epidemic.
"There's nothing else in the world that's increasing as fast as the rate of diabetes," he said. "As a society, we are still facing an enormous burden."
Reference: New York Times
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.
The largest declines were seen in rates of heart attacks and death from high blood sugar, which fell more than 60 percent from 1990 to 2010.
"This is the first really credible, reliable data that demonstrates all of the efforts at reducing risk have paid off," said Dr. David M. Nathan, director of the Diabetes Center at Massachusetts General Hospital, who was not affiliated with with the study, which was published in the New England Journal of Medicine. "Given that diabetes is the chronic epidemic of this millennium, this is a very important finding."
During the period of the study the number of diabetics nearly tripled and is currently up to 26 million. The majority of the increase came from Type 2 diabetes, which is related to obesity. More than 79 million Americans have pre-diabetes and are at high-risk for developing the disease.
Researchers credit the decline with years of efforts to improve the health of patients with the disease. Doctors have improved their treatments for the disease, including medications to control blood sugar, cholesterol and blood pressure. Efforts to better educate patients have also improved the lives of diabetics, as well as providers tracking the progress of their patients.
Edward W. Gregg, a senior epidemiologist at the Centers for Disease Control and Prevention and lead author of the study, said the research team used four federal data sets: the National Health Interview Survey, the National Hospital Discharge Survey, the United States Renal Data System, and Vital Statistics. The study included hundreds of thousands of diabetics who had heart attacks, and thousands who died from high blood sugar.
"This is the first time we've put the full spectrum together over a long period of time," said Dr. Gregg. Heart attacks, which used to be the most common complication, fell to the level of strokes, which also fell.
"We were a bit surprised by the magnitude of the decrease in heart attack and stroke," he said.
As well as the number of heart attacks and death by high blood sugar dropping, the rates of strokes and lower extremity amputations fell by half. Rates for final stage kidney failure fell about 30 percent. The study did not look at blindness.
Declines in complications began in 1995 and continued over time. Improved blood sugar control made a difference in reducing the rates of amputations and end-stage kidney disease. Decreased smoking and the use of statins to lower cholesterol and other medications to control blood pressure also helped with declines in heart attacks and strokes.
While heart attacks declined for the whole population, those without diabetes saw a decline of 31 percent since 1990 and those with diabetes had a 68 percent drop.
Since cardiovascular disease is typically what kills the most people with diabetes, the focus has shifted to treating those conditions, said Dr. Joel Zonszein, director of the Clinical Diabetes Center at the Montefiore Medical Center in the Bronx. Now there are medications not available in the past that can also help protect the kidneys and prevent or postpone kidney failure.
Dr. Nathan says that even though the average person faces fewer risks for complications, diabetes is still a growing epidemic.
"There's nothing else in the world that's increasing as fast as the rate of diabetes," he said. "As a society, we are still facing an enormous burden."
Reference: New York Times
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, June 12, 2014
Diabetic Recipe of the Week: Blueberry Crisp
Serving Size: 1/9 recipe
Ingredients
Non-stick cooking spray
4 Tbsp. Splenda Sugar Blend
1 1/2 Tbsp. whole wheat flour
1 1/2 tsp. ground cinnamon
1 tsp. pure vanilla extract
6 cups frozen (partially thawed) or fresh blueberries
1 cup old-fashioned oats, uncooked
1/3 cup coarsely chopped almonds
1/3 cup chopped walnuts
4 Tbsp. melted Smart Balance Light margarine
Preparation
1. Preheat oven to 350 degrees. Lightly coat an 8-inch baking dish with nonstick cooking spray.
2. Combine 2 Tbsp. of the Splenda, flour, 1 tsp. of the cinnamon, and vanilla. Mix well. Fold in the blueberries until the fruit is evenly coated. Spoon into the baking dish.
3. Combine the remaining ingredients; mix well. Sprinkle evenly over the fruit. Bake for 35 to 40 minutes, or until the topping is golden and the fruit is bubbly. Serve warm.
This recipe is from Diabetes Forecast Magazine
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, June 9, 2014
Diabetic Women Less Likely To Get Mammograms
According to a new study published in Diabetic Medicine, diabetic women who are already at a higher risk for breast cancer, are 14 percent less likely to have a yearly mammogram screening, regardless of their socioeconomic status.
"Our study found having diabetes posed a significant barrier to breast cancer screening even after considering a woman's socioeconomic status, a known contributor to disparities in care among women," said Lorraine Lipscombe, MD of Women's College Hospital.
Research was conducted at the Institute for Clinical Evaluative Sciences and Women's College Hospital in Canada. In this population-based study, researchers looked at the influence of diabetes and lower socioeconomic status on mammography rates in 504,288 women aged 50 to 69 years (188,759 with diabetes, 315,529 without diabetes).
They analyzed the likelihood of at least one screening in women with diabetes within a 36-month period, beginning January 1, 1999, their 50th birthday, or 2 years after a diabetes diagnosis- which ever variable occurred last. The results were compared to women the same age without diabetes during the same period, with adjustments made for socioeconomic status based on neighborhood income and other demographic and clinical variables.
Out of the 504,288 women, 321,564, or 63.8 percent had a mammogram. Women with diabetes were significantly less likely to have a mammogram, even after adjusting for socioeconomic status and other factors. Even those from the highest socioeconomic status were among those with the lowest mammography rates.
"Managing the demands of a chronic condition such as diabetes is challenging for many women, leaving other preventative actions, like screening for cancer, to fall by the wayside," Lipscombe said.
The findings also included that 61.1 percent of women who had a mammogram were screened through physician referral, and 38.9 percent were screened through the Ontario Breast Cancer Screening Program. No matter what service the women used, the rate of mammograms among diabetic women still remained significantly lower than their non-diabetic counterparts.
"Programs that offer incentives and reminders for cancer screenings or allow for self-referral may help to ensure all women are getting their mammograms when they need them the most," Lipscombe said.
Reference: Healio
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.
"Our study found having diabetes posed a significant barrier to breast cancer screening even after considering a woman's socioeconomic status, a known contributor to disparities in care among women," said Lorraine Lipscombe, MD of Women's College Hospital.
Research was conducted at the Institute for Clinical Evaluative Sciences and Women's College Hospital in Canada. In this population-based study, researchers looked at the influence of diabetes and lower socioeconomic status on mammography rates in 504,288 women aged 50 to 69 years (188,759 with diabetes, 315,529 without diabetes).
They analyzed the likelihood of at least one screening in women with diabetes within a 36-month period, beginning January 1, 1999, their 50th birthday, or 2 years after a diabetes diagnosis- which ever variable occurred last. The results were compared to women the same age without diabetes during the same period, with adjustments made for socioeconomic status based on neighborhood income and other demographic and clinical variables.
Out of the 504,288 women, 321,564, or 63.8 percent had a mammogram. Women with diabetes were significantly less likely to have a mammogram, even after adjusting for socioeconomic status and other factors. Even those from the highest socioeconomic status were among those with the lowest mammography rates.
"Managing the demands of a chronic condition such as diabetes is challenging for many women, leaving other preventative actions, like screening for cancer, to fall by the wayside," Lipscombe said.
The findings also included that 61.1 percent of women who had a mammogram were screened through physician referral, and 38.9 percent were screened through the Ontario Breast Cancer Screening Program. No matter what service the women used, the rate of mammograms among diabetic women still remained significantly lower than their non-diabetic counterparts.
"Programs that offer incentives and reminders for cancer screenings or allow for self-referral may help to ensure all women are getting their mammograms when they need them the most," Lipscombe said.
Reference: Healio
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, June 5, 2014
Diabetic Recipe of the Week: Grilled Chicken Parmesan
Serving Size: 1 chicken breast
Preparation Time: 15 minutes
Cooking Time: 17 minutes
Ingredients
4 (4 oz.) boneless, skinless chicken breasts
4 slices fresh tomato (1/4 inch thick)
4 sun-dried tomato halves
2 Tbsp. grated fresh Parmesan cheese
1 1/2 Tbsp. shredded part-skim mozzarella cheese
8 fresh basil leaves
1/2 tsp. kosher salt
1/4 tsp. freshly ground black pepper
Olive oil cooking spray
Preparation
1. Coat a grill rack from an outdoor gas grill with cooking spray and set it 6 inches from the heat source. Preheat the grill to medium high.
2. To butterfly the chicken breasts, lay each breast on a cutting board and use a knife held parallel to the cutting board. Make a cut down the length of one long side of the breast and continue slicing the breast into two twin halves across the width. Do not cut completely through the outer edge. Open the breast and layer a slice of fresh tomato, a sun-dried tomato half, Parmesan and mozzarella cheeses, and 2 basil leaves. Secure the chicken around the filling with 1 to 2 toothpicks. Sprinkle the outside of each breast with salt and pepper. Spray each breast lightly with olive oil cooking spray.
3. Put the chicken breasts on the grill, and grill for about 15 to 17 minutes or until cooked through, turning the breasts occasionally so that they cook evenly.
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, June 2, 2014
Too Many Animal Proteins Linked To Diabetes?
According to a new study of European adults, those who eat the most protein, especially from animal sources, are more likely to be diagnosed with type 2 diabetes.
The new study compared the diets of those who developed diabetes and those who did not have the disease. Better results may have been gathered by randomly assigning participants to eat varying amounts of protein.
The findings however do coincide with previous studies.
"Several previous studies have found that higher intake of total protein, especially animal protein, as associated with long-term risk of developing diabetes," said Dr. Frank Hu of of Harvard School of Public Health in Boston. Hu was not associated with the new study, which researched prevention of diabetes through diet and lifestyle.
Researchers examined data from a large study comprising eight European countries over 12 years. The study included information such as diet, physical activity, height, weight, and waist circumference. Researchers followed that data to see who developed diabetes.
The research team was led by Monique van Nielen of Wageningen University in the Netherlands, who selected 11,000 people with diabetes and 15,000 people without diabetes.
Typically study participants ate 90 grams of protein per day. Those ate more animal proteins had a higher weight-to-height ratio and ate more fiber and cholesterol than those who ate less.
For every additional 10 grams of protein participants ate every day was linked to a six percent increased risk for developing diabetes.
Participants were divided into five groups based on the amount of protein they ate each day and researchers found that those who ate the most protein per day, 111 grams, were 17 percent more likely to develop diabetes than the group that ate the less, 72 grams.
Those who ate the most animal protein, 78 grams per day, had a 22 percent greater chance of developing diabetes than those who ate the least, 36 grams.
This association was the highest among obese women. Plant proteins however, were not linked to diabetes.
"In other studies, plant protein sources such as nuts, legumes, and whole grains have been associated with lower risk of diabetes," Hu said. "Therefore, replacing red meat and processed meat with plant sources of protein is important for diabetes prevention."
However, it's just as important to pay attention to quantity as it is the type of protein.
"Pay attention to both quantity and food sources of protein," Hu said. Those with a family history of diabetes should limit red meat consumption and replace it instead with nuts, legumes, or whole grains.
Reference: Reuter
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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The new study compared the diets of those who developed diabetes and those who did not have the disease. Better results may have been gathered by randomly assigning participants to eat varying amounts of protein.
The findings however do coincide with previous studies.
"Several previous studies have found that higher intake of total protein, especially animal protein, as associated with long-term risk of developing diabetes," said Dr. Frank Hu of of Harvard School of Public Health in Boston. Hu was not associated with the new study, which researched prevention of diabetes through diet and lifestyle.
Researchers examined data from a large study comprising eight European countries over 12 years. The study included information such as diet, physical activity, height, weight, and waist circumference. Researchers followed that data to see who developed diabetes.
The research team was led by Monique van Nielen of Wageningen University in the Netherlands, who selected 11,000 people with diabetes and 15,000 people without diabetes.
Typically study participants ate 90 grams of protein per day. Those ate more animal proteins had a higher weight-to-height ratio and ate more fiber and cholesterol than those who ate less.
For every additional 10 grams of protein participants ate every day was linked to a six percent increased risk for developing diabetes.
Participants were divided into five groups based on the amount of protein they ate each day and researchers found that those who ate the most protein per day, 111 grams, were 17 percent more likely to develop diabetes than the group that ate the less, 72 grams.
Those who ate the most animal protein, 78 grams per day, had a 22 percent greater chance of developing diabetes than those who ate the least, 36 grams.
This association was the highest among obese women. Plant proteins however, were not linked to diabetes.
"In other studies, plant protein sources such as nuts, legumes, and whole grains have been associated with lower risk of diabetes," Hu said. "Therefore, replacing red meat and processed meat with plant sources of protein is important for diabetes prevention."
However, it's just as important to pay attention to quantity as it is the type of protein.
"Pay attention to both quantity and food sources of protein," Hu said. Those with a family history of diabetes should limit red meat consumption and replace it instead with nuts, legumes, or whole grains.
Reference: Reuter
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.
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