Number 23; October 15, 2001
This newsletter keeps you up-to-date with new articles, columns, and Web pages that I have written. I list and link most of these on my Diabetes Directory at www.mendosa.com/diabetes.htm
From time to time Diabetes Update may also include links to other Web pages of special interest.
My most recent contributions are:
on September 22, 2001
Updates include:
I find it inexplicable that the magazine would conclude that "finger pricks caused slightly [emphasis added] more pain" than meters that allow blood to be taken from the arm or thigh. I must be an old softie, because to me the appropriate modifier has to be the word significantly.
The magazine also said that its panelists found alternative sites on the arm or thigh to be "messier than finger pricks." I think that they in fact have this comparison backwards.
The most serious obvious flaw in the Consumer Reports review is that they compared only 11 meters. That probably sounded like a lot to them, but is only one-third of the 33 models currently available on the U.S. market. I describe and link all of them at On-line Diabetes Resources, Part 14: Blood Glucose Meters.
They failed to include perhaps the best of the alternative site meters, the MediSense Sof-Tact. Also not considered is the Bayer Glucometer Elite or Elite XL, rated by Dr. Richard K. Bernstein for his patients as the most accurate meter. If you still care about the magazine's conclusions, see my Meters page.
This industry association frankly develops "consumer information programs to increase the demand for honey" and isn't shy about letting the truth about honey getting in the way of promoting it. Honey has a "low glycemic index" and produces "only mild increases in blood sugar and insulin," according to the association's September 25 press release.
Even worse, the well-respected About Diabetes Web site bought this pack of lies. This is the same (otherwise fine) site that published three of my articles in July and August. About Diabetes copied the press release at http://diabetes.about.com/library/blnews/blnhoney901.htm and summarized it on the site and its email newsletter at http://diabetes.about.com/cs/newswire/.
The truth is that the glycemic index of honey is 83 when compared with white bread set to equal 100 and 55 when glucose equals 100. This is documented in the bible of glycemic index studies, Jennie Brand-Miller's 1999 book, The Glucose Revolution and my Glycemic Index Lists. That's a higher glycemic index than popcorn, spaghetti, or sweet potatoes. This number is based on the article, "Glycaemic index of foods containing sugar," by Jennie Brand-Miller and associates in the British Journal of Nutrition (1995, pp. 613-23).
The very first glycemic index study, in fact, came up with a much higher level. DJA Jenkins et al. reported in "Glycemic index of foods" in the American Journal of Clinical Nutrition (1981, pp. 362-366) that honey's GI was 124 (when white bread = 100) and 87 (when glucose = 100). Jennie Brand-Miller included this study in the first edition of her book but later excluded it, because, as she wrote me in 1998, that the study was flawed.
A high glycemic index for honey won't surprise anyone who has read the USDA's "National Nutrient Database." Honey is 82.4 percent carbohydrate, of which it is 82.1 percent sugar, and 17.1 percent water. That leaves 0.5 percent, which is 0.3 protein and 0.2 ash. It has trace amounts of minerals and vitamins.
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David Mendosa:
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