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Diabetes Update 136: Counting What We Eat

November 1, 2009

By David Mendosa


Shooting Star

Musk Ox

Alaska, August 2009

My New Diabetes Articles for Health Central:

So far I have written 424 articles for the Health Central Network about all aspects of diabetes. In October this great website published nine more of my new diabetes articles:

  • Health Care: Not Completely Broken. My recent personal run in with the American health care system resulted in an emergency room CT scan for a stomach ache. It was an expensive test, but not a needless one.
  • The Support We Need from our Doctors. We need to pick doctors who will help us to set goals and proactively follow up their recommendations. A new study shows that their actions are a lot more meaningful than if they are just good listeners and help draw out our preferences.
  • Should You Get a Shot for H1N1 (Swine Flu)? People at increased risk of severe illness most need the H1N1 vaccine. One of these groups includes people with diabetes. This means that we need to get two flu shots this year.
  • Losing Weight to Reverse Sleep Apnea. A recent study of 306 obese people with type 2 diabetes who wanted to lose weight found that more than 86 percent of them had sleep apnea. Now we have a large study over many months and a randomized comparison group showing that many people in the weight loss arm of the program had total remission of their sleep apnea and many others were able to moderate it.
  • Comparing the Insulin and Glycemic Indexes. Generally, glycemic and insulin index values are close -- when we can measure them. However, the methodology of glycemic index testing doesn't let us measure the GI of foods that have little or no carbohydrate. Consequently, it can't give us a guide to the insulin response of a large majority of the foods that we eat, including high-protein foods such as meat, fish, poultry, eggs, and cheese. Foods high in carbohydrate are the main stimulus for insulin secretion. But protein-rich foods also elicit a significant insulin response.

  • The PLAC Test. We now have a test that can determine hidden risks of heart attack and stroke. It's called the PLAC Test and is the only blood test that the U.S. Food and Drug Administration has approved.
  • The Best Crackers. Crackers made largely from flax seeds have replaced the old bran crackers. They are not only more healthy, having less carbohydrate, but they taste better too.
  • Counting What We Eat. Unless we go to the trouble of counting what we consume we can't do a good job of controlling our blood glucose levels and lose weight while at the same time making sure that we get enough – but not too much – fat, carbohydrates, and protein.
  • Cooking Made Us Human. The key benefit of cooking is that it increases how much energy we get from food. That explains why people on a raw food diet don't do well.

Dr. Bernstein's Webcast

f you have any interest in controlling your diabetes by low-carb eating, one of the best resources is Dr. Richard K. Bernstein's monthly webcast. It's an hour of excellent diabetes education.

Dr. Bernstein's next live Tele-Seminar is Wednesday, November 25, at 8:00 PM EST, 7:00 PM CST, 6:00 PM MST, and 5:00 PM PST. He designed it to answer your most important questions concerning diabetes. The special topic for the first five minutes of this tele-seminar will be "How to prolong the overnight effect of  modern basal  insulins if they don't last  the whole night." The seminar is free. You can click here to register: http://www.diabetes911.net/askdrb/index.php. It's also available as a live webcast both on the Internet and by phone.

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