| In a study published in Diabetes (2000), the journal of the american diabetes association, researchers found that children who had a sibling with diabetes were more than fives times as likely to develop the disorder if they drank more than half a liter (about two 8-ounce glasses) of cow's milk a day, compared with children who drank less milk.
While it is not clear which component of cow's milk may increase the risk of diabetes, researchers suspect that one of several proteins may be to blame by causing the immune system to attack insulin-producing cells in the pancreas. |
Too Profitable to CureBrent Hoadley, Ph.D.
See book keywords and concepts |
| If the american diabetes association is "searching for a cure," donations (at least 75%) should go directly to cure research—not to fund raising, not to awareness raising, and not to unconscionable rewards for the upper echelon of organizational executives.
Health Profits
Corporations who profit heavily from the "disease business" should pay a surtax on the hefty profits they make. Imposing a surtax—before passing out executive bonuses and shareholder dividends—could underwrite a national health organization outside the purview of federal government, more in tune with citizens' needs. |
Tori Hudson, N.D.
See book keywords and concepts |
 Their conclusion is that for those individuals who are at high risk for heart disease, the benefits outweigh the risks. The american diabetes association has also concluded that clinicians should consider aspirin for primary prevention of heart disease in diabetic patients who are older than 30 or have risk factors for cardiovascular disease and no contraindications to aspirin. |
Mark Sircus
See book keywords and concepts |
 American Diabetes Association (www.diabetes.org)
14 Diabetes Care 28:1175-1181, 2005.
15 New York Times. January 9, 2006
16 Derrick Z. Jackson, Diabetes and the trash food industry. Boston Globe. January 11,2006
17 New York Times. January 11, 2006.
18 Increasing rates of Type II diabetes worldwide suggest that diabetes may be caused by environmental toxins. Cadmium is a widespread environmental pollutant that accumulates in the pancreas and exerts diabetogenic effects in animals. |
Hyla Cass
See book keywords and concepts |
 Magnesium
The american diabetes association reports that 25 percent of diabetics are magnesium deficient (although other figures place this much higher), and that supplementing with this mineral can improve blood sugar control. Green vegetables such as spinach are good sources of magnesium, because the center of the chlorophyll molecule (which gives green vegetables their color) contains magnesium. Some legumes (beans and peas), nuts and seeds, and whole, unrefined grains are also good sources of magnesium. |
Bottom Line Health
See book keywords and concepts |
| Francine Kaufman, past president of the american diabetes association and head of the Center for Diabetes and Endocrinology at Children's Hospital, Los Angeles.
A GROWING NUMBER
Kaufman, a pediatric endocrinologist, says double diabetes is a phenomenon that's being increasingly recognized by doctors. In fact, recent reports suggest that up to 30% of newly diagnosed children have both type 1 and type 2.
"They may clinically look like they have type 2 —be overweight and maybe have a family history of type 2—but then [their blood tests] come back positive" for type 1, Kaufman says. |
Gabriel Cousens
See book keywords and concepts |
 The remaining fifty people were on the basic american diabetes association diet. The ADA diet reduced glycosylated hemoglobin by 0.4 percent. The vegan diet was three times more effective, reducing the HgbAlc by 1.2 percentage points (one point is considered 1 percent). So the average value of gylcosylated hemoglobin fell from 8 percent to 6.8 percent during the twenty-two weeks. This is very significant. A diabetes study in the UK showed that a one-point drop in glycosylated hemoglobin with Type-2 diabetes reduces the risk of kidney or eye complications by 37 percent. |
| This is very straightforward, and is a clear and ongoing tragedy. The american diabetes association estimates that diabetes is costing about $132 billion a year. To put this cost in perspective: all the cancers together in United States cost about $171 billion a year. We have a major epidemic, and we are only making the problem worse.
There are many secondary causes to this pandemic. Some doctors are a little concerned, as increasing numbers of children are given antipsychotic drugs for anxiety and conditions like autism. |
| Age (years)
Figure 10: Diabetes rates in men and women ages 0-80-plus (Source: Diabetes Care, 2004, american diabetes association, Inc.)
Today one in five New Yorkers 65 years and older have diabetes. New York is not even the most overweight. In New York, 20 percent are overweight, while 20-30 percent are overweight in the rest of the country. But it is in New York, as in England, that Type-2 diabetes is very much connected with race, genetics, and money. It seems to have an inverse relationship to income. |
Hyla Cass
See book keywords and concepts |
| And, according to the american diabetes association, about a third of people with diabetes don't know they have it—until symptoms become so severe that they can't ignore them any longer.
As you may already know, type 2 diabetes is a high-maintenance disease. It requires multiple medications, possibly including daily insulin injections; blood-glucose monitoring equipment; frequent doctor's visits; and, as complications mount, is likely to lead to surgeries (including open heart surgery or amputations), dialysis, and increasing disability. |
Mark Sircus
See book keywords and concepts |
| More than one in four American adults have metabolic syndrome, according to the latest government estimates28, and recent reports to the american diabetes association at their 2006 symposium report that half of all Americans will develop a condition known as insulin resistance, a type of "pre-diabetes" that puts them at high risk of heart attacks.29
The March 27, 2006 issue of Circulation discussed the role magnesium might play in preventing this serious syndrome. A 15-year study looked at the magnesium intake of 4,600 people aged 18-30. |
Gabriel Cousens
See book keywords and concepts |
| On October 24,2003 the scientific committee of the american diabetes association actually did create a new and better definition of pre-diabetic or impaired glucose tolerance of a blood glucose of 100 or greater. They lowered the breakpoint from 109 to 100 mg/dl, which now means that the value of 100 or more would lead to a diagnosis of impaired fasting glucose or pre-diabetes. According to the general scientific literature, those who fall into the pre-diabetic range would probably develop diabetes within ten years. |
Mark Sircus
See book keywords and concepts |
| Yet, the american diabetes association in their 2006 guidelines for diabetes and pre-diabetes, when making treatment and nutritional recommendations, joined pediatricians in maintaining the general medical status quo, by not calling attention to this very correctable health concern and recommending that magnesium be addressed in a significant way. This is despite the increasing evidence over the years that magnesium is even more deficient in diabetics and that current dietary recommendations do not address the issue. |
Steven V. Joyal
See book keywords and concepts |
 The somber statistics from the american diabetes association show that the majority of people with prediabetes will develop type 2 diabetes within ten years if they do not take steps to include dietary and exercise changes to prevent it. Given that more than 60 percent of Americans are overweight (body mass index [BMI] of 25 or greater) and nearly one third of them are obese (BMI of 30 or greater), and that a growing percentage of young people are overweight as well, it is projected that there will be a 165 percent increase in the number of people with diabetes by 2050. |
| FASTING BLOOD GLUCOSE LEVELS DEFINED
70-99 mg/dL: normal (we believe 70-85 mg/dL is optimal) 100-125 mg/dL: prediabetes 1 26 mg/dL or greater: diabetes
Source: american diabetes association.
Portable Home Glucose Meters
New, improved blood glucose meters are being introduced all the time, and they seem to be getting smaller, faster, and more sophisticated, requiring a smaller and smaller blood sample (and thus causing less pain) to get an accurate reading. |
| Strength-Training Guidelines
A basic strength-training recommendation from the american diabetes association and the American College of Sports Medicine follows:
?Participate in strength training at least two times per week.
?Do eight to twelve repetitions per set.
?Do one to two sets per exercise.
?Include eight to ten exercises in each session that target major muscle groups.
Before you get started, here are some basic guidelines to ensure your sessions are effective, safe, and fun.
?Talk to your doctor before starting strength training. |
| It may include help from professionals such as diabetes educators, health professionals who give talks in the community, professional societies like the american diabetes association (ADA), independent health and wellness organizations like Life Extension, and local experts involved with in-hospital or community-based diabetes self-management programs. More informal support may come from self-help groups and/or online support groups, and don't forget the invaluable moral support you can get from understanding and empathetic friends and family members. |
| The majority are offered by hospitals and health-care centers and are recognized by the american diabetes association. Depending on the facility, the program can include classes, support groups, and/or counseling services on all aspects of diabetes management, from basic information about the disease to meal planning, stress management, traveling with diabetes, weight management, effects of medication, glucose monitoring assistance, pregnancy and diabetes, and exercise plans. |
Mark Sircus
See book keywords and concepts |
| Mokdad, PHD 2004; From the Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia by the american diabetes association Diabetes Care 27:2444-2449, 2004
29 Defining A Crisis: Cardiometabolic Risk How Insulin Resistance Threatens Half Of Americans See: cardiometabolic.06.12.pdf
30 Treatments for Metabolic Syndrome May Expand. American society of Health System Pharmacists: May, 2006; See: www.ashp.org/news/ShowArticle.cfm? |
Ann M. Coulston and Carol J. Boushey
See book keywords and concepts |
 A recent statement from the american diabetes association has addressed these issues [60]. For many years, it was felt that refined sucrose (i.e., table sugar) should be eliminated from the diets of people with diabetes despite the lack of convincing scientific data. Now clinical studies indicate that the amount of sucrose typically found in the American diet does not have an adverse effect on blood glucose control [61, 62]. |
Bottom Line Health
See book keywords and concepts |
| Double Trouble— Up to 30% May Have Both Type land 2
Francine Kaufman, MD, pediatric endocrinologist, head of the Center for Diabetes and Endocrinology, Children's Hospital, Los Angeles, and past president, american diabetes association.
Stuart Weiss, MD, clinical assistant professor, department of medicine (endocrinology), New York University School of Medicine, and endocrinologist, New York University Medical Center, New York City.
Doctors are finding that an increasing number of patients who have symptoms of obesity-linked type 2 diabetes also have the more rare type 1 form of the disease. |
| To learn more about diabetes, visit the american diabetes association at www. diabetes.org.
Help for the Medical Test No One Wants to Talk About
Here's a topic that most people do not like to discuss—colonoscopies. I had my first one recently*
I expected the test to be horrible, but it wasn't at all. The preparation the night before, however, is another story. Sadly, many people avoid the test because of that, but there are ways to make it less onerous. |
Elaine Magee
See book keywords and concepts |
 And for people with diabetes, the american diabetes association (ADA) states that
Top Five Ways to Cut Diabetes Risk in Half
Several recent studies have shown that when people take the following five steps, they achieve greater weight loss and improve their glucose and insulin concentrations, compared with control subjects. |
Michael T. Murray and Michael R. Lyon
See book keywords and concepts |
 At the annual meeting of the american diabetes association in 2004, the results of a clinical study using this proprietary fiber blend were presented by researchers from the Risk Factor Modification Centre at St. Michael's Hospital and the University of Toronto. Subjects with the metabolic syndrome took 3 grams of PGX or a placebo three times a day before meals. After three weeks, there was a 23 percent reduction in after-meal glucose levels, a 40 percent reduction in after-meal insulin release, and a 55.9 percent improvement in whole body insulin sensitivity scores in the group taking PGX. |
| In a study presented at the american diabetes association, a three-week administration of PGX was accompanied by a 50 percent reduction in after-meal insulin levels and a 40 percent improvement in insulin sensitivity along with a highly significant decrease in after-meal blood sugars.
PGX has also been studied at the Glycemic Index Laboratories, whose directors are affiliated with the University of Toronto, where researchers have found that when added to foods or beverages, PGX greatly reduced their glycemic index. |
Gabriel Cousens
See book keywords and concepts |
| A study by the american diabetes association followed 41,811 men ages 40 to 75 over a ten-year period. A direct association was observed between television watching and risk of developing diabetes. The men who reported sitting in front of a TV more than nineteen hours per week were more than 150 percent more likely to become diabetic than those who watched less than three hours a week. "Bubble gum for the eyes," Steve Allen called it. |
Ann M. Coulston and Carol J. Boushey
See book keywords and concepts |
| Because of a lack of specific studies of dietary manipulation with CVD end points in patients with diabetes, the american diabetes association recommends that dietary goals be the same as for individuals with preexisting CVD, because the two groups appear to have equivalent CVD risk [80]. The dietary recommendations are less than 7% of total energy from saturated fatty acids, minimal intake of trans-fatty acids, and cholesterol intake less than 200 mg/day [12].
People with type 2 diabetes and hypertriglyceridemia usually have both overproduction and impaired catabolism of VLDL triglyceride. |
| Waist circumference and cardiometabolic risk: A consensus statement from Shaping America's Health: Association for Weight Management and Obesity Prevention; NAASO, The Obesity Society; the American Society for Nutrition; and the american diabetes association. Am. J. Clin. Nutr. 85, 1197-1202.
50. Lean, M. E., Han, T. S., and Morrison, C. E. (1995). Waist circumference as a measure for indicating need for weight management. AM/311, 158-161.
51. Lemieux, I., Drapeau, V., Richard, D., Bergeron, J., Marceau, P., Biron, S., and Mauriege, P. (2006). |
| Food Exchanges to Design Meal Plans
Food exchanges were originally developed by the American Dietetic Association and the american diabetes association as a consumer-friendly tool that dietitians could use to plan meals for diabetic patients. Starting in 1989, the exchange lists were adapted for use in weight management as well, and they have been updated regularly [54]. Dietitians have widely used these exchanges to provide simple guidelines for their clients who wished to control macro-nutrient intake. |
| Current dietary recommendations from the american diabetes association conclude that sucrose and sucrose-containing foods do not need to be restricted because of concern for aggravating hyperglycemia. Sucrose can be substituted for other carbohydrates in the meal plan. However, the intake of other nutrients, such as fat, that frequently accompany sucrose-containing foods needs to be taken into account so as to avoid excess energy intake [12]. |
Email this page to a friend
