16.6.08

Humulin or Lantus, Which Insulin For Your Child?

Humulin or Lantus? When my daughter, who was 8, was first diagnosed the Children's Hospital that was treating her put her on an insulin program of short acting Humalog NPH and long acting Humalin N. You should have seen me that first day of training after a long night in the emergency room where she was diagnosed. I was a raving lunatic to begin with so my brain was mostly mush at that point. Add to that everything began with "H". Mix this "H" with that "H" but first charge this "H" with air, then draw this "H" first followed by that "H" but make sure you roll this "H" between your palms and for crying-out-loud don't shake that "H". Anyway I guess osmosis worked and all of that information finally seeped in. We were officially diabetic now.

For those of you who may not be familiar with it, Humalog and Humalin (short and long acting insulins) are mixed in the same syringe and injected 3 times a day usually before meals. Your child is allowed a certain amount of carbohydrates for each meal that the doctor figures out based on age, weight, etc., and that's your number. My daughter's was 65 carbs max per meal and 35 max per snack. However your child hits their magic number that's it. Whether it's 65 slices of ham or half a pop-tart. Plus she had to eat 6 times a day at certain times everyday.

Well the time came when she decided she wanted a little more freedom of choice and asked me about trying Lantus. My first thought was if it's not broke don't fix it. But I can have a cupcake whenever I want so I decided my opinion was secondary. So we looked into it. Lantus is a long lasting insulin. One shot at night and she had a 24 hour basal dose of insulin. "One shot" I'm thinking to myself "that's great". But wait, you also have to take a shot of short acting insulin (a bolus) everytime you eat. 10 meals 10 shots, 3 meals, 3 shots. Even I could figure that out. You base the amount of short acting insulin on the number of carbs you are about to eat. Talk about freedom! Compared to what she had been doing it was like being re-born. she didn't care that it would mean more shots. All she heard was she could eat what she wanted when she wanted. Birthday cake, pizza parties, popcorn at the movies, boy she was ready to go. The first thing she wanted to have was a Blizzard from Dairy Queen. I looked at the chart on the wall and it read 125 carbohydrates. That was half a days carbs in a paper cup! After a couple of days of gluttony things got back to normal pretty quickly.

Remember that freedom I mentioned, it came at a price. This insulin regime is a lot of shots. Add those to the required blood tests and your talking about a lot of holes per day in a little girl. One more thing, her nighttime Lantus shot was 19 units. that's a lot of insulin all at once. In her case it went in like battery acid. These shots are no fun. However, after several months on the Lantus regime her life and the rest of my family's lives are pretty close to pre-diagnosis normal. All in all it was the right thing to do. If your doctor is suggesting Lantus or your child is asking about it, consider all of the above. We're glad we did it.

By Russell Turner


Raising Happy Diabetic Kids

This is the first in a series of articles I am about to embark upon concerning this subject. As my family gets older and matures with this disease I think back to the early days and wonder why aren't we all on medication for depression? Why don't we have standing twice a week appointments with a psychiatrist? How did we end up so normal?(whatever that is) As I look back this didn't happen by accident, nor am I Super Dad, and I didn't plan it out step by step. It was mostly just paying attention, luck, and decent communication between my girls and me, granted sometimes at the top of our lungs.

The first thing I suggest you do is very important. Remember, our children are who they had in mind when they coined the phrase "monkey see monkey do". Trust Yourself! It's okay to do it your way. There're three components to raising happy kids, diabetic or not. They are Self-Confidence, Self-Reliance, an Self-Control. The more of these components your monkeys see in you, the more of these components you will see in your monkeys! I'm going to put out some ideas here but you're the boss of your situation. Do it your way.

Upon reading the three components you might ask "but where is self esteem?" I'll save that particular ramble for another day. Let me just assure you that if your child has self-confidence, self-reliance, and self-control then self-esteem comes naturally.

What is Self-Confidence? Self-Confidence is:

Trusting your ability to form and sustain relationships

Trusting your ability to complete various tasks well, knowing that others value your abilities

Trusting your ability to manage new siuations

Trusting your own judgements and common sense

As you can see trust is a key element of self-confidence. When our children don't have that measure of consistency and predictability in their lives it becomes difficult for them to gain the necessary trust either in themselves or in others to become self-confident. So if our children see that the people who are most important to them (us as parents) trust them and will provide them with a consistant environment, they will begin to trust themselves, their judgements, and those of the people around them. This is the beginning of common sense.(Yahoo!)

How do our children acquire Self-Confidence? Self-Confidence comes from:

Being accepted for who you are

Having someone show confidence in you

Knowing there is something you are good at

Having firm expectations of other people's behavior

Not being afraid of failure

Developing competence with the saftey of a parent close by

Seeing others you admire and copy, being confident and happy

It seems so easy when you write it down. When you think about it three main components have to be in place: Trust and Predictability, competence, and sociability.

Trust and Predictability - We all know that routines are important for developing feelings of trust and security. Think about the routines and relationships between you and your family and friends. How much do they keep to a pattern? Will your child begin each day with a reasonably clear idea of what will happen and when?

Competence - Being good at things. We all have different talents and abilities. We need to help our children identify the things they are good at and encourage them. These skills fall into a couple of different catagories.

Practical: Seeing how to make or mend things, and build things

Physical: Good at sports, kicking or catching a ball, swimming, running

Mental: Good ideas about things, good at solving practical problems, good at schoolwork

Social: Good at playing with others, kind and considerate, good at making new friends

Process: Being good at tying new things, sticking with difficult tasks and so on

Sociability - Trust and develope their social skills. Involve them moderately in your social life. If we have our children with us it shows not only are we happy to have them with us but also that we trust they will behave appropriately. Getting used to being in new situations, and learning to talk to different people will increase our children's confidence considerably. Here's one that took me a while to figure out. Give your child advance warning of your feelings, of short temper, tiredness, sadness, or whatever. "I've had a lousy day at work and I'm very crabby. It might be smart to keep your head down and your mouth shut." Or "I've had an argument with so and so and I'm feeling hurt. If I'm short with you I'm sorry." This not only teaches them techniques for managing their own feelings, but gives them a chance to learn sensitivity to the feelings and moods of others. These are essential social skills not only for now but for later on in life.

Our children will develope self-confidence only if we have first shown trust and confidence in them and have given them an environment where they can predict and trust. Diabetes and all of the unpredictability, feelings of powerlessness, and exclusion that sometimes go with it just make this process that much more difficult. I look at it like if it was easy any idiot could do it. Well, we're not just any idiot. We're special idiots. We have been entrusted with the care and upbringing of a diabetic child. So remember you are a special person entrusted with a very special task. Trust yourself. It's okay to do it your way.

In the next issue I'll take a look at Self-Reliance.

By Russell Turner


Improper pH Balance Increases Risk and Damage of Diabetes

THE RISK

Blood sugar balance is critical to your body's proper functioning. Blood sugar (glucose) is the primary source of fuel for the body's cells and is particularly critical to the brain and the eyes. When glucose isn't regulated properly through the bloodstream, the body's cells don't obtain the energy they need. Excessively high blood sugar (hyperglycemia, or diabetes) or excessively low blood sugar (hypoglycemia) prevents organs from working properly and leads to a decline in health.

The body's blood sugar level is regulated primarily by the pancreas and the liver. The liver stores excess glucose and releases it when needed. The pancreas secretes insulin that helps carry glucose into the body's cells, and it secretes glucagon that triggers the release of stored glucose in the liver. When either organ fails to function properly, blood sugar becomes excessively high or low and the cells begin to "starve."

A highly acidic pH level puts the pancreas, liver, and all the body's organs at risk. Because of the important role played by the liver in removing acid waste from the body, liver function is particularly at risk when acids accumulate. When acidity prevents the liver and pancreas from regulating blood sugar, the risk of diabetes increases.

THE DAMAGE

Not only does high acidity make you vulnerable to diabetes. The impact of diabetes on the body increases the level of acid waste. Therefore improper pH balance puts diabetics at greater risk for complications such as kidney failure, gangrene and blindness.

A diabetic suffers from an excess of glucose in the bloodstream - glucose that cannot be delivered properly to the body's cells due to lack of insulin. As the liver absorbs more and more of the excess glucose, its ability to remove toxins from the body becomes impaired. As the toxins multiply, the acid level in the body increases.

Because glucose is not delivered properly to the body's cells, the cells start to malfunction. They expel increasing amounts of acid waste. Some of the excess acid filters through the kidneys, causing damage that can lead to kidney failure. Some of the acid accumulates in the liver, further damaging the liver's ability to remove toxins.

Acid that is not filtered out or stored can attach to and harden the cell walls, further preventing the cells from absorbing nutrients. Eventually the cells die, starting with the glucose-dependent eyes and the extremities where it's more difficult for nutrients to reach. Blindness and gangrene can result.

THE BENEFITS OF A BALANCED pH

Fortunately, a significant reduction of acids in your body can lead to organ regeneration and improved health. A diet that's more alkaline can help you reverse the damage caused by acidity and diabetes.

The right combination of fresh vegetable juices, for example, can help your body break down and destroy excessive acid waste. For a doubly positive impact, eliminate sugars and refined carbohydrates from your diet. Not only do sugars and refined carbohydrates make it difficult to control your blood sugar balance, but they also increase your body's acidity. Vitamin and mineral supplements specially formulated to balance pH are an important part of your strategy as well.

If you start to balance your pH level through supplements and easy-to-learn diet and lifestyle changes, you will reduce your vulnerability to diabetes and its complications. You can look forward to a healthier life.

If you truly want to change and help your body heal itself you need to take a proactive approach. Don't expect to feed your body processed foods, not exercise, then pop a pill and be all better? it just doesn't work that way. If you want to bring your body into pH balance then you need a complete approach.


Raising Happy Diabetic Kids Part II

This is the second article in a series I am writing about how to raise happy diabetic children. You can find the first article titled Help Your Child Develope Self-Confidence in our article archives.

Sometimes the phrase "happy diabetic kids" seems to be an oxymoron. Often it seems all of the dark powers of the diabetes universe are aligned against you. You wonder if there isn't some evil house elf behind the scenes just making everyone's life miserable on purpose. Not being graduates of Hogwarts School Of Magic we can't just wave a magic wand and make it all better. We must prepare for life with diabetes and we must prepare our children. Self-Reliance is a critical skill for diabetic children to master. Think of all of the responsibilities that go into daily diabetes care. We all realize that we must keep the responsibilities we put upon our children age appropriate. Non the less, in most school aged children the ability to take some responsibility for their own care goes a long way in giving them some feelings of control over their diabetes. Last month I mentioned there are three components to raising happy children. Self-Confidence, Self-Reliance and Self-Control. No I still haven't forgotten Self-Esteem we'll get there. I'm still of the opinion that with these first three components your child can't help but develope Self-Esteem.

What is Self-Reliance?

Self-Reliance is the ability to manage on your own: to know how to manage your time, to function and think independently, combined with the ability to solve problems. With self-reliance, there is no need for other people's approval before moving forward or doing something new. It's also un-neccessary for constant guidance on how to achieve a goal. you can rely on yourself. Self-reliance is about tasks and skills -- knowing how to do things, how to achieve things or how to manage things. It also includes the ability to be alone and to think things through on your own. Self-reliance is broader than self-confidence. Self-confidence relates to what we can do, to specific skills. Self-reliance is about being independent, creative and self-sufficient; having confidence in our inner-selvs to enable us to adapt and manage on our own.

Self-Reliance helps us become:

Self-reliance is also having confidence in your own ideas. It is about being able to see things through to completion. It is about not being afraid of setting goals, and not being stopped by fear of failure. There is a common belief that the world is made up of three diffrent types of people:

those who make things happen;

those who watch things happen;

those who notice nothing until after then ask, "What happened?"

Those who have good self-reliance (and self-confidence, and self-control) develope self-esteem and make things happen. If we want our children to be able to make things happen, we don't have to think on a grand scale. It doesn't mean we all should want our children to be like Bill Gates, or Nobel Prize winners. We don't need to have our children achieve on a scale that makes a difference to others, We should aim to give our children a measure of self-reliance that allows them to keep better control of their own lives and keep choices open for them.

Self-Reliant at What?

We can encourage self-reliance in our children from a fairly early age. As soon as your child shows they can manage things for themselves, however slowly or clumsily, we should allow them to do so. Self-reliance is best introduced and experienced stage by stage, starting early and building up slowly as they become more more competent and responsible. When children are very young they have this almost unstoppable drive to become independent. Before they learn adult concepts of failure, they are willing to try over and over until they master whatever they are trying to do. This is especially true if they have older brothers or sisters. They desprately want to do what the older kids can do. If we stand in the way of letting them try or show disapproval when they don't do it quite right we can damage their belief in themselves. The more we do for them the more we prevent them from developing the ability to make judgements and decisions for themselves. The stages of self-reliance are fun to watch. The first time your baby grabs a hand full of baby food and finds their own mouth with it. When they learn to "go potty" all by themselves. When they put their own shirt on, usually backwards after wrestling with it for ten minutes. When they pick up their own room. When they start to earn an allowance. When they do their homework without you holding a gun to their head. When they go off on their first baby-sitting job. When they show you their first apartment, where you should promptly go through it turning on and leaving on every light in the place, leave the refridgerator door open and put your feet up on their new furniture. These stages progress until they present you one day with a grandchild. Clearly you cannot encourage self-reliance in your child if you are not prepared to stand back and progressively let go. Doing that in the right amounts and at the right times is hard to judge. Add the dangers of their not managing daily diabetes treatment into it and you realize just how careful you need to be. Giving them responsibility and independence depends on the age and personality of your child and on your own particular circumstances. Children can become self-reliant only if we have encouraged their independence, given them practice in making decisions that concern themselves and their health, and shown them that they can be relied upon.

We have been given a special task, raising a diabetic child. This makes us special people. If we weren't up to it we wouldn't have been entrusted with it. Self-reliance is a critical part of raising any child, diabetic or not. Diabetes just makes it more difficult and more important we help our children develope this skill.

Next month I'll talk about Self-Control.

By Russell Turner


Diabetes Awareness: The Downside... a New Wardrobe?

Here is some commonsense thinking:

I can't understand why anyone who has diabetes wouldn't exercise and watch what they eat.

The down side is that you may have to get an entire new wardrobe since exercise and healthy eating causes weight and size reduction.

When it happens, people tell you how great you look and that motivates you even more.

Other side effects: you'll also sleep better and feel more rested than before you started walking and eating better.

I prefer walking outside, especially when the weather is nice. I even designed a walking path about 2.5 miles long around my neighborhood; part flat and part hilly.

You'll find that a walking program helps more than your body.

"For me, walking time is good thinking time. Nobody is there to interrupt my thoughts. And even when I walk on the treadmill in front of the TV, I find it helps me get ready for the day."

Exercise and healthy eating.... A powerful duo for diabetics!

Ask your doctor about diabetes and have your blood sugar checked several times a year.

For more information about diabetes, including a Diabetes Quiz and a Free booklet, visit our website at:

http://hope4diabetes.com/info

This 20 page FREE booklet will provide you with in-depth information on comprehensive diabetes care. The 7 principles, or steps, will help you to understand, manage and diagnose your potential diabetes risk.

It could help you live a longer and more active life. The booklet is Yours absolutely FREE - No Risk! Share it NOW with the people you love and want to Keep alive!.

By David Anderson


Pre-Diabetes - The Calm Before the Storm

Remember when the medical world identified pre-hypertension to better monitor your blood pressure? The new buzz: Pre-Diabetes concerns a similar condition pinpointing people who are at severe risk for getting diabetes. Because diabetes silently invades your body, early detection and corrective action are critically important.

The goal with identifying pre-diabetes is to prevent the onset of diabetes from ever happening.

How do you know if you need testing for pre-diabetes? Good question. The truth is- You may not know. It's our human nature to wait until our body produces a pain or ache before we visit the doctor's office. With pre-diabetes, noticeable symptoms like frequent thirst and urination may not occur until the disease has progressed and is already causing considerable damage to your body. Most Type 2 diabetics don't have symptoms because the onset of diabetes is so slow.

Your physician can determine if you have pre-diabetes with two common tests. The fasting plasma glucose test (FPG) and the oral glucose tolerance test (OGTT). Both require an overnight fast.

The good news is that you can likely prevent diabetes with early detection and proper care.

Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year.

For more information about diabetes, including a Diabetes Quiz and a Free booklet, visit our website at:

http://hope4diabetes.com/info

This 20 page FREE booklet will provide you with in-depth information on comprehensive diabetes care. The 7 principles, or steps, will help you to understand, manage and diagnose your potential diabetes risk.

It could help you live a longer and more active life. The booklet is Yours absolutely FREE - No Risk! Share it NOW with the people you love and want to Keep alive!

By David Anderson


Pre-Diabetes Awareness: Gamblers Understand the Odds

Do you gamble? Play Texas Hold'em poker, casino games, or lotteries? Then understanding your odds of winning is part of the challenge.

Are you planning on living a long and healthy life? A life free of aches and pains? A life full of excitement and adventure? Great, then understanding the odds of developing diabetes will surely cause you to take immediate action.

It is estimated that one in three Americans born in the year 2000 will develop diabetes. Those are terrifying odds.

Already, more than 18 million Americans live with diabetes and that number is growing. What is even more alarming is the fact that 5 million people don't even know they have diabetes.

A new buzz in the medical community calls it- Pre-Diabetes. Today, roughly 41 million Americans have pre-diabetes which left undetected and untreated, progresses into full-blown diabetes.

The challenge with pre-diabetes is the fact that the condition doesn't like to reveal itself with noticeable symptoms. Because there are few, if any symptoms, most people will not bother having screening tests performed. With pre-diabetes, noticeable symptoms like frequent thirst and urination may not occur until the disease has progressed and is already causing considerable damage to your body. Most Type 2 diabetics don't have symptoms because the onset of diabetes is so slow.

Don't gamble with your health. The odds of developing diabetes are stacked against you.

The goal with identifying pre-diabetes is to prevent the onset of diabetes from ever happening.

Your physician can determine if you have pre-diabetes with two common tests. The fasting plasma glucose test (FPG) and the oral glucose tolerance test (OGTT). Both require an overnight fast.

The good news is that you can greatly improve your odds and likely prevent diabetes with early detection and proper care.

Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year.

For more information about diabetes, including a Diabetes Quiz and a Free booklet, visit our website at:

http://hope4diabetes.com/info

This 20 page FREE booklet will provide you with in-depth information on comprehensive diabetes care. The 7 principles, or steps, will help you to understand, manage and diagnose your potential diabetes risk.

It could help you live a longer and more active life. The booklet is Yours absolutely FREE - No Risk! Share it NOW with the people you love and want to Keep alive!

By David Anderson


Pre-Diabetes: Check Engine Warning Light

Your car has an early detection system and so does your body. Take 3 minutes to read this article and learn how you can save yourself a life time of aches, pains, and costly medical bills.

Have you ever had the "Check Engine" warning light come on in your car? Most newer cars have a system that monitors the performance of your car. If something is not working properly, the "Check Engine" light usually comes on.

The good news is that this "pre-warning" system can help you avoid costly damage, which may be occurring with your vehicle, by detecting small problems before they become big problems. However, the only way to be certain is to have your car inspected by an expert mechanic when the "Check Engine" light comes on.

Did you know that your body has a "pre-warning" system?

With many diseases, your body will start producing symptoms such as aches, pains, fatigue, frequent thirst, and so on. These symptoms are your body's "Check Engine" light, warning you about problems.

However, with diabetes, pre-warning signs don't always show up so easily. The medical community is calling it: Pre-Diabetes.

Today, roughly 41 million Americans have pre-diabetes which left undetected and untreated, progresses into full-blown diabetes.

The challenge with pre-diabetes is the fact that the condition doesn't like to reveal itself with noticeable symptoms. Because there are few, if any symptoms, most people will not bother having screening tests performed. With pre-diabetes, noticeable symptoms like frequent thirst and urination may not occur until the disease has progressed and is already causing considerable damage to your body. Most Type 2 diabetics don't have symptoms because the onset of diabetes is so slow.

Don't wait for your "Check Engine" light to come on. Have your blood tested. Call your doctor today and make the appointment.

The goal with identifying pre-diabetes is to prevent the onset of diabetes from ever happening.

Your physician can determine if you have pre-diabetes with two common tests. The fasting plasma glucose test (FPG) and the oral glucose tolerance test (OGTT). Both require an overnight fast.

The good news is that you can greatly improve your odds and likely prevent diabetes with early detection and proper care.

Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year.

For more information about diabetes, including a Diabetes Quiz and a Free booklet, visit our website at:

http://hope4diabetes.com/info

This 20 page FREE booklet will provide you with in-depth information on comprehensive diabetes care. The 7 principles, or steps, will help you to understand, manage and diagnose your potential diabetes risk.

It could help you live a longer and more active life. The booklet is Yours absolutely FREE - No Risk! Share it NOW with the people you love and want to Keep alive!

By David Anderson


Treating Painful Diabetic Peripheral Neuropathy

The toes burn and tingle and sharp pains shoot into your legs. The bed sheets feel uncomfortable on the feet as you toss and turn, trying to get some rest. Your feet felt numb throughout the day, but now feel like they are on fire. Nothing seems to help as you watch the hours on the clock pass by, hoping to fall asleep.

Burning, numbness, tingling, hot and cold sensations, shooting and electrical pain are common sensations felt at rest in painful peripheral neuropathy. Neuropathy is an abnormality of the nervous system. There are many different types of neuropathy, but the most common neuropathy effecting diabetics is peripheral neuropathy.

Diabetic neuropathy is described as a loss of sensation that starts in the tips of the toes and gradually works its way up the legs, and in severe case into the hands. It is sometimes referred to as a stocking glove neuropathy because it progresses as if one was pulling on a stocking.

Sixty percent of diabetics have some type of neuropathy in their feet. Five percent of diabetics will experience painful diabetic neuropathy and the incidence increases with age. Over 45% of individuals who have had diabetes for over 25 years will experience some symptoms of painful diabetic neuropathy.

The cause of diabetic neuropathy is not clearly understood. Many believe that the damage to the small vessels surrounding the nerves, from the diabetes, causes damage to the nerves. Others believe the increase in blood sugar causes damage to the nerves. Despite the different theories, studies have shown better blood sugar control helps prevent progression of the neuropathy.

There are currently no treatments to help reverse diabetic neuropathy. There are no treatments which help reduce the numbness. But, there are many treatments to help decrease the pain associated with the neuropathy.

Your doctor may prescribe medications to help with the pain. There are many options, but until recently none were FDA approved for the treatment of painful neuropathy. Cymbalta®, duloxetine HCl, was recently approved by the FDA in September of 2004 for use in diabetic peripheral neuropathy at doses of 60 and 120 mg per day. This is the first drug approved for this use. Similar medications, like amitriptyline, desipramine and nortriptyline, have been used to help decrease pain and help with sleep.

Gabapentin, also known as Neurontin®, has been a successful treatment for painful diabetic neuropathy. Neurontin® was originally approved by the FDA for adjunctive use in seizures, but the benefits of this drug for other conditions, like neuropathy, soon became known. The manufacturers of Neurontin® were caught up in a controversy regarding their marketing tactics for this off label use. Many physicians still use this drug despite the controversy. Tegretol and Dilantin, common seizure medications, can be used in more severe cases. New treatments include lidocaine 5% cream, acetyl-L-canitine, nerve growth factor and Annodyne ®, infrared therapy.

To help treat painful peripheral neuropathy without prescription medications, consider the following tips:

1. Keep your blood sugar in control: Studies have shown that when blood sugars remain high, or roller coaster from high to low, peripheral neuropathy will worsen.

2. Exercise. This is probably the last thing you wanted to hear. Exercise helps increase circulation and stimulates the growth of new vessels which help slow the progression of the neuropathy. Exercising also helps to increase your pain threshold and to provide a distraction from the nerve pain in your feet.

3. Eat healthy. Besides helping to control your blood sugar, eating a wide variety of fruits and vegetables will add anti-oxidants to your diet. Anti-oxidants will combat the damaging oxidative effects glucose has on your nerves. In particular, try dark-green, leafy vegetables, yellow, orange, and red fruits and vegetables, citrus fruits and tomatoes.

4. Try red pepper powder. Capsaicin is the active ingredient in chile peppers. When applied to the feet it acts as a counter-irritant and can help decrease neuropathic pain. Capsaicin can be purchased at your local drug store. If you cannot afford capsaicin, try mixing 1 tablespoon of dry chile powder with 2 tablespoons of baby powder. Place the mixture in a sock and use the socks at night.

5. Try alpha lipoic acid. ALA is an effective anti-oxidant that has been shown to relieve pain associated with neuropathy in multiple studies. To help relieve pain, the dose must be at least 600mg a day. It is advisable to start with a lower dose, as higher doses can cause nausea, stomach upset, fatigue, insomnia and can lower blood sugar. In general, ALA is a safe supplement.

6. Try gamma linolenic acid. GLA is an essential fatty acid found in evening primrose oil. Most of the studies have shown modest results, but the possibilities are still encouraging. Take 360mg/day. Many indications require higher dosages, but side effects with long term use at higher doses may include inflammation, thrombosis (blood clots), or decreased immune system functioning.

Treating painful diabetic peripheral neuropathy is very difficult and many of the above mentioned therapies should be tried and combined. Don't expect any "cures" and make sure you give each therapy a chance to work.

By Christine Dobrowolski


Exercise & Diabetes

You are no doubt aware that exercise can help prevent the serious complications that often come with diabetes and heart disease. Research has repeatedly shown that regular physical activity helps reduce the likelihood of having a heart attack or a stroke, aids in weight loss, and improves mood.

But do you know that exercise can also help you reduce your blood glucose levels?

That's right. In people with type II diabetes, exercise may improve insulin sensitivity and assist in lowering elevated blood glucose levels into the normal range.

Here's how. When you exercise, your body uses more oxygen -- as much as 20 times more -- and even more in the working muscles, than when you are at rest. So the muscles use more glucose to meet their increased energy needs.

At the same time, exercise improves the action of insulin in the peripheral muscles, making it more efficient, so you get more out of the insulin your body is producing.

In older people with diabetes, the decrease in insulin sensitivity that comes with aging is also partly due to a lack of physical activity. So regular exercise benefits you now, and for years to come.

Sometimes, it may seem easier to pop a pill or even take a shot than to put on your walking shoes and hit the trail. But the truth is that exercise, in combination with a healthy diet, is one of the best things you can do to take care of yourself if you have diabetes.

Why exercise?

Exercise burns calories, which will help you lose weight or maintain a healthy weight.

Regular exercise can help your body respond to insulin and is known to be effective in managing blood glucose. Exercise can lower blood glucose and possibly reduce the amount of medication you need to treat diabetes, or even eliminate the need for medication.

Exercise can improve your circulation, especially in your arms and legs, where people with diabetes can have problems.

Exercise can help reduce your cholesterol and high blood pressure. High cholesterol and high blood pressure can lead to a heart attack or stroke.

Exercise helps reduce stress, which can raise your glucose level.

In some people, exercise combined with a meal plan, can control type II Diabetes without the need for medications.

Sources: National Diabetes Data Group. Diabetes in America, 2nd edition. NIDDK.

By Jayachandran.R


Low-Carb: The Role of Insulin

There are three basic units the body uses for energy:

1. Fats

2. Proteins

3. Carbohydrates

All three can be converted to blood glucose. However, while fats and proteins are converted slowly, carbohydrates are converted quickly causing quick spikes in the body's blood sugar levels. These spikes in blood sugar levels cause the pancreas to create and release insulin until the blood sugar level returns to normal.

Meanwhile, insulin, a hormone produced in the pancreas that lowers our blood's glucose levels is released into the blood as soon as the body detects that blood sugar levels have risen above its optimal level.

Insulin is a very efficient hormone that runs the body's fuel storage systems. If there is excess sugar or fat in the blood insulin will signal the body to store it in the body's fat cells. Insulin also tells these cells not to release their stored fat, making that fat unavailable for use by the body as energy.

Since this stored fat cannot be released for use as energy, insulin very effectively prevents weight loss. The higher the body's insulin levels, the more effectively it prevents fat cells from releasing their stores, and the harder it becomes to lose weight. According to many authorities, over the long term, high insulin levels can lead to insulin resistance and cause serious health problems like the ones listed below:

1. Raised insulin levels and insulin resistance

2. Lower metabolism leading to weight gain

3. An increase in fatty tissue and reduction in muscle tissue

4. Accelerated aging

5. Increased food allergies and intolerances

6. Overworked immune system

7. Increased risk of heart disease, obesity, diabetes and cancer

Carbohydrates, especially simple carbs like sugar and starch, are quickly turned into sucrose by the body entering the blood stream quicker thereby causing the release of large amounts of insulin. The fewer carbs are eaten, the less insulin is produced by the body, and the fewer calories are stored as fat. Less fat storage equals less weight gain and fewer carbs eaten equals less insulin in the blood and the body using its fat stores for fuel.

The premise behind every low-carb diet plan is that a body that produces less insulin burns more fat than a body that produces lots of insulin. Some plans encourage a period of extremely low carbohydrate intake so that the body will enter a state of ketosis and more quickly burn fat stores - These are usually called induction periods.

By Beverley Brooke


Preparing Your Child and Family for Life With Diabetes

After the initial shock of diagnosis wears off and we become more comfortable with administering insulin shots, scheduling blood tests and mealtimes, and carbohydrate counting we have a chance to look to the future. At that point it really begins to sink in what a long-term commitment parenting a diabetic child really is. We now understand we have been drawn into a different lifestyle that will last as long as we are parents. Even when our child is grown up and leaves home we will still be concerned and involved with the diabetes community.

If you are finding that you are having trouble managing your child's diabetes let me first share some statistics I found so you realize you are not alone.

35-75% do not follow meal plans all of the time
20-80% do not administer insulin correctly all of the time
30-70% do not record blood-monitoring level properly all of the time
23-52% do not provide adequate foot care all of the time
70-81% do not exercise adequately all of the time

Now that we understand how difficult it is to live with a chronic and potentially deadly disease, the question is how do we teach our children the reality of diabetes while still allowing them to be kids and trying to keep their lives as normal as possible. An experience that if you haven't run into you soon will is birthday parties. They are everything you need to avoid to keep your child's diabetes under control but they're also an important aspect of your child's life. With some planning you can have both. You can learn the specifics of this and many other situations you will face in my ebook "So Your Child Has Diabetes". The point is life and diabetes can go on together. Just as important, your child's friends learn about diabetes and talk about it. They don't discriminate, they include your child. We as parents need to be adults in these types of situations. We are the voices of maturity, reality and humanity. We are the ones who allow our children to talk about their disease and how it makes them feel as well as keeping them focused on self-care. We are the ones who keep the disease from overcoming our family. When you let your child talk to you about how they feel about having diabetes you will find your child has less emotional stress and better control of their blood glucose levels.

General family stress can greatly affect blood glucose levels. It's a delicate balance. When your child's blood glucose levels are out of control it can cause stress in the family and when there's stress in the family it can cause out of control blood glucose levels. You need to be prepared for these times. The Children's Hospital that treats my daughter has an excellent Mental Health Department. Other communities have a variety of services they offer. Make yourself aware of them and know where to turn before things start to get out of control.

One of the things that really surprised me was the difference in the way I perceived diabetes and the way my daughter perceived it over time. I found it easier to cope with diabetes as time went on. You get into a rhythm and your comfort level with treatment increases. On the other hand my daughter found that the emotional distress associated with diabetes increased as time went by. We need to be aware that just because we are better at dealing with diabetes it doesn't mean our children need less of our day to day care. A mistake I made was assuming that my 10-year-old didn't need me to constantly supervise her blood glucose monitoring. After she went on an insulin pump it was no longer necessary for me to administer insulin. She had been checking her own blood levels for quite a while. Even though she was checking her own blood, while I was giving the shots I was right there to make sure she checked properly and at the correct times. Once she went on the pump that wasn't the case anymore. I noticed that she wasn't nearly as conciencious when I wasn't there. This is just normal in the development of a child. Our children need us to keep them safe while they achieve these developmental skills.

In order to properly prepare our children for life with diabetes we must remember how we feel when we are ill. We hate it. Feeling lousy, unable to enjoy some of our normal activities. Imagine how this is magnified in our diabetic child. They never get a break. No rest from it, no vacation. No wonder they experience emotional problems. Never forget this. Our children need to know that we will always be there for them. They are not facing this alone. Listening to our children about their feelings is important but not enough. We also need to talk to them about what happens if they don't take good care of their diabetes. We need to be careful. We don't want our children to think that there is something wrong with them or to feel ashamed if their blood glucose levels aren't always under control. In this case children are like puppies. They respond better to reward for proper behavior that to punishment for wrong behavior.

Finally we need to realize that preparing for life with diabetes is an ongoing process. You can't control the process all of the time. Just take care of it one day at a time. With your help your child can understand this process of diabetes control and you don't have to become "that diabetic family". With preparation and awareness you, your child and the rest of your family can live healthy normal lives.

By Russell Turner


Protein Principles for Diabetes

Dietary considerations can present a Hobson's choice in diabetes. Even when the intake is nutritious, assimilating it can be another matter. Then there is the problem of progression of diabetic complications if one ends up with excess glucose or fat in the system. Excess carbohydrates in a meal, and the resulting uncontrolled blood sugar levels can be detrimental to any number of tissues, from the lens of the eye, to the neurons, small blood vessels and the kidneys. Fat is also a problem with increase incidences of atherosclerosis, large vessel disease and cardiac complications. What, then is the appropriate macronutrient for the diabetic population? Enough medical literature exists to suggest that in diabetes, proteins are probably the best bet.

Proteins are the natural choice of the body when faced with diabetes. In uncontrolled diabetes, muscle protein is broken down into amino acids to be converted into glucose by the liver. If left to fend for itself, this can create a commotion within the body. Since proteins have to supply enough energy to substitute for carbohydrates, proteins are broken down faster than they are made. The body ends up with a protein deficit, a situation with subtle, yet far-reaching effects on normal body functions. Importantly, for diabetics, a protein deficit has been shown to impair resistance to infections (Ganong WF). Replenishing the depleting protein stores is a vital requirement of all diabetic diets.

Importance of proteins in a diabetic has been well documented. The American Associations of Clinical Endocrinologists have made it clear that not much evidence exists to indicate that the patients with diabetes need to reduce their intake of dietary proteins. The AACE recommends that 10-20% of the calorie intake in diabetes should come from proteins (AACE Diabetes Guidelines). It is in fact believed that this is one nutrient that does not increase blood glucose levels in both diabetics and healthy subjects (Gannon et al).

Nutrition therapy for diabetes has progressed from prevention of obesity or weight gain to improving insulin's effectiveness and contributing to improved metabolic control (Franz MJ). In this new role, a high protein diet (30% of total food energy) forms a very pertinent part of nutrition therapy. One of the most important causes for type II diabetes is obesity. Excess body fat raises insulin resistance and higher levels of insulin are required to bring down blood sugars as the weight increases (Ganong WF). Another problem with excess fat is the clogging of arteries with atherosclerotic plaques that is responsible for a wide range of diabetic complications. Any mechanism that reduces body fat decreases insulin resistance and improves blood glucose control. Parker et al have also shown that a high protein diet decreased abdominal and total fat mass in women with type II diabetes. Other studies by Gannon et al. and Nuttall et al have verified that blood glucose levels and glycosylated hemoglobin (a marker of long term diabetic control) reduce after 5 weeks on a diet containing 30% of the total food energy in the form of proteins and low carbohydrate content. It is speculated that a high protein diet has a favorable effect in diabetes due to the ability of proteins and amino acids to stimulate insulin release from the pancreas. Thus, a high protein diet is not only safe in diabetes, but can also be therapeutic, resulting in improved glycemic control, and decreased risk of complications related to diabetes.

The benefits of a high protein diet do not end here. Individual protein components of such a diet, when aptly chosen, can have other advantages as well. Dietary supplements containing proteins like whey and casein come highly recommended. Casein is a milk protein and has the ability to form a gel or clot in the stomach. The ability to form this clot makes it very efficient in nutrient supply. The clot is able to provide a sustained, slow release of amino acids into the blood stream, sometimes lasting for several hours (Boirie et al. 1997). A slow sustained release of nutrients matches well with the limited amount of insulin that can be produced by the pancreas in diabetes. A protein supplement containing casein can thus increase the amount of energy assimilated from every meal and, at the same time, reduce the need for pharmacological interventions to control blood sugar.

Whey proteins and caseins also contain "casokinins" and "lactokinins', (FitzGerald) which have been found to decrease both systolic and diastolic blood pressure in hypertensive humans (Seppo). In addition, whey protein forms bioactive amine in the gut that promotes immunity. Whey protein contains an ample supply of the amino acid cysteine. Cysteine appears to enhance glutathione levels, which has been shown to have strong antioxidant properties -- antioxidants mop up free radicals that induce cell death and play a role in aging.

Thus, development of a protein supplement containing casein and whey can provide an apt high protein diet and its health benefits to individuals suffering from diabetes, obesity and hypercholesterolemia.

ABOUT PROTICA

Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com

You can also learn about Profect at http://www.profect.com

Copyright - Protica Research - http://www.protica.com

REFERENCES

The American Association of Clinical Endocrinologists. Medical guidelines for the management of diabetes. AACE Diabetes Guidelines, Endocr Pract. 2002; 8(Suppl 1).

Boirie, Y., Dangin, M., Gachon, P., Vasson, M.P., Maubois, J.L. and Beaufrere, B. (1997) Slow and fast dietary proteins differently modulate postprandial protein accretion. Proclamations of National Academy of Sciences 94, 14930-14935.

Counous, G. Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Research 2000; 20, 4785-4792

FitzGerald RJ, Murray BA, Walsh D J. Hypotensive Peptides from Milk Proteins. J. Nutr. 134: 980S-988S, 2004.

Franz MJ. Prioritizing diabetes nutrition recommendations based on evidence. Minerva Med. 2004; 95(2):115-23.

Gannon et al An increase in dietary protein improves the blood glucose response in persons with type 2 diabetes. Am J Clin Nutr 2003; 78:734- 41.

Gannon MC, Nuttall J A, Damberg G. Effect of protein ingestion on the glucose appearance rate in people with type II diabetes. J Clin Endocrinol Metab 86: 1040-1047, 2001

Ganong W F. Review of Medical Physiology, 21st Ed. Lange Publications 2003

Ha, E. and Zemel, M.B. Functional properties of whey, whey components, and essential amino acids: mechanisms underlying health benefits for active people. Journal of Nutritional Biochemistry 2003; 14, 251-258.

Kent KD, Harper WJ, Bomser JA. Effect of whey protein isolate on intracellular glutathione and oxidant-induced cell death in human prostate epithelial cells. Toxicol in Vitro. 2003; 17(1):27-33.

Nuttall et al. The Metabolic Response of Subjects with Type II Diabetes to a High-Protein, Weight-Maintenance. J Clin Endocrinol Metab 88: 3577-3583, 2003

Parker et al. Effect of a High-Protein, High-Monounsaturated Fat Weight Loss Diet on glycemic Control and Lipid Levels in Type 2 Diabetes. Diabetes Care 25:425-430, 2002.

Seppo, L., Jauhiainen, T., Poussa, T. & Korpela, R. () A fermented milk high in bioactive peptides has a blood pressure-lowering effect in hypertensive subjects. Am. J. Clin. Nutr. 2003; 77: 326-330. Unger RH. Glucagon physiology and pathophysiology. N Engl J Med. 1971; 285:443- 449.

Protica Research


Locating Diabetic Supplies to Manage Diabetes

In the United States there are around 17 million people with diabetes. Each of these people need certain Diabetic Supplies. While this may not seem like a huge number it does afflict around 6% of the population.

When a person's body cannot produce enough insulin the effect is diagnosed as diabetes. A sobering fact about diabetes is that there are many people who have the illness but are unaware of the fact.

Often diabetes is undiagnosed because the symptoms appear to be harmless, but the effects of the illness can be very serious. Without the proper Diabetic Supplies to control their diabetes, the heart, eyes, feet and kidneys can all be impacted by untreated diabetes.

Today many people who have been diagnosed as diabetic are able to manage their glucose levels by utilizing some of the Diabetic Supplies available.

Glucometers and other home-use analyzing tools are now in common use and can be purchased at reasonable prices.

Exercise, weight control and diet are all foundation stones to use in living a healthy life style.



By Mike Yeager


Diabetes And The Long Term Dangers

Diabetes has hidden dangers that begin before diagnosis and continue to worsen if certain steps are not taken to prevent the complications that are the true, "killers" in terms of diabetes.

Statistics show that there are around 18 million diabetics in America, both Type 1 and Type 2. It is amazing how many people, diabetics included, who have no idea what dangers a diabetic faces over their lifetime. A diabetic, all things being equal, lives almost 10 years less than their non-diabetic counterpart on average.

Why do diabetics life shorter life spans than non-diabetics? The answer is both simple and complicated. Simple in explaining in general terms, complicated in the medical sense. Without traveling the complicated route in this article, I will try to give a simple, straight forward answer to the above question. Diabetics live shorter lives than non-diabetics because of diabetic complications.

What Are Diabetic Complications?

Diabetic complications are chronic medical conditions that begin to affect the body of the diabetic. These complications are brought about mostly by a condition the medical community had named, "Advanced Glycation End products" which is simply, "excess sugar" saturating the inside of the cells of the body. This condition also called AGE for short includes coronary artery disease, vascular disease, blindness, kidney disease, retinopathy (blindness) and loss of feeling in the hands and the feet (peripheral neuropathy) among others.

Diabetes in the early stages does not produce symptoms. Unless found during a routine medical exam, it is possible for a diabetic to remain undiagnosed for years. It is during these years that the beginnings of diabetic complications can gain a foothold due excess sugar in the cells (AGE). The statistics show there is the possibility of as many as over 5 million people going about their normal lives while having undiagnosed diabetes.

Are Diabetic Complications A Certainty?

While the current consensus is that the formula for diabetic complications Diabetes + Time = Complications. What this means is there is a much higher potential of a diabetic becoming diagnosed with one or more diabetic complications over time. This is partly due to how well the individual monitors and controls his/her blood sugar.

Drastic rises and falls of blood sugar can be hard on the body and the excess sugar present in the cells create havoc on the different nerves within the body as well as the capillaries, veins, and arteries. The evidence to date show that excellent control of blood sugar and an active lifestyle goes a very long way in preventing and/or slowing down the onset of diabetic complications.

The Different Types Of Diabetes

There are two types of diabetes - Type One and Type Two. Type One attacks children and young adults and is characterized by the pancreas failing to produce insulin which is a hormone that breaks down sugars and starches while converting them into energy. Type Two occurs usually later in an adult's life and is characterized by the pancreas being unable to produce enough insulin due to several factors, obesity being one of them.

Around 10 percent of diabetics are Type One while the other 90 percent are Type Two. The major difference between the two being that Type One diabetics are completely dependent on insulin and take daily injections while the Type Two's have both those who require insulin shots while others can rely on oral medication and/or changes in diet and exercise.

The Risk Factors Surrounding Diabetes

There are several risk factors that can push a pre-diabetic into full blown diabetes.

1) being overweight.

2) family history of diabetes,

3) lack of adequate exercise.

4) history of gestational diabetes (occurs during pregnancy and usually disappears after delivery).

5) certain ethnic groups

People over 45 years of age and has one or several of the risk factors mentioned above should be screened for diabetes each year, preferably during an annual medical exam. It has been shown that people with these risk factors comprise the majority of diagnosed cases of diabetes each year.

What Tests Help Diagnose Diabetes Cases?

There are two, main tests used for determining whether or not a person has a glucose intolerance:

1) Fasting Plasma Glucose Test

2) Oral Glucose Tolerance Test

Both of these tests can determine glucose intolerance which is where blood sugar is higher than what is considered normal. This is not always an indication of diabetes however.

Can The Onset Of Diabetes Be Prevented?

People with the above risk factors can go a long way toward preventing the development of full-blown diabetes by making significant lifestyle change. What are lifestyle changes? Changing unhealthy diets to more blood sugar friendly ones, doing enough exercise to help offset increased blood sugar levels and keep the body healthy and losing weight especially if considered obese by the medical community.

If you are pre-diabetic you need to stay on a strict diabetic diet. Ask your healthcare professional for a diet that meets that criteria and limit cakes, candy, cookies, and other things made of simple sugars. Eat small, nutritious meals and eat 5 times a day instead of only three.

If you are already diagnosed with full-blown diabetes, you should follow the same diet while under the meticulous care of your healthcare professional. Keep your cholesterol, blood pressure and blood sugar within proper limits and have your eyes checked every year.

Diabetes can contribute to blindness, kidney disease and heart disease. Complications caused nearly 70,000 deaths in 2000.

What Can The Diabetic Look Forward To?

Diabetic complications can be prevented or lessened for a longer time period by paying serious attention to lifestyle. A diabetic who eats right, keeps his blood sugar in control and within accepted limits, exercises and gets proper rest can expect to have a quality of life that is much higher in terms of the pain and suffering that diabetic complications brings into the lives of diabetics who do nothing to change their lifestyle.

What begins to occur in the diabetic who starts to develop complications because of uncontrolled blood sugars over time is a life filled with the possibility of becoming an invalid, either blind, an amputee, or suffering renal failure or a heart attack.

The above paints a rather grim picture if lifestyle changes are not adhered to. Research has shown that the diabetic that keeps their blood sugar within acceptable limits and follows a healthy, diabetic lifestyle that has been shown to be effective against diabetic complications stands a much better chance of not developing many of the complications their less than dedicated counterparts do.

There is a new derivative of thiamine (Vitamin B1) available now that is showing great promise in greatly reducing the excess sugar in the cells of the diabetic, the process known as Advanced Glycation Endproducts (AGE).

Is Benfotiamine Effective Against Diabetic Complications?

Benfotiamine is a lipid soluble derivative of thiamine. Japanese researchers developed benfotiamine in the 1950's and later patented it in the United States in 1962. No one in the US medical community paid much attention to it at the time. For the past 12 years in Europe it has been used for neuropathy, retinopathy and other uses.

The chemical name and formula for benfotiamine is: S-benzoylthiamine-O-monophosphate (C19H23N4O6PS). It wasn't until a group of researchers in New York at the Albert Einstein College of Medicine of Yeshiva University released the results of their research in 2003 in Nature Medicine Magazine did the rest of the world begin to take a look at this substance.

Benfotiamine is unique and was reported by Michael Brownlee, M.D., as showing much promise in preventing nerve and blood-vessel damage in diabetics. Every diagnosed diabetic has been told by his/her healthcare provider that diabetic complications are the true killers in terms of diabetes.

If you are a diabetic or know a diabetic, you may find additional information about benfotiamine and view research that has been recently conducted showing the benefits of preventing diabetic complications by following the link to the website below.

By Zach Malott


Build Health: Want To Prevent Diabetes?

To prevent diabetes you will get a real jolt when you follow the prescription offered up in the "Journal of the American Medical Association."

This 'prestigious' organization reported on separate studies of coffee drinkers in Sweden and Finland.

Whiz-bang medical researchers discovered that women could decrease their risk of diabetes by 29 percent when they followed a regimen of drinking three to four cups of coffee a day.

The ladies who had the fortitude to drink 10 or more cups of coffee a day fared even better. They reduced their risk of diabetes by 79 percent.

The men participating in the studies also reduced their risk, but not to the extent as did the women.

When men drank three to four cups a day, they reduced their risk of diabetes by 27 percent. The men who drank 10 or more cups of java per day reduced their risk by 55 percent.

These results confirm a January report by the equally 'prestigious' Harvard School of Public Health. That report concluded that drinking six 8-ounce cups of coffee a day could reduce diabetes risk in men by about 50 percent and in women by 30 percent.

If the numbers have any connection to reality, the more coffee you drink, the better off you are. And that is the rub.

The numbers have nothing to do with reality, nothing to do with the truth.

Here in America the rate of adult-onset diabetes, or Type 2 diabetes, is growing incrementally. Nowadays it typically shows up in middle-age populations, but the disease is on the rise among ever-younger age groups.

Do not step up your coffee consumption in the belief it will help you prevent diabetes. This disease has absolutely nothing to do with a lack of coffee drinking.

Science and truth are not synonymous. Medical scientists do not deal with truth. The medical scientists who monkey around with coffee drinking merely play with limited and approximate descriptions of reality. In this case, extremely limited and hardly approximate.

If you are serious about preventing diabetes, you have to look at the differences between the people of the past who did not get diabetes, and the people of today who get diabetes. This entails more than merely harping on the fact the younger generation is becoming more overweight and less active.

We have plenty of newly discovered diabetics who are active and on the thin side-and they drink lots of coffee.

The primary difference between the people of the past who did not get sick and die like we do, and the present lot who become diabetics, is poor nutritional status.

The diabetic-in-process has an inadequate intake of nutrients and/or excessive intake of nutrient-poor foods. Conversely, his/her healthy ancestors had a nutrient-dense diet.

The nutrient-dense diet of the past contained, minimally, four times the amount of minerals, and ten times the amount of fat-soluble vitamins found in the American diet of the late 1930's and early 1940's.

Folks who learn where health comes from and practice prevention won't become diabetic, and will not need the medical community dosing them with coffee, or any other magic bullet.


By Bill Quesnell


Fanning the Flames of the Diabetes Epidemic

INTRODUCTION

It is my pleasure to introduce to you, a new Diabetes Prevention Education, Public Relations Campaign established under the name Fannie Estelle Hill Grant, started by me, Lyndia Grant-Briggs, after the loss of my mother who succumbed to Type 2 Diabetes on Christmas Day, December 25, 2000. I noticed a fire burning in the Diabetes health arena, and it is still burning out of control. The diabetes prevention and education public relations campaign was started in an effort, to "Fan the Flames", and put out the fire.

Fannie Grant was 73 years old, a homemaker, who loved her family very much, and she believed in preparing wonderful home-cooked meals for the family. You name it, and we had it. We would have desserts any day of the week. Mama enjoyed cooking, cleaning and washing clothes, and although she raised nine children of her own, she always had room for other needy children.

In our early years, from 1945-1965, Mother was the wife of a sharecropper in North Carolina, but they moved the family to Washington, D.C. in 1965. So for more than 30 years, Mother Grant, our father and all of us children called the Washington Metropolitan Area home.

Our family learned that Mother had Type 2 Diabetes after a major stroke she had back in 1988-89. She lived 11-12 years after the diagnosis. Lyndia and her Sisters, (The Grant Sisters) pledged to begin the educational prevention campaign while they visited with and/or cared for their mother during her last year of life.

After moving back home to North Carolina, Mother Grant enjoyed her latter years in a very peaceful way. Us children purchased her a new home, took over all of the mortgage payments, and she was happy. Mother Grant enjoyed living on this wonderful 227-acre farm, near Kinston, North Carolina. She was one of the heirs to this wonderful farm left to her family by their father, and my grandfather, Floyd Hill.

She enjoyed walking around the farm, following my father, Bishop Benjamin Grant, around the garden as he worked. She enjoyed shopping with her sisters going to yard sales. Shopping gave her considerable joy near the end of her life.

Mother suffered numerous strokes, seven to ten to be specific. During one stoke, she lost the use of her tongue and couldn't speak at all. Mother Fannie's kidney failed, she was receiving kidney dialysis for the last two years of her life, she had high blood pressure for many years, and both of her legs were amputated above her knees.

The Problem

We wanted to know more about the disease that took our mother in such a brutal fashion. There was so much pain and suffering prior to her death. Mother Grant was a Christian, she was an Evangelist who preached the gospel in churches throughout the Washington D.C. Area, and everyone loved her and called her Ma.

Our mother was very special, and as her oldest daughter, I promised to carry out a public awareness campaign, to educate millions of people regarding the causes and preventions of Type 2 Diabetes. In educating the general public, I feel a lot better, because my mother's living shall not be in vain. My sisters and I have been blessed over the past 20 years, we've had lots of success in publicizing several major events, we coordinated a major festival, called Georgia Avenue Day in Washington, D.C. The festival and parade attracted more than 200,000 people, major corporate sponsors and celebrities. We worked for two Presidential Inaugural Committees, one was for the Republicans, George Herbert Walker Bush and for other for the Democrats, President Bill Clinton, for two D.C. Mayors, Marion Barry and Sharon Pratt Kelly, and three D.C. City Councilmembers, Charlene Drew Jarvis, Frank Smith and Eyde Whittington. Another major achievement was an appointment that I received as project director by Councilman Frank Smith, to erect the Spirit of Freedom Memorial, a new national African American Civil War Memorial located in Washington, D.C. This monument pays tribute to 209,145 United States Colored Troops who fought in the American Civil War.

As you can see, Mother Grant passed down some strong self-worth values. She taught us that we can do anything that we want, and that we can be the best at whatever we choose. The business of public relations is "in my blood." There was no way that I could see the devastation caused by Diabetes and understand this disease, and do nothing about it. I wanted to know "what happened to Mother, how did this happen, could we have done something differently, if only we had known that an improved diet and regular physical exercise could have made a difference."

I know that I've been chosen to get the word out regarding this disease that's burning "out of control" in the African American community. It has been extremely hard to continue to live without our Mother, but in sharing this information with others, it gives me some relief from my grief.

So, what exactly is Diabetes? Diabetes mellitus is a group of diseases characterized by high levels of blood glucose. It results from defects in insulin secretion, insulin action, or both. Diabetes can be associated with serious complications and premature death, but people with diabetes can take measures to reduce the likelihood of such, according to recent studies found by the National Institute of Health. Some researchers believe that African Americans, (Hispanic Americans, Asian Americans, and Pacific Islanders were also included in the study) inherited a "thrifty gene" from their African ancestors. Years ago, this gene enabled Africans, during "feast and famine" cycles, to use food energy more efficiently when food was scarce. Today, with fewer such cycles, the thrifty gene that developed for survival may instead make the person more susceptible to developing type 2 diabetes.

The problem dates back to the beginning of the slave trade, documented as beginning in 1790, and for those enslaved ones, food was still scarce, thus the "thrifty genes" protected them. If you research the documentations found on record at the National Archives and Records Administration, slaves received rations. It really doesn't matter what the diets were of African people hundreds of years ago, as they roamed around freely on the African continent, in townships like Johannesburg, Freetown, Rwanda, Sudan, South African and Sierre Leone. What does matter is the fact that those Africans who managed to survive the slave trade here in America, arrived on the shores very strong. The majority of them worked in the fields from sun-up to sundown, six days per week, and in many cases, seven days/week. Slaves ate scraps, like hog mauls, chitterlings, pigtails, pig feet, pig ears, and they drank milk from a trough along side other animals.

African people became Americanized, they were no longer in their homeland, so to live, they had to eat whatever was made available to them, they were fed last, after the horses and the pigs had been taken care of, whatever was left was given to those enslaved people -- scraps, left-overs, garbage. In an effort to create a delicious meal, the women worked at creating recipes that they could all enjoy. They loved collard greens with fat back meat, and learned to bake sweet potato pies, cleaned chitterlings and made them into a delicacy to be eaten on special occasions. They made pots of beans seasoned with ham hocks, or pigtails, and they seasoned with pork.

They made home-made biscuits from self-rising, white flour and lard, and they learned to make hush puppies, candied yams, lots of potatoes, and they ate plenty corn bread, so even until this day, African people who became African Americans beginning in the late 1700's, had a very different diet than Euro-Americans. Even though this wasn't a "good" and "healthy" diet for the slaves, they ate it, they enjoyed it, and they were able to sustain themselves easily. They worked so very hard in the fields 12-16 hours a day. But of course, since they had the so-called "thrifty genes" which allowed their bodies to preserve food in an appropriate manner, when food was scarce, seems that was probably a good thing, since the enslaved didn't always have ample food supplies.

There is a bright side to this though, as they worked, they were receiving strenuous daily exercise, which kept them healthy. It really didn't matter what the slaves ate, because what they ate, in today's standard would have fattened them too, but it didn't, because they burned it off every day out in the fields working. It was a vicious cycle. They ate, and they worked off the carbohydrates. They ate and they worked off more carbohydrates, and they didn't die from diseases back then, as they do today, diabetes or cancer, and don't think that their bowels didn't move regularly as well, thus eliminating all of the colon cancer, they eliminated the toxins from their bodies through sweat and perspiration. They may have been tired, but they had healthy bodies. So all of these diseases that are out of control today, like Diabetes came along later due to the many lifestyle changes of Americans.

Let us all learn a very important lesson from this bit of history: According to all legislations and laws today, African Americans can Be whatever they want to be, they can Do whatever they are capable of doing, and they can Have whatever they can manage to work hard enough to achieve. We know that this is a true statement, when you look around and you see such role models as Oprah Winfrey, the queen of talk shows, Bill Cosby, Michael Jordan, we have had several black Miss America's, including the current reigning queen, we have Tiger Woods, the best golfer of all times and The Williams Sisters, who have broken all records. The list goes on and on. Today, we live in fabulous homes; our children can now go to college, (sidebar: yet we have more African American men in prison today, over 900,000 than we have in college today, only 600,000, that's another article.)

The trouble with this whole thing is, African Americans continue to enjoy many of the delicious foods handed down to us by our ancestors, our diets haven't changed very much, but we've forgotten one very important ingredient, our ancestors worked 12-16 hour days, performing physical labor. They received the necessary exercise daily, therefore, they didn't get sick with diabetes, and all of the fat was burned off in blood, sweat and tears.

Today, in order for us to get proper exercise, we must plan to have physical exercise at least 30 minutes daily, one-hour is preferable, but no less than 30 minutes. That's not a lot, compared to the amount of time our forefathers worked, but according to studies done by the National Institute of Diabetes & Digestive & Kidney Diseases, the little time we manage to put in, while exercising for 30 minutes, 3-4 days/week can prevent the occurrence of Diabetes.

Today, we continue in the tradition of eating our "soul food" diets, very much the same as we did 200 years ago, except today, most of us don't use lard, and we can eat all we want. We've graduated to vegetable oils like Crisco and other vegetable oils. (Olive Oils are better for us, less cholesterol). Families today still enjoy foods, which include far too many carbohydrates like macaroni and cheese, desserts, and lots of bread. We have enjoyed these foods for hundreds of years, but now, we sit at computers, walk out to our cars, drive everywhere, including to the grocery stores, we don't have to walk to school for miles any longer, we can ride the school buses, and exercise has all but been eliminated. America is overwhelmingly FAT, even our children in many cases are overweight and/or obese.

It's a simple problem, bad diets that includes too much junk food from fast food restaurants, and a lack of strenuous exercise. How many times have you pigged out, after a hard day, then, you fell asleep? That food is fattening you up, just the way that it does for newborn babies. Remember how babies eat and sleep, and soon, you notice their little legs beginning to get a little meat on their bones. But you can almost look at them grow and gain weight. But they are still babies, and that's what they need, nutrition to grow.

For adults though, it's a different story, we have already grown up, and all we can do now is grow OUT!!! We just keep getting BIGGER and BIGGER and BIGGER! We look bad to ourselves and to others, we can't fit into our nice clothing, we have to keep buying fat clothes. And worst of all, our hearts cannot stand this, and neither can the rest of our organs. (I give a speech entitled "Let Not Your Heart Be Troubled" - How to have a healthy mind, body & spirit). It's no wonder that our starvation genes are reacting the way that they have, this so-called "thrifty gene" that is found in African Americans seems to store even more of this foreign food that we continue to ingest into our bodies. We came from strong, lean backgrounds, Africa has never been a "fat" nation, but as African Americans, we have Americanized our bodies so badly, that our health problems are out-of-control!

If you take a look at the stats provided by the National Institute of Health, Today, diabetes mellitus is one of the most serious health challenges facing the United States. The following statistics illustrate the magnitude of this disease among African Americans.





2.8 million African Americans have diabetes.



On average, African Americans are twice as likely to have diabetes as white Americans of similar age.



Approximately 13 percent of all African Americans have diabetes.



African Americans with diabetes are more likely to develop diabetes complications and experience greater disability from the complications than white Americans with diabetes.



Death rates for people with diabetes are 27 percent higher for African Americans compared with whites



National health surveys during the past 35 years show that the percentage of the African American population that has been diagnosed with diabetes is increasing dramatically. The surveys in 1976-80 and in 1988-94 measured fasting plasma glucose and thus allowed an assessment of the prevalence of undiagnosed diabetes as well as of previously diagnosed diabetes. In 1976-80, total diabetes prevalence in African Americans ages 40 to 74 years was 8.9 percent; in 1988-94, total prevalence had increased to 18.2 percent--a doubling of the rate in just 12 years.



Prevalence in African Americans is much higher than in white Americans. Among those ages 40 to 74 years in the 1988-94 survey, the rate was 11.2 percent for whites, but was 18.2 percent for African Americans



Regular physical activity is a protective factor against type 2 diabetes and, conversely, lack of physical activity is a risk factor for developing diabetes. Researchers suspect that a lack of exercise is one factor contributing to the high rates of diabetes in African Americans. In the NHANES III survey, 50 percent of African American men and 67 percent of African American women reported that they participated in little or no leisure time physical activity.





Conclusion

In furthering the causes of this Diabetes Educational Prevention Campaign, the first order of business has been to make my very own Lifestyle Change. My Mother was buried on December 30th, 2000. When I returned home to Silver Spring, Maryland, it took a few months before I could go on, the grief period was extremely hard, but the first order of business, was to begin a regular exercise routine. Walking became my exercise of choice -- two to four miles three to four days each week. Some weeks I walked, and continue to walk, five days, even six days a week, and recently, I've added "walking up and down the stairs in five minute increments, for 12-15 minutes. There is an extreme difference in the way that I look and feel. The pounds and inches have been steadily coming off.

I've changed my diet. I'm now drinking green mineral drinks each morning, (you can buy green drinks at organic stores); and I'm no longer eating white bread. In fact I don't eat very much bread at all, but when I do, it is whole grain or wheat bread, brown rice, more fresh fruits and green leafy vegetables. I enjoy using my juice machine for fresh green spinach and carrot drinks.

Recently, I found myself with excellent health results from my physical examination. My cholesterol level was low, at 126, and my glucose levels were average. My blood pressure was 120/80, which is fine for me, and I feel wonderful too. There is one area that I'm still working on, and that is my Ideal Body Mass, IBM. I'm still overweight, but I've lost 30 lbs., and still counting.

If you are reading this article, and you're at risk for Type 2 Diabetes, consider making a major Lifestyle Change. It's very simple: 1-Change your diet, eliminate most of the carbohydrates from your diet; 2-Exercise regularly for the rest of your life, and 3-Get rid of the extra pounds, work toward maintaining your ideal body weight. If you make this promise to yourself, to change your life, you will be "Fanning the Flames of the Diabetes Epidemic in America," and soon the fire will be put out, but it will take millions of people to join this fight. Won't you begin today? You don't have to get Diabetes, it can be prevented, you don't have to lose one limb to this vicious disease, nor do you have to lose your kidney. Change your life, and enjoy your Thanksgiving Dinner - with all of the trimmings, but the next day, get back to the business of getting fit and staying healthy.


By Lyndia Grant-Briggs


Diabetes: African Americans Deadly Foe

Diabetes is having a devastating effect on the African American community. Diabetes is the fifth leading cause of death in African Americans and their death rates are twenty seven percent higher than whites.

Over 2.8 million African Americans have diabetes and one third of them don't know they have the disease. In addition, twenty five percent of African Americans between the ages of 65 - 74 have diabetes and one in four African American women, over the age of 55, have been diagnosed with the disease

The cause of diabetes is a mystery, but researchers believe that both genetics and environmental factors play roles in who will develop the disease.

Heredity

Researchers believe that African Americans and African Immigrants are predisposed to developing diabetes. Research suggests that African Americans and recent African immigrants have inherited a "thrifty gene" from their African ancestors.

This gene may have enabled Africans to use food energy more efficiently during cycles of feast and famine. Now, with fewer cycles of feast and famine, this gene may make weight control more difficult for African Americans and African Immigrants.

This genetic predisposition, coupled with impaired glucose tolerance, is often associated with the genetic tendency toward high blood pressure. People with impaired glucose tolerance have higher than normal blood glucose levels and are at a higher risk for developing diabetes.

What is Diabetes?

Diabetes, commonly know as "sugar diabetes", is a condition that occurs when the body is unable to properly produce or use insulin. Insulin is needed by the body to process sugar, starches and other foods into energy. Diabetes is a chronic condition for which there is no known cure; diabetes is a serious disease and should not be ignored.

Diabetics often suffer from low glucose levels (sugar) in their blood. Low blood sugar levels can make you disorientated, dizzy, sweaty, hungry, have headaches, have sudden mood swings, have difficulty paying attention, or have tingling sensations around the mouth.

Types of Diabetes

Pre-diabetes is a condition that occurs when a person's blood glucose levels is higher than normal but not high enough for a diagnosis of type II diabetes. Pre-diabetes can cause damage to the heart and circulatory system, but pre-diabetes can often be controlled by controlling blood glucose levels. By controlling pre-diabetes you can often prevent or delay the onset of Type II diabetes.

Type I or juvenile-onset diabetes usually strikes people under the age of 20, but can strike at any age. Five to ten percent of African Americans who are diagnosed with diabetes are diagnosed with this type of the disease. Type I diabetes is an autoimmune disease where the body produces little or no insulin and this type of diabetes must be treated with daily insulin injections.

Type II or adult onset diabetes is responsible for ninety to ninety-five percent of diagnosed diabetes cases in African Americans. Type II results from a condition where the body fails to properly use insulin. According to the American Diabetes Association, "Type II is usually found in people over 45, who have diabetes in their family, who are overweight, who don't exercise and who have cholesterol problems." In the early stages it can often be controlled with lifestyle changes, but in the later stages diabetic pills or insulin injections are often needed.

Pregnancy related diabetes or gestational diabetes can occur in pregnant women. Gestational diabetes is often associated with high glucose blood levels or hyperglycemia. Gestational diabetes affects about four percent of all pregnant women. The disease usually goes away after delivery, but women who suffer from gestational diabetes are at a higher risk for developing diabetes later in life.

Symptoms of Diabetes

The most common symptoms of diabetes include:

excessive urination including frequent trips to the bathroom
increased thirst
increased appetite
blurred vision
unusual weight loss
increased fatigue
irritability

Complications from Diabetes

Diabetes can lead to many disabling and life threatening complications. Strokes, blindness, kidney failure, heart disease, and amputations are common complications that effect African Americans who have diabetes

Kidney Disease

"Diabetes is the second leading cause of end stage kidney disease in African Americans, accounting for about thirty percent of the new cases each year," says the National Kidney Foundation of Illinois. Up to twenty-one percent of people who develop diabetes will develop kidney disease.

Amputations

Diabetes is the leading cause of non-traumatic lower-limb amputations in the United States. More than sixty percent of non-traumatic lower-limb amputations in America occur among people with diabetes and African Americans are almost three times more likely to have a lower limb amputated due to diabetes than whites. According to Center for Disease Control (CDC), about 82,000 non-traumatic lower-limb amputations were performed among people with diabetes in 2001.

Blindness

African Americans are twice as likely to suffer from diabetes related blindness. Diabetics can develop a condition called "Diabetic Retinopathy", a disease affecting the blood vessels of the eye, which can lead to impaired vision and blindness. Diabetes is the leading cause of new cases of blindness in people from 20 - 74 years of age and up to 24,000 people loose their sight each year because of diabetes.

Heart Disease

People with diabetes are up to four times more likely to develop heart disease as people who don't have diabetes. Atherosclerosis (hardening of the arteries) is more common in diabetics and can lead to increased risk of heart attacks, stroke, and poor circulation throughout the body.

Diabetes Risk Factors

You have a greater risk for developing diabetes if you have any of the following:

Obesity
Family history of diabetes
Pre-diabetes
Low physical activity
Age greater than 45 years
High blood pressure
High blood levels of triglycerides
HDL cholesterol of less than 35

Previous diabetes during pregnancy or baby weighing more than 9 pounds

Diabetes has had a devastating effect on the African American community; it is the fifth leading cause of death and second leading cause of end stage kidney disease in African Americans.

African Americans suffer from complications from diabetes at a much higher rate than the rest of the population. African Americans are three times more likely to have a lower limb amputated because of diabetes and twice as likely to suffer from diabetes related blindness.

If you have any of the diabetes risk factors you should contact your physician and have a blood glucose test. Also discuss with your physician lifestyle changes you can take to lower your chances of developing diabetes.


By Drahcir Semaj


Favorite Desserts For A Diabetic Husband

It's easier than you think to create delicious desserts for your diabetic husband. When I had to get right down to it the ideas came flying at me out of my kitchen cupboard!

Here's a few of his favorites:

Easy Orange/Banana Parfait

1 pkge Lite Orange Jello (no sugar) 2 cups vanilla yogurt (fat free, no sugar but artificially sweetened) 1/2 tsp vanilla 2 tsp Splenda 1 banana 1/8 cup Lite cream cheese Makes 4 servings

Prepare the jello per the package directions. When it is partially set, slice and drop your banana pieces into the jello and mix gently so the banana pieces are covered by the jelly. Leave to set firm in the refrigerator.

Beat the remaining ingredients well together and set aside in the fridge.

Just before dinner put your dessert together. I use parfait glasses, they add to the fun and look of the dessert.

Drop a dollop of yogurt mixture into the bottom of each of 4 dishes and a scoop of the jello and then the yogurt mix again and so on to the top.

I have tried different flavors and different fruit, but, hubby likes the orange banana the best.

Faux Apple Crisp

3 large apples (jona golds are the best, in my opinion) Cinammon Sprouted wheat bread (I use Ezechial cinammon raisin from the health food store - 2 slices, they are small) 9" square casserole dish Makes 4 servings

Preheat oven to 375F. Spray your casserole dish with a non stick spray.

Peel, core, and slice your apples thinly into your baking dish. Sprinkle with cinammon (as much or as little as to your taste).

I take my bread from the freezer and grind it into crumbs in the blender. Now sprinkle evenly over your apples. Take a spoon and dish down here and there through the apples, so that some of the crumbs fall between the apples.

Bake uncovered in your oven 40 mins. or until your apples are cooked tender.

Cool and serve with flavored yogurt, artificially sweetened.

You can swap out the apples for blueberries, fresh or frozen. Just coat the berries first with 2 tsp flour.

It's not been as hard an adjustment as we thought it would be and we are both eating healthier than before, that has been a bonus for us both.

By Abigail Baker


6.6.08

Diabetes Awareness: Ill Wait til it Hurts

By the time many type 2 diabetics (and often their doctors) realize action is necessary, the disease, with its destructive high blood sugars, has been silently damaging their body for years.
Complications to the blood vessels and tissues of your eyes, feet, heart, kidneys, and other organs, are likely well underway.
You visit the doctor because you feel bad, and you wish to feel better. You react to the symptoms of perceived illness. This is understandable, but does not allow much room for prevention or early detection of diabetes.
Of course this idea, "Don't see the doctor 'til it hurts," comes from our "busier-then-ever" lifestyles. But to blame, to point fingers after the damage has started is as pointless as is the leaping bungee-jumper's complaint that his equipment has just failed. It's a little late to talk about why. Some problems are better prevented.
If you have type 2 diabetes, you know most of the time you don't feel very bad. You might think that because you don't feel very bad, it isn't very serious, and you don't have to do anything about it just now. "I'll wait 'til it hurts" ...You couldn't be more wrong.
Diabetes damages your body with high blood sugars. It doesn't care whether your sugars are high from type 2, type 1, or some other cause - if they're up, they're doing damage. Type 2 diabetics who let their sugars run "because they don't feel bad" are doing serious damage to their eyes, kidneys, hearts, and nervous systems.
Suppose you have diabetes, and don't want the complications. Suppose you don't know you have diabetes, but you're from a high-risk group (maybe someone in your family has or had diabetes), and you want to cut the risks. Or, suppose you just want to feel better.
It's all the same - Your early detection, education, and prevention work best.
Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year. By David Anderson