Monday, December 6, 2010

Are You Diabetic and Want Something Healthy To Eat?

Healthy Recipes for those who are diabetic.
Tiny Broccoli Quiches Recipe


Quick Info:
Servings
Contains Wheat/Gluten
Contains Dairy
Contains Egg
Vegetarian
Diabetes-Friendly

Nutritional Info (Per serving):
Calories: 123, Saturated Fat: 3g, Sodium: 179mg, Dietary Fiber: 0g, Total Fat: 7g, Carbs: 9g, Cholesterol: 5mg, Protein: 3g
Exchanges: Starch: 0.5, Lean Meat: 0.5, Fat: 1
Carb Choices: 0.5
Recipe Source:
Prep Time: 45 mins
Cook Time: 25 mins
Total Time: 1 h 10 mins
Ingredients
• 11 ounce(s) piecrust mix (for 2-crust pie)
• 5 ounce(s) broccoli, frozen chopped
• 3/4 cup(s) cheese, Swiss, shredded
• 1 cup(s) milk, fat-free
• 1/2 cup(s) refrigerated or frozen egg product, thawed, or 2 whole eggs, beaten
• 2 teaspoon dill, snipped or 1 teaspoon dried dill
• 1/4 teaspoon salt
Preparation
1. Preheat oven to 400°F. Lightly coat thirty-six 1 3/4-inch muffin cups with nonstick cooking spray. Set aside.

2. Prepare piecrust mix according to package directions. On a lightly floured surface, roll dough to slightly less than 1/8 inch thick. Using a 2 1/2-inch fluted round biscuit or cookie cutter, cut dough into circles. Reroll scraps, cutting additional circles. Line each muffin cup with a pastry circle.

3. Pat broccoli dry with paper towels. Divide broccoli and cheese evenly among pastry-lined muffin cups. In a small bowl, combine milk, egg product, dill, and salt; spoon about 2 teaspoons of the milk mixture into each muffin cup.

4. Bake about 25 minutes or until puffed and set. Cool in pans on wire racks for 5 minutes. Loosen and remove from pans. Serve warm.

Sunday, December 5, 2010

Foot Pain at Night

Q:
I have neuropathy in my feet. It can be extremely painful at night, and it keeps me awake most nights. Is there any way to reduce the pain, and will this ever subside?

— Debbie, Wichita, KS
A:
Neuropathy is a painful and distressing complication of diabetes. In some people, it disappears on its own over a period of about 12 months. In others, however, it persists. There are medicines your doctor can prescribe to relieve your symptoms.

The U.S. Food and Drug Administration has approved two drugs, duloxetine and pregabalin, to treat the foot pain from diabetic neuropathy. Duloxetin is an antidepressant, and pregabalin is used to treat seizure disorders. Both have some side effects. Duloxetin can cause nausea, sleepiness, dizziness, decreased appetite, hot flashes, and constipation. Pregabalin can cause sleepiness and confusion and can also lead to dependence.

You might consider other kinds of treatment too, both traditional and not. In one Australian study, the antioxidant alpha-lipoic acid was shown to reduce pain. And other medications — including some antiseizure medications, antidepressants, and opiates — have been used with some success. Some people have used acupuncture, topical creams containing capsaicin (a substance found naturally in hot peppers), and other alternative therapies. Of course, many of these treatments have not been well studied enough to determine their effectiveness.

I would advise you to consult with your doctor to decide which treatment works best for you. It's important to remember, of course, that none of these medicines cure the underlying cause of neuropathy. That's why it's important to focus on tight glucose management. The basic problem that leads to neuropathy is nerve and blood vessel damage caused by high blood glucose levels.

Learn more in the Everyday Health Type 2 Diabetes Center.

Saturday, December 4, 2010

How Type 2 Diabetes Affects Relationships

Whether you're dating, married, or in a long-term relationship, a diagnosis of type 2 diabetes will affect both you and your partner.

Medically reviewed by Lindsey Marcellin, MD, MPH Print Email Having type 2 diabetes changes your life and can certainly affect relationships, whether you’re dating or married. Diabetes management requires a lot of your attention and focus, which may be hard for a partner unfamiliar with the disease to understand. You have to carefully monitor what you eat and check your blood sugar frequently throughout the day.

If you get sick and need help, your diabetes care may fall to your partner, who needs to learn about the disease to better assist you. If your partner is the one managing type 2 diabetes, you’ll want to get that education for yourself.

Diabetes: The Physical and Emotional Impact

People diagnosed with type 2 diabetes experience a wide range of emotions, including:

Fear
Anger
Depression
Denial
Guilt
Not only is the emotional aspect of diabetes a real rollercoaster, but there is also a physical impact on sexual function. The emotional strain of dealing with diabetes can cause stress and anxiety, as well as communication difficulties that can lead to sexual dysfunction in relationships.

Diabetes: Dating With Diabetes

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Ronda Keys, 37, an event planner from Maryland, was first diagnosed with type 2 diabetes at age 18, when she was in a serious relationship. She didn't know anyone else her age with the disease, so she tried to downplay its seriousness to her friends, her boyfriend, and even herself.

Keys, who is single, didn't want her boyfriend or friends to feel that they had to stop what they were doing or make accommodations for her diabetes, so she just didn't tell many people.

"I had to try to figure out how to still live a normal life and do normal things and manage my situation. After a while it just got to the point where I had to let people know," says Keys.

At first, her boyfriend just didn't know what he needed to do for her, what she needed from him, or anything about diabetes. "When you mention that you have diabetes, everyone wants to be the food police,” says Keys. She explained to him that she was still a normal, healthy person who just needed to make a few lifestyle adjustments to manage her disease.

Diabetes: Maintaining Bonds

Whether one or both partners have diabetes, there are things you can do to remain open and loving and strengthen your emotional bond, which in turn will help you navigate the changes that diabetes requires.

Here are coping techniques to ease you both through a diabetes diagnosis and for years afterwards:

Talk to each other. Adjusting to life with diabetes is difficult for patient and partner. Talk about what you're afraid of, what you're angry about, and what you need from your partner — and be sure to answer your partner's questions.Join a support group. Joining a support group for people with diabetes or family members of people with diabetes can be a valuable resource for both partners in a relationship. There you can talk to others experiencing the same challenges you are and exchange ideas on how to cope.Find ways to relieve stress. Dealing with diabetes can add a complex level of stress to a marriage, so find time to relax. Choose an activity or hobby that you each enjoy, together or alone, and regularly make time to forget about your troubles and have a little fun.Attend a diabetes education class together. This helped Keys and her boyfriend better understand her type 2 diabetes and adjust to her new reality. He learned about what she was facing and what she — and he — needed to do to manage her diabetes.Commit to lifestyle changes together. Keys says this was another important step in adjusting their relationship to accommodate her need for a healthier lifestyle. Her boyfriend altered his lifestyle as well to make it easier for her to stick with her improved habits. For people with type 2 diabetes struggling in their marriage or relationship, Keys stresses educating your partner and talking openly about your needs. Understand that your partner wants to help and often just needs you to show him or her the way

Friday, December 3, 2010

How Active Are Your Legs?

P.A.D. occurs when arteries in the legs become narrowed or clogged with fatty deposits, reducing blood flow to the legs. This can result in leg muscle pain when walking, disability, amputation, and poor quality of life. Blocked arteries found in people with P.A.D. can be a red flag that other arteries, including those in the heart and brain, may also be blocked – increasing the risk of a heart attack or stroke.

The test for P.A.D. is called the ankle-brachial index, a painless, non-invasive test that compares the blood pressure in the ankles with the blood pressure in the arms. “Poor circulation in the legs – particularly in people with diabetes – is a serious problem,” stated Benjamin W. Weaver, DPM “Without proper blood flow, a minor problem such as a cut or blister may not heal properly and may lead to an infection. If not treated promptly, these problems can result in amputation of a toe, foot, or part of the leg.”

"Knocking Socks Off" Saves Limbs and Lives, New Diabetes Study Shows

During Diabetes Awareness Month, the American Podiatric Medical Association encourages patients to see a podiatrist for regular foot examinations.

Bethesda, MD (Vocus) November 17, 2010

The number of Americans diagnosed with diabetes continues to rise toward record levels, with an estimated one in three adults predicted to have the disease by the year 2050 according to the Centers for Disease Control. Because many serious complications from diabetes present in the lower limbs, proper foot care for those with the disease is a vital step to keeping the disease in check. In fact, a new study on foot care for people with diabetes conducted by Thomson Reuters confirms that care by a podiatrist can drastically reduce the incidence of diabetes-related hospitalizations and amputations.

"During November's Diabetes Awareness Month, it's important to realize that simple lifestyle changes can go a long way toward staying healthy with diabetes. These include eating right, being active, monitoring blood glucose, and checking your feet daily," said Dr. Kathleen Stone, president of the American Podiatric Medical Association (APMA). "Diabetic foot complications are the leading cause of non-traumatic, lower-limb amputation in the U.S. Remembering to 'knock your socks off' at every doctor's visit will help to catch any potential lower limb complications early."

According to preliminary results from the Thomson Reuters study, those with diabetes who received care from a podiatrist had a nearly 29 percent lower risk of lower limb amputation, and 24 percent lower risk of hospitalization, than those who did not. APMA's "Knock Your Socks Off" campaign, running during Diabetes Awareness Month, aims to encourage everyone with diabetes and those at risk for the disease to remove their shoes and socks and inspect their feet and visit a podiatrist for a foot exam.

Feet should be checked regularly for signs and symptoms of diabetes to help prevent serious complications. Symptoms in the feet such as redness, tingling and cuts that are not healing can lead to diabetic ulcers and even possible amputation without prompt medical care.

"The Thomson Reuters study results show that just one visit to a podiatrist can drastically reduce the chance of a tragic diabetes-related amputation. There is now no question that a podiatrist must be a part of everyone's diabetes management team," Dr. Stone said. The APMA-sponsored study was conducted using Thomson Reuters' MarketScan Research Databases, which house fully integrated, de-identified health-care claims data extensively used by researchers to understand health economics and outcomes. Studies based on MarketScan data have been published in more than 130 peer-reviewed articles in the past five years.

Founded in 1912, the American Podiatric Medical Association (APMA) is the nation's leading and recognized professional organization for doctors of podiatric medicine (DPMs). DPMs are podiatric physicians and surgeons, also known as podiatrists, qualified by their education, training and experience to diagnose and treat conditions affecting the foot, ankle and structures of the leg. The medical education and training of a DPM includes four years of undergraduate education, four years of graduate education at an accredited podiatric medical college and two or three years of hospital residency training. APMA has 53 state component locations across the United States and its territories, with a membership of close to 12,000 podiatrists. All practicing APMA members are licensed by the state in which they practice podiatric medicine.

Thursday, December 2, 2010

How Will You Stop Diabetes®? The Future Is in Your Hands.

During the holidays, we joke that our belts are a little tight around the waist. But for PJ, his tight belt was no laughing matter.

"I kept thinking 'I ought to lose weight,'" he shared.

Returning home from a baseball game one day, PJ experienced tingling in his hands and feet. "I thought that was odd. So the next day, I checked my blood glucose and my jaw dropped because it was so high. I checked the next day in disbelief, and it was still elevated."

"Right then and there, I thought 'My toes at 60. There is NO WAY I was going to lose my toes at 60.'"

Once PJ was diagnosed with type 2 diabetes, the tight belt became the focus of his attention. "I sucked it up, started to exercise and eat right and lost 30 pounds over 4 months. My glucose dropped and has remained low for 5 years. I even had to put a new hole in my belt!"

"Now I watch my diet and exercise 4 days a week. Keeping my 30 pounds off is challenging. I hate it, but it works! I do it for my toes. I do it for my brain, heart, kidneys, eyes and ultimately, my family. I thank God for the kick in the butt to check my blood glucose that day."

Developing and maintaining a healthy lifestyle can be a challenge any time of the year, but especially during the holidays. During American Diabetes Month® this November, join the movement to Stop Diabetes® and download your very own Celebrations Survival Guide. Get tips to handle the holidays and avoid tight belts this Thanksgiving season.

Comprehensive Care for Diabetic Neuropathy

Diabetic neuropathy is a common complication of diabetes that can be difficult to treat using oral medications alone. By addressing both the neuropathy and the underlying diabetes, patients experience better overall outcomes.

“The standard treatment for diabetic neuropathy involves medication management using either Neurontin [gabapentin], Lyrica [pregabalin] or Cymbalta [duloxetine],” says Kelly Miller, D.C., FASA, N.M.D., Clinical Director of Waldo Rehabilitation, Health and Wellness in Kansas City, MO. “However, statistically, those medications are only helpful for about 30% of patients suffering from diabetic neuropathy — and they are expensive drugs with many side effects.”

At Waldo Rehabilitation, Health and Wellness, treatment for diabetic neuropathy in patients with type 2 diabetes involves management of the patient’s disease through specialized nutritional services meant to help patients lose weight. This diet helps correct the metabolic syndrome.

“If patients’ blood sugar levels are unstable, their risk for developing other complications, such as retinopathy, kidney failure and nerve damage, is much higher,” says Dr. Miller. “We provide patients with type 2 diabetes education about their diabetes and the options available to help better manage their insulin resistance through lifestyle modifications. We have medical doctors, podiatrists, chiropractors and physical therapists on staff — all under one roof. This cooperative integration of the different disciplines allows us to treat chronic conditions, such as diabetes, in a comprehensive manner that can be challenging for a single provider.”

Diabetic Neuropathy Management
When patients present at Waldo Rehabilitation, Health and Wellness with diabetic neuropathy, a specific regimen of injections is utilized. Immediately following these injections, which are administered by a podiatrist, patients receive electrotherapy and infrared light therapy surrounding the injection site, which helps to not only anesthetize the fibers causing pain, but also increases circulation in the patient’s foot by 3,000%, according to Dr. Miller.

“By administering electrotherapy immediately after the injections have been completed, the medication is able to provide pain relief while also alleviating the numbness patients experience,” says Dr. Miller. “Improved sensory perception of the feet puts patients at decreased risk for wounds, infections and falls, which not only improves their overall well-being, but also reduces the amount of health care dollars spent on wound care. By taking a proactive approach to diabetes and diabetic neuropathy, we are able to reduce the number of patients who suffer from diabetic foot wounds, falls and other related health problems.”

For diabetic patients experiencing other health concerns, such as pain in their hips, knees and shoulders, physical therapy and chiropractic services are provided. Transdermal nutritional formulas are also used for diabetic neuropathy patients to help reverse any nerve damage that has been sustained and help them sleep.

“By utilizing a comprehensive approach that entails stabilizing blood sugar levels, correcting type 2 diabetes and applying specific nutrients — including B vitamins, melatonin, vitamin D and magnesium — patients have better outcomes for diabetic neuropathy,” says Dr. Miller. “In many cases, we can reverse nerve damage that has been sustained, which provides a much higher quality of life for patients.”