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Diabetes Developments - A blog on latest developments in diabetes by David Mendosa

LiveBold with Diabetes

July 13th, 2014 · No Comments

If we don’t manage our diabetes, it’s likely to come with complications in its wake. But it’s sure to come with a stigma now.

The stigma of diabetes is that it’s our fault. It blames the victim.

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Before (Sitting)

Their theory is that we get diabetes because we’re fat, lazy, and weak-willed. Many people assume that it’s especially because we got fat that we got the disease.

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→ No CommentsPosted in: Psychosocial

Low Carbs Cut Diabetes Inflammation

July 6th, 2014 · No Comments

We already knew that diabetes and inflammation often go together. But now a study by researchers in Sweden shows us how to reduce our level of inflammation and bring down our blood sugar level as well.

Localized inflammation, like that caused by periodontal infection, is susceptible to localized treatment. But generalized, or systemic, inflammation can also bedevil those of us who have diabetes. The new study addresses this previously intractable problem.

“To simplify somewhat,” writes Dr. Richard K. Bernstein in Dr. Bernstein’s Diabetes Solution, “inheritance plus inflammation plus fat in the blood feeding the liver causes insulin resistance, which causes elevated serum insulin levels, which cause the fat cells to build even more abdominal fat, which raises triglycerides in the liver’s blood supply and enhances inflammation, which causes insulin levels to increase because of increased resistance to insulin.” Does this sound like a vicious cycle to you too?

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→ No CommentsPosted in: Diabetes Complications

Two Large Meals a Day for Diabetes

June 28th, 2014 · 7 Comments

Until now, some experts on health have recommended that we eat several small meals a day to help us lose weight. It also seemed logical that eating smaller meals would have less of an impact on the blood sugar of those of us with diabetes.

But a new study demonstrated that some people with type 2 diabetes who ate only breakfast and lunch lost more weight than when they ate six smaller meals a day. In this randomized crossover study they also had bigger decreases in fasting blood sugar, bigger improvement in insulin sensitivity, and bigger improvements in other markers of better diabetes management.

Researchers in the Czech Republic worked with 54 people with diabetes for 24 weeks to have them eat the same number of calories spread over either two or six meals a day. The people in the study followed diets of eating six small meals a day or two large daily meals for 12 weeks. Then they switched to the other diet plan for 12 more weeks.

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→ 7 CommentsPosted in: Diabetes Diet

Exercise Snacks Control Diabetes Levels Better

June 21st, 2014 · No Comments

All of us snack on food from time when we’re hungry and hope that it wouldn’t raise our blood sugar too much. But I wonder how many of us take “exercise snacks.”

New studies on food and exercise snacks point us in different directions. Food snacking may not be what it’s cracked up to be, and I will report on that study soon. But a new concept of exercise snacking is showing that brief but intense exercise before meals can help us manage our diabetes better.


In the paragraph above I emphasized the phrase “before meals” because we already knew that when we get exercise after a big meal we can quickly bring down our blood sugar level. That’s a good strategy that I have followed myself ever since my late wife asked me after dinner one evening what she could do to reverse a high level somewhere above 200. We went out for a moderate 10 to 15 minute walk, and when we got back home and she tested again her level had dropped to little above 100.

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The Glycemic Index Still Matters for Diabetes

June 15th, 2014 · 9 Comments

The glycemic index is about foods that are high in carbohydrates, and the easiest way to manage our diabetes is a very low-carb diet. But low-carbing is basically taking the glycemic index one step further.

A low-carb diet isn’t a no-carb diet. In fact, the glycemic index is as important for those of us who eat 50 or fewer grams of carbohydrates a day as for people who use insulin or pills.

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At the end of 2007 I switched from relying on pills and the glycemic index when I decided that a very low-carb diet was safer than using medicine, which always has side effects. Before then, my first book was about the glycemic index. I co-authored What Makes My Blood Glucose Go Up…and Down? together with the world’s top glycemic index scientist, Professor Jennie Brand Miller of Australia’s University of Sydney, and her associate Kaye Foster Powell.

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→ 9 CommentsPosted in: Diabetes Diet

Short-term Insulin: Long-term Results for Type 2 Diabetes

June 8th, 2014 · 1 Comment

Insulin has usually been the last resort for those of us who have type 2 diabetes. “If you don’t shape up, I’m going to make you inject insulin,” is a threat we may hear from our doctors.

When all else fails and our blood sugar is still too high after trying the pills for diabetes, many of us go on insulin, although usually with reluctance. But by that time most of the beta cells of our pancreas that store and release insulin into the bloodstream have also failed.

Ongoing research at Toronto’s Mount Sinai Hospital suggests that we’ve got it backwards. When people with type 2 diabetes take insulin for a short term soon after their diagnosis, it can have long-term effects.

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→ 1 CommentPosted in: Diabetes Medication

Generic Test Strips for Diabetes

June 2nd, 2014 · No Comments

Generic products can help us manage the costly disease known as diabetes. In the past few years we got generic pills, including metformin. Now we have genetic test strips for our blood glucose meters.

The U.S. Food and Drug Administration recently approved generic test strips that we can use with most of LifeScan’s OneTouch Ultra meters. Now you can buy them now.

LifeScan, a Johnson & Johnson company, sells more blood glucose meters in the United States than any other meter manufacturer. You are more likely to find their meters on your health plan’s formulary than those made by any other company.

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UniStrip Technologies in Charlotte, North Carolina, offers generic test strips for LifeScan’s four best-selling meters in the Ultra family: the OneTouch Ultra, Ultra2, UltraSmart, and UltraMini. PharmaTech Solutions (owned by Shasta Technologies) in Westlake Village, California, offers generic strips for three of these: the OneTouch Ultra, Ultra2, and UltraMini.

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The Best Way to Check Our Diabetes Control Is Back

May 25th, 2014 · 3 Comments

The A1CNow meter for checking the key level of sugar in our blood is back. Chek Diagnostics, which changed its name from Polymer Technology Systems on March 27, just started shipping this meter that lets us check our A1C level at home.

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I reported here on December 24 in “A Christmas Gift to People with Diabetes with Polymer” that the company had purchased the A1CNow business from Bayer Diabetes Care.

During the transition in ownership the availability of the A1CNow meter became spotty. Fortunately, the new owners didn’t change the device or its name. It is fortunate because they didn’t have to wait for the long approval process that the U.S. Food and Drug Administration requires for new and revised devices.

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A Vitamin D Surprise for People with Diabetes

May 18th, 2014 · No Comments

We have known for a long time that vitamin D is important for our health. Recently scientists discovered that it helps us stave off heart disease and regulate our diabetes. But until now they couldn’t tell us how much vitamin D we need to get each day to help us manage our blood sugar levels.

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The Sunshine Vitamin on the Yellowstone River

Just a week ago I pointed out in my most recent article here, “Best Vitamin D Choices for Diabetes,” that “the experts still haven’t decided on precisely how much vitamin D we need.” They just did.

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Best Vitamin D Choices for Diabetes

May 17th, 2014 · 2 Comments

Scientists and doctors have begun to recognize that almost all of us need to get more vitamin D. Those of us who have diabetes often have very low levels of vitamin D in our systems.

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The experts still haven’t decided on precisely how much vitamin D we need or the best ways to get it. But two massive new studies have shed much needed light, including a finding that the type of vitamin D that doctors usually prescribe doesn’t help at all.

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