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diabetes supplement

Diabetes Update 112: Gary Scheiner

November 1, 2007

By David Mendosa


Giraffe at Sunset
Photo by Sue Dodson in Kruger National Park, South Africa

This month Diabetes Update features two important new articles by Certified Diabetes Educator Gary Scheiner. I invited Gary to write these articles for my site, and he graciously agreed.

  • For those who take rapid-acting insulin at mealtimes and want any degree of meal planning flexibility, it is necessary to apply something known as insulin-to-carb (I:C) ratios. Gary explains a clear and easy way to do the calculations. His free Mealtime Insulin Dosage Calculator helps people with diabetes to determine their mealtime insulin needs. The link is here

  • Postprandial hyperglycemia refers to a high blood sugar spike that occurs soon after eating a meal or snack. For everyone with Type-1 or Type-2 diabetes, it is natural for the blood sugar to rise after eating. But if the rise is very dramatic, if can effect a person’s well-being and quality of life. Gary shows how post-meal blood sugar control depends on proper insulin timing. The URL is

My most recent articles are:

  • My New Diabetes Articles for Health Central
    So far I have written more than 200 articles for Health Central about all aspects of diabetes. In October they published eight more of my new diabetes articles:

    1. DNA Testing. The first genetic test available to determine a risk factor for type 2 diabetes recently became available. I just beta tested and discussed it with the company’s CEO and several other officials.

    2. Z Trim Fat Replacement . We can now get the texture and mouth feel of fat with much less of it in our diet. The answer is a new product made totally from fiber called Z Trim.

    3. Diabetes Myths. Most of us believe in some of the myths about diabetes. Even the American Diabetes Association.

    4. Diabetes Conversation Maps. Most of the work is great, but I take strong exception to one of the new Diabetes Conversation Maps. Even the flag over this part of the map, “The Natural Course of Diabetes,” set my teeth on edge. And the content jarred me even more, “In type 2 diabetes, there is a gradual loss of the beta cells that make insulin. Over time, there are not enough of these cells to meet the insulin needs of the body and to keep blood glucose in the target range.” When people with diabetes believe that it is true, it becomes a self-fulfilling prophesy. Otherwise not necessarily!

    5. A Byetta Pancreatitis Perspective . The Food and Drug Administration believes there may be a connection between some of the 30 reported cases of pancreatitis among people with diabetes who take Byetta and the fact that they are taking it. Here are the facts on the ground.

    6. Balance Exercise. We need to focus more on balance and flexibility than the traditional focuses of exercise, aerobic and resistance training. Here’s how.

    7. Diabetes Brinkmanship. It’s typical of those of us with diabetes that we let our health get almost completely out of balance before we begin to control it. Fortunately, most of us are able to make use of the amazing recuperative powers that our bodies have so that we can take control before we completely destroy our health.

    8. Lose Weight Without Starving. Practically everyone who has diabetes constantly grapples with the question of being hungry. Here are some tips about how to deal with the question as we lose weight.

Glycemic Density:

Rich Price has informed me that his new book, Glycemic Density — Continuing the Glucose Revolution, is now available at Infinity Publishing. You can also read it in its entirety at his web site,

Glycemic density is built upon two foundations, which are: (1) The glycemic index and (2) energy density. The glycemic index measures how rapidly carbohydrate foods are digested and metabolized into glucose or blood sugar. A related concept is the glycemic load which applies the glycemic index to specific serving sizes. Energy density or calorie density is a measurement of calories per gram of food. This results in a number ranging from zero to nine. The most calorie dense nutrient is pure fat, which has nine calories per gram. Pure carbohydrate or pure protein has an energy density of four, because there are four calories per gram of carbohydrate or protein. The addition of water and/or fiber lowers the energy density further, due to the fact that they have no caloric value. Energy density allows us to gain the maximum hunger satisfaction with the least amount of calories.

Calling African Americans:

Pearle Vision Inc. is working on an awarness campaign for African Americans with diabetes, stressing the importance of eye exams, writes Robbe Bobbe, their casting director. They want to find African American men and women age 45 - 65 with diabetes who are taking care of themselves. “They should be positive examples of people who are taking care of their health in the short-term to avoid any long-term complications,” she writes. “We would love to find people who would be an inspiration to others. The people who are chosen will have their portrait taken by award-winning photographer Donald Graham in New York. It would take about three to four hours and will be paid $1200.” If you qualify, you may call Robin at (212) 685-5238 or email her at [email protected].


  • Use Full Screen and Set Display Properties Correctly
    Be sure to display any articles on my website in full screen mode. Otherwise, the targeted ads will cover some of the text of my articles. This also happens to some people who do use full screen mode. Upon careful investigation it happens when you set display properties inappropriately.

  • Health Central
    The Health Central Network continues to get better and better. It will now notified you by email of new articles (SharePosts) by me or anyone who posts at Just click on “Subscribe” wherever you see that button there. The new software also now permits threaded replies to comments. So you will see more replies from me than I have posted since the major site revamp on March 1.

    Each month I describe and link my new Health Central articles here. But you can also use a blog reader to keep up with my articles more quickly. I use Bloglines, as I describe in my article, “Reading Health Blogs.” Go to, click on feeds, click on add, (both in left pane), then in center pane enter at “Blog or Feed URL” click on Alternatively, you can subscribe to my new articles at Health Central by taking your browser to

  • This Newsletter
    Diabetes Update keeps you up-to-date with new articles, Web pages, and books that I have written about diabetes.

    I list and link most of these on my at Diabetes Directory and in the site’s menu at the upper left of all my Web pages.

    From time to time Diabetes Update may also include links to other Web pages of special interest.

  • HTML Format
    I send out Diabetes Update email in HTML format, which all Web browsers and most modern email programs can display. HTML has live links to all the sites named in the text so that with a simple click of a mouse you can connect to the site you have just been reading about.

  • My Guarantee
    This newsletter:
    1. Is and will remain free.
    2. Will never include advertising (except targeted Google ads at the bottom of the web page and not in the email newsletter).
    3. Nor will I ever sell, rent, or trade your email address to anyone.
    4. I will link sources of information.
    5. I will disclose any conflict of interest.
    6. If and when I learn of any errors of fact, I will correct them.


    I now send out Diabetes Update once a month. Previous issues are online:

  1. Diabetes Update Number 1: Diabetes Genes of December 10, 2000
  2. Diabetes Update Number 2: DiabetesWATCH of December 18, 2000
  3. Diabetes Update Number 3: Starlix of January 3, 2001
  4. Diabetes Update Number 4: Native Seeds/SEARCH, Tepary Beans of January 17, 2001
  5. Diabetes Update Number 5: Insulin Makes You Fat of January 31, 2001
  6. Diabetes Update Number 6: Available and Unavailable Carbohydrates of February 15, 2001
  7. Diabetes Update Number 7: Dates of March 1, 2001
  8. Diabetes Update Number 8: Quackwatch of March 15, 2001
  9. Diabetes Update Number 9: The Cost of Insulin of March 30, 2001
  10. Diabetes Update Number 10: Sof-Tact Meter of April 2, 2001
  11. Diabetes Update Number 11: iControlDiabetes of April 16, 2001
  12. Diabetes Update Number 12: Cinnamon, Tagatose of May 2, 2001
  13. Diabetes Update Number 13: Glycemic Index of May 15, 2001
  14. Diabetes Update Number 14: Eat Your Carrots! of May 31, 2001
  15. Diabetes Update Number 15: Glycemic Load of June 21, 2001
  16. Diabetes Update Number 16: Homocysteine of July 2, 2001
  17. Diabetes Update Number 17: Chana Dal Tips of July 15, 2001
  18. Diabetes Update Number 18: Lag Time in AlternativeLand of August 2, 2001
  19. Diabetes Update Number 19: Fiber of August 15, 2001
  20. Diabetes Update Number 20: How Diabetes Works of August 30, 2001
  21. Diabetes Update Number 21: Insulin Resistance of September 14, 2001
  22. Diabetes Update Number 22: Trans Fats, Honey, CU of October 1, 2001
  23. Diabetes Update Number 23: Pedometer Power of October 15, 2001
  24. Diabetes Update Number 24: Is Glycerin a Carbohydrate? of October 31, 2001
  25. Diabetes Update Number 25: Kill the Meter to Save It of November 15, 2001
  26. Diabetes Update Number 26: Protein, Fat, and the GI of December 1, 2001
  27. Diabetes Update Number 27: Insulin Index of December 14, 2001
  28. Diabetes Update Number 28: Fructose of January 4, 2002
  29. Diabetes Update Number 29: Aspirin of January 14, 2002
  30. Diabetes Update Number 30: Stevia of January 31, 2002
  31. Diabetes Update Number 31: Gretchen Becker’s Book of February 19, 2002
  32. Diabetes Update Number 32: The UKPDS of March 4, 2002
  33. Diabetes Update Number 33: Financial Aid of March 18, 2002
  34. Diabetes Update Number 34: Pre-Diabetes of April 1, 2002
  35. Diabetes Update Number 35: More Glycemic Indexes of April 15, 2002
  36. Diabetes Update Number 36: Gila Monsters of April 30, 2002
  37. Diabetes Update Number 37: Is INGAP a Cure? of May 15, 2002
  38. Diabetes Update Number 38: Native American Diabetes of June 3, 2002
  39. Diabetes Update Number 39: FDA Diabetes of June 19, 2002
  40. Diabetes Update Number 40: Diabetes Support Groups of July 1, 2002
  41. Diabetes Update Number 41: New GI and GL Table of July 15, 2002
  42. Diabetes Update Number 42: Diabetes Sight of August 1, 2002
  43. Diabetes Update Number 43: DrugDigest of August 18, 2002
  44. Diabetes Update Number 44: Hanuman Garden of September 3, 2002
  45. Diabetes Update Number 45: Guidelines of September 16, 2002
  46. Diabetes Update Number 46: Trans Fat of October 4, 2002
  47. Diabetes Update Number 47: Nutrition.Gov of October 16, 2002
  48. Diabetes Update Number 48: Our Hearts of October 31, 2002
  49. Diabetes Update Number 49: Our Kidneys of November 15, 2002
  50. Diabetes Update Number 50: A1C<7 of December 2, 2002
  51. Diabetes Update Number 51: Diabetes Searches with Google of December 16, 2002
  52. Diabetes Update Number 52: e-Patients of January 2, 2003
  53. Diabetes Update Number 53: Email News of January 16, 2003
  54. Diabetes Update Number 54: Third Generation Meters of January 31, 2003
  55. Diabetes Update Number 55: Hypoglycemic Supplies of February 14, 2003
  56. Diabetes Update Number 56: Food Police of March 1, 2003
  57. Diabetes Update Number 57: Vitamins of April 1, 2003
  58. Diabetes Update Number 58: Lancets of May 1, 2003
  59. Diabetes Update Number 59: Accurate Meters of June 1, 2003
  60. Diabetes Update Number 60: Chromium of July 1, 2003
  61. Diabetes Update Number 61: Traveling of August 1, 2003
  62. Diabetes Update Number 62: My Book of September 1, 2003
  63. Diabetes Update Number 63: Hot Tubs of October 1, 2003
  64. Diabetes Update Number 64: Home A1C Testing of November 1, 2003
  65. Diabetes Update Number 65: Detemir of December 1, 2003
  66. Diabetes Update Number 66: Erectile Dysfunction of January 1, 2004
  67. Diabetes Update Number 67: Acidic Foods of February 1, 2004
  68. Diabetes Update Number 68: Net Carbs of March 1, 2004
  69. Diabetes Update Number 69: Glycemic Index of April 1, 2004
  70. Diabetes Update Number 70: Dreamfields Pasta of May 1, 2004
  71. Diabetes Update Number 71: Cholesterol of June 1, 2004
  72. Diabetes Update Number 72: Meter News of July 1, 2004
  73. Diabetes Update Number 73: Pill Splitting of August 1, 2004
  74. Diabetes Update Number 74: GlucoMON of September 1, 2004
  75. Diabetes Update Number 75: Coding of October 1, 2004
  76. Diabetes Update Number 76: Sleep Apnea of November 1, 2004
  77. Diabetes Update Number 77: Keynote Address of December 1, 2004
  78. Diabetes Update Number 78: Mangosteen of January 1, 2005
  79. Diabetes Update Number 79: Noninvasive Dream of February 1, 2005
  80. Diabetes Update Number 80: Pelikan Sun of March 1, 2005
  81. Diabetes Update Number 81: Medtronic Monitors of April 1, 2005
  82. Diabetes Update Number 82: ExtendBars of May 1, 2005
  83. Diabetes Update Number 83: GlycoMark of June 1, 2005
  84. Diabetes Update Number 84: My British Book of July 1, 2005
  85. Diabetes Update Number 85: Disintegrating of August 1, 2005
  86. Diabetes Update Number 86: Meter Research of September 1, 2005
  87. Diabetes Update Number 87: Evaluating Meters of October 1, 2005
  88. Diabetes Update Number 88: When to Test of November 1, 2005
  89. Diabetes Update Number 89: Blogging of December 1, 2005
  90. Diabetes Update Number 90: RSS Feed of January 1, 2006
  91. Diabetes Update Number 91: An Uncommon Doctor of February 1, 2006
  92. Diabetes Update Number 92: More Blog Entries of March 1, 2006
  93. Diabetes Update Number 93: Talking Meters of April 1, 2006
  94. Diabetes Update Number 94: Navigating of May 1, 2006
  95. Diabetes Update Number 95: Measuring Sweat of June 1, 2006
  96. Diabetes Update Number 96: The Future of Pumps of July 1, 2006
  97. Diabetes Update Number 97: Pumping in Real Time of August 1, 2006
  98. Diabetes Update Number 98: The DexCom Sensor of September 1, 2006
  99. Diabetes Update Number 99: GlucoTel of October 1, 2006
  100. Diabetes Update Number 100: Discovery of Byetta of November 1, 2006
  101. Diabetes Update Number 101: My Diabetes Blog of December 1, 2006
  102. Diabetes Update Number 102: Stress of January 1, 2007
  103. Diabetes Update Number 103: UltraMini of February 1, 2007
  104. Diabetes Update Number 104: Salt of March 1, 2007
  105. Diabetes Update Number 105: In Memoriam Catherine of April 1, 2007
  106. Diabetes Update Number 106: Eating Locally of May 1, 2007
  107. Diabetes Update Number 107: Avandia Anxiety of June 1, 2007
  108. Diabetes Update Number 108: Pigs of July 1, 2007
  109. Diabetes Update Number 109: Continuous Testing of August 1, 2007
  110. Diabetes Update Number 110: How Byetta Works of September 1, 2007
  111. Diabetes Update Number 111: Is Diabetes Progressive of October 1, 2007

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