Diabetes Pharmacist Blog : Focus Express Mail Pharmacy : Insulin Pumps, Diabetes Supplies and Information

So So there's been a study that shows that people who live in neighborhoods where there are more fast food restaurants have higher rates of diabetes and obesity. Is it me or is that a no brainer?And, what's more, this rate increase goes across all racial lines, all ethnic lines, AND all income lines! 

The study found obesity rates to be 20% higher in neighborhoods with five or more times as many fast-food outlets as produce vendors, compared with those with three or fewer and Diabetes rates were 23% higher! That's quite significant. It's been suggested that all restaurants post caloric and nutritional content for all of their food like what New York was just mandated to do. That's ok but I have a better idea. Why doesn't someone set up a MAXIMUM healthy caloric content figure per sandwich, snack, side order, etc and if a food goes over that, a CAUTION NOTICE must be posted and/or printed on wrappers or boxes of take out food saying the following:

CAUTION: THIS FOOD IS OVER THE RECOMMENDED CALORIC INTAKE LEVEL PER MEAL AND REPEATED INGESTION MAY LEAD TO OBESITY AND/OR DIABETES.

Kind of similar to a label on a package of cigarettes. Nah, it won't work.

People still smoke and that can lead to CANCER!

(Picture from http://www.obesity-experts.com/Fast-Food-Obesity.html)

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According to U.S.News and World Report, having poorly controlled diabetes while pregnant can cause all sorts of harm, from stillbirths and miscarriages to birth defects. So experts are concerned that the number of women who already have diabetes by the time they conceive is rising rapidly: Between 1999 and 2005, the group doubled in size, growing significantly across all age, racial, and ethnic groups.

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Researchers are now investigating the strong blood sugar reducing capability of Bitter Melon, a vegetable commonly used in Asia for medicinal use.

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It's a connection that wouldn't surprise Dr. Ulysses Magalang, a sleep expert with Ohio State University Medical Center. He says that depriving your body of oxygen often takes its toll.
"We do not know whether sleep apnea actually causes diabetes. What we do know is that patients with sleep apnea have an increased insulin resistance, which is a hallmark of patients with diabetes," says Magalang.

Dr. Magalang also says that  "obesity is a common risk factor for both diabetes and sleep apnea, and fat cells seem to function similarly in both. Studies have shown that wearing airflow masks at night can prevent problems with those fat cells. The problem is, getting patients to wear them."

Research will continue to see if, in fact, there is a direct link between sleep apnea and diabetes.

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 It seems like everyone I know goes to a gym or participates in some type of regular exercise program. For most of us, that just means doing a little stretching and then off you go to the weight room,  treadmill,  elliptical etc. But for those people with diabetes, a lot of thought and preparation should be done before exercising. Exercise will lower blood sugar, and since insulin is more effective during exercise, a dangerous drop in blood sugar can occur.

The University of Michigan Health System offers these tips for people with diabetes to maintain healthy blood sugar levels when exercising:

1. Check your blood sugar before and after exercise -- and during if you can -- and record your results.
2. If you are going to exercise strenuously, make sure you eat a meal first.
3. Keep snacks -- especially some with sugar -- on hand when you exercise.
4. Talk to your doctor about possibly adjusting your insulin dose for exercise.
5. Don't inject insulin into a part of the body that will be strenuously used during exercise, as it will absorb more quickly. For example, if you will run, inject your abdomen instead of your leg.

And here's a tip from me: if you're just starting to exercise, don't overdo it. Gradually increase your time on cardio equipment and gradually increase your weights for weight training. Good Luck!

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I have a question.

How can you have a story about higher rates of diabetes and obesity in New York than elsewhere  and have a banner ad for Dunkin Donuts smack in the middle? Ok, I'll give them the benefit of the doubt because I understand how "key words" in stories trigger certain advertisers on websites but I just don't think it's right that just after the AP writer states that "health officials say a big reason for the gain is sugary sodas and sweetened drinks which add a lot of calories", a banner ad for Dunkin Donuts appears, Check it out for yourself. You may not see it right away because the ad alternates with other advertisers but it's there. Believe me. I printed it out. It may not cause the obesity and diabetes rate to increase but it sure doesn't help.

 APRIL 30, 2008 UPDATE: The ad is no longer there but the article is. We'll keep checking to see if it comes back! JDS

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Vitamin D supplements in early childhood may ward off the development of type 1 diabetes in later life, reveals a research review published ahead of print in the Archives of Disease in Childhood.  MORE.

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At UC Irvine, researchers are working to develop a painless breath test to determine when a patient's blood sugar is high. Dr. Pietro Galassetti and colleagues tested the breath of ten children with type 1 diabetes. They took breath samples while blood sugar levels were high, then continued to gather samples as blood sugar levels dropped in response...MORE

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In a project described in the March/April Journal of the American Pharmacists Association, employers in 10 U.S. cities agreed to waive copays for employees’ diabetes meds, and to fund regular meetings between pharmacists and diabetic employees. A year after the project launched, 914 patients who had been enrolled for at least three months ....MORE

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Randy Jackson, of American Idol, is holding a casting call for people living with Type 2 diabetes. Randy has partnered with the American Heart Association to speak on behalf of The Heart of DiabetesTM, a national campaign to help those living with type 2 diabetes manage the disease and learn about its connection to cardiovascular disease (CVD). He also has some tips that he wants to share that have helped him manage his own diabetes and lead a healthier life.MORE......

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In a given day:

• 4000 new cases of diabetes will be diagnosed.
• 600 people will die from diabetes complications.
• 200 people will undergo an amputation due to diabetes.
• 100 cases of kidney failure will occur due to diabetes

These statistics were grimly uttered by Ann Albright, Director of the Division of Diabetes Translation for the Center for Disease Control (CDC).Additionally, she said that "of the children born in America in 2000, one in three will develop diabetes in their lifetime."

In addition, according to the American Diabetes Association (ADA), there are 21 million people in the United States who are diagnosed with diabetes and if something dramatic does not occur in the next 20 years, this number will double! The costs for diabetes will exceed $174 billion dollars in 2008.

• $116 million on medical expenditures
• $58 million on reduced national productivity

"We are spending $174 billion dollars each year on diabetes, just imagine what that will be like when the number of diabetics double" says former Acting US Surgeon General Dr. Kenneth Moritsugu.

The ADA further states that "individuals with diabetes have medical expenditures at about 2.3 times higher than those without diabetes. The average cost incurred among individuals with diabetes is $11,744 per year with $5,649 attributed directly to diabetes."

This has gone from being a serious problem to one that will soon affect every person in this country! Why you ask? Here's why:

• Insurance companies will be paying more for medical costs which will raise EVERYONE'S insurance premiums.
• There will be lower productivity in the workplace which will hurt these same employers who will be paying the higher premiums.
• There will be reduced earnings for individuals and families.
• There will be higher taxes for us all as a portion of the burden of increased health care costs will affect the government and guess who has to pay for that?
• All of this combined means a lower quality and standard of living.

These statistics do not lie. They're getting worse every day. Something has to be done NOW to help everyone who has diabetes but even more let's do all we can, as individuals,  to PREVENT diabetes (Type II)  from occurring in ourselves, our families, and our friends.

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According to Dr. Gabe Mirkin, exercise helps to prevent and treat diabetes by increasing the number of enzymes that transport fat from fat cells to muscle cells where it can be used for energy by the muscles. Before insulin can do its job of removing sugar from the bloodstream and putting it into cells where it can be burned for energy, it must first,,MORE

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According to the New York Times, the New England Journal of Medicine published a study this week showing that a three-pronged approach of managing Sugar, Blood Pressure and Cholesterol — combined with low doses of aspirin — prolonged the lives of people with diabetes. The patients who did best in that study did not reach the nearly normal sugar levels that were the aim of the Accord study. Instead, their levels were just slightly higher than normal. MORE.....

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The Center for Disease Control (CDC), most commonly known as a source of information about epidemics, flu outbreaks, and other critical emergency health issues is also a wonderful source for diabetes information. Check this out..

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