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

A Better A1C Test

November 9th, 2008 · 5 Comments

Even in these difficult times when almost all of us are learning how to become frugal again, money isn’t everything. Especially when it comes to our health.

For those of us who have diabetes the A1C test is the best measure that we have of the state of our health. The A1C is the only commonly available check that we have of our average blood glucose level for the past two or three months.

Those of us who are fortunate enough to have health insurance usually go to the lab at our doctor’s office or local hospital for their A1C. I know that’s what I was doing several times a year ever since my diabetes diagnosis in 1994. My health insurance provides up to two A1C tests annually for a modest $15 co-pay each time for my visit to my primary care physician.

But until now I didn’t take into account how much time getting an A1C test at the lab took out of my busy schedule. And most importantly, I didn’t realize that the lab’s results may not be right.
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Posted in: Diabetes Testing

Chia Seeds

December 13th, 2007 · 343 Comments

You might think that everyone who has diabetes would know about a seed that is superior to other plant and marine sources of essential omega-3 oils. It is also high in antioxidants and fiber. Besides that, it is high in protein and lipids, is low in sodium, and has fewer net carbs than most other grains. [Read more →]

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Posted in: Diabetes Diet

Eat Fat, Grow Thin

December 2nd, 2007 · No Comments

The conventional wisdom of our health professionals is that a calorie is a calorie. “From a purely thermodynamic point of view, this is clear because the human body or, indeed, any living organism cannot create or destroy energy but can only convert energy from one form to another.” [Read more →]

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The Trouble with Diet Soda

November 4th, 2007 · No Comments

Most of us probably assume that if your only beverage choices were diet or regular soda, the diet variety would be better. After all, drinks made with non-nutritive sweeteners do give us fewer calories.

But recent studies indicate that drinking diet soda can lead to our gaining weight. They can raise the A1C levels of those of us who have diabetes. And drinking them is also associated with a greater risk of heart disease. [Read more →]

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What Makes My Blood Glucose Go Up…And Down?

September 30th, 2007 · No Comments

Wearing my new Guardian REAL-Time continuous glucose monitor continues to give me a lot more help in controlling my glucose levels than I ever expected. Few people who don’t have type 1 diabetes have used continuous monitors until recently. Most of the people with type 2 who have been using them take insulin, which makes glucose control critical. [Read more →]

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Is Diabetes Progressive?

September 27th, 2007 · 2 Comments

At the diabetes conference the experts were talking over their snacks of bagels and Cokes. One of them said, you know that diabetes is a progressive disease, don’t you? [Read more →]

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Posted in: Psychosocial

K is for Ketones

June 14th, 2007 · 3 Comments

 

Ketones are good for you. No, they’re bad.

With one exception, I don’t think that there’s any diabetes disagreement that is more serious than this one about ketones. The exception is whether a low-carbohydrate diet is something that you should follow, particularly if you want to lose weight. [Read more →]

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Posted in: Diabetes Testing

Making Better Muffins

May 1st, 2007 · No Comments

One of the advantages of having diabetes is the chance to try all sorts of different, new, and exciting foods. Maybe you haven’t experienced that yet, but people all over the country keep sending me diabetes-friendly products to try.

Most of them are healthy and tasty. Anyway, none of them have poisoned me yet. One of the most surprisingly good foods that I’ve had the pleasure of eating arrived a couple of days ago. [Read more →]

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AGEs Aren’t Just for the Aged

April 26th, 2007 · No Comments

It is fitting that the most recent study of AGEs appears in this month’s issue of a gerontology journal. 
As we grow older we do accumulate AGEs. [Read more →]

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What’s Wrong with Saturated Fat?

March 24th, 2007 · 4 Comments

Update: Back in 2007 I believed the standard recommendations to minimize the amount of saturated fat we eat. I subsequently changed my position and now gladly seek out full-fat products. Many researchers have now debunked the belief that saturated fat is bad for us, and I have reviewed those findings in other articles on this blog.

Who doesn’t like a juicy hamburger, a tender steak or yummy beef ribs? What about cheese and cream? Unless you are a vegetarian, the chances are that these are some of your life’s joys.

But these foods are high in saturated fat, which is the worst culprit in raising total and LDL cholesterol levels. It’s saturated fat, not cholesterol in our diet, that is the problem with high cholesterol levels. “Dietary cholesterol has relatively little effect on blood cholesterol,” according to a review article in The Journal of Nutrition, Health and Aging.

“There appears to be a consistent positive association of cholesterol, saturated fat, and possibly trans-fatty acid intake and atherosclerotic disease,” according to a review article in Cardiology Clinics journal. “Saturated fat reduction is a primary goal for decreasing the risk of cardiovascular disease,” according to a recent review in Nutrition Reviews. “Epidemiological studies have confirmed a strong association between fat intake, especially saturated and trans fatty acids, plasma cholesterol levels and rate of coronary heart disease (CHD) mortality,” a review of “Dietary fatty acids and coronary heart disease” concluded.

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