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DIABETES IN CONTROL
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Kristina
Sandstedt, MS
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 Kristina
Sandstedt,
MS,
Clinical
Exercise
Physiologist,
Diabetes
Educator
“The
Role
of
Exercise
in
the
Treatment
of
Arthritis”,
Why
this
information
is
important
for
Diabetes
Educators
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Evan
D.
Rosen,
M.D.,
Ph.D
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Dr.
Evan
Rosen
 Winning
the
Battle,
but
Losing
the
War
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Shafer
Monthly Feature
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 “ANTIOXIDANTS”
Antioxidants
have
received
a
lot
of
attention
in
recent
years,
in
relation
to
wellness
and
disease
prevention.
More
studies
are
needed
to
better
understand
how
antioxidants
may
affect
diabetes
management
and
treatment.
Click
Here
By Sherri Shafer,
R.D., CDE,
View
Sherri's Archives
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NOMINATE YOUR
CHOICE
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Best
Diabetes
Product
or
Service
of
the
New
Millennium
Medical
Professionals
CHOICE
AWARD
CLICK
HERE
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Dr. Eric S. Freedland
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 Dr.
Eric Freedland
continues his series
Why
Focusing On Intensive Glucose Control With Drugs Alone Is
Counterproductive with
Part
10
Manipulating
Macronutrient
Ratios
Eric S. Freedland, MD
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PRINT
THE NEWSLETTER
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Print this weeks Newsletter Here.
Adobe
format
22
pages
Download
Adobe format
click here.
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Dr.
Thomas Burke Ph.D
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-
 Dr
Thomas Burke brings
us a wound care case study by Alan
Kochman, PT, MS and Diane
Pogmore, RN, CWOCN
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SUBSCRIBE |
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Item #16
Risk
for Type 1 Diabetes Greater in Overweight Children
A
disturbing rise in the incidence of overweight children has occurred
along with an increase of type 1 diabetes.
In
recent decades, the incidence of type 1 diabetes (DM1) in developed
countries has increased for children under age 15 in general, but
mostly in younger children, as reported by EURODIAB. Concurrently, a
disturbing rise in the incidence of overweight children has occurred.
We
therefore searched computer and clinic records of all pediatric
patients diagnosed with DM1 between 1.1.98 and 12.31.01, and examined
body mass index (BMI) at diagnosis (Dx), and by <3 months
post-diagnosis (P-Dx) reflecting body habitus prior to any weight
loss. BMI Z-scores (BMIZ) for age >2 years, were calculated per CDC
2000 data. We included patients from physicians who admit all of their
newly diagnosed diabetics to Children's Hospital of San Diego, and all
DM1 patients cared for at Kaiser Permanente in San Diego. Patients
from physicians who primarily admit younger or sicker patients with
DM1 were excluded, as were non-resident patients.
Also,
we excluded obese patients initially treated as type 2, based on
c-peptide, and clinical phenotype, who had DM1antibodies, and later
became insulinopenic. Of 289 patients <15 years old (yr) in age
groups 0-4, 5-9, and 10-14, there were 26.0%, 35.3%, and 38.7%,
respectively. Distrbution by gender was 29.9%, 34.3%, and 35.8% in 137
girls, and 22.4%, 36.2%, and 41.4% in 152 boys, in the respective age
groups. Mean (SD)[%] BMIZ at Dx and P-Dx were respectively -0.61
(1.6)[27%] and 1.09 (0.78)[86%] for ages 2-4, 0.03 (1.4)[51%] and 0.89
(1.0)[82%] for ages 5-9, -0.3 (1.2)[38%] and 0.64 (0.8)[74%] for ages
10-14. Height Z-score was about 0.25 for the 3 age groups [60%]. Mean
weight gain was 15.2%, 12.5%, and 14.9%, respectively. Of all 321
pediatric patients <19 yr [1.2:1 M:F], 62.1% were Caucasian, 23.6%
Hispanic, 3.4% African American, 2.5% Other, 0.9% Asian, 7.5% mixed
ethnicities. BMIZ post-Dx was 1.09 in Hispanics and 0.7 in Caucasians
(p <0.05). Mean weight for height P-Dx was at 80% for patients
<2yr. Mean BMIZ are high P-Dx compared to expected BMIZ=0 (p
<0.0001) in ages 2 to <15 yr, even though P-Dx BMI Z-scores may
be underestimated, since in some cases we only had P-Dx data at <10
days. BMIZ correlated negatively with age of Dx in ages 2 to <15
yr, with r = -0.22 (spearman,p <0.001), and was significantly
higher than BMIZ in 10-14 yr (p=0.01).
Conclusions:
Age of Dx of DM1 no longer shows a prominent peak after age 10.
Overweight
may increase the risk of developing type1 diabetes, especially in
younger children.
Endo
2002 [P2-357] The Changing Epidemiology of Childhood Type 1 Diabetes
and the Obesity Epidemic
Did
You Know:
CVD
is a major complication and the leading cause of premature deathamouun
people with diabetes---at least 65 percent of people with diabetes die
from heart disease or stroke. Middle-aged
people with type 2 diabetes have the same high risk for heart attack
as people without diabetes who already have had a heart attack.
CDC Diabetes
Surveillance Report 1999
[an error occurred while processing this directive]
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DIABETES NEWS FLASH
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Dr.
Jennifer Larson
Feature
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Dr
Jennifer Larson, MD,
University
of Nebraska Medical Center, gave
a very informative overview of Pancreas,
Islet, and Kidney Transplantation: Metabolic and Endocrine
Consequences, at the Endo2002 conference. We have an overview
of her presentation, click
here
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TOP
DIABETES STORIES
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New
Drug Restores Eyesight*
Click
Here
Diabetes
Management Market Predicted to Explode*
Click
Here
Night-Light
May Prevent Diabetic Eye Damage*
Click
Here
New
Test Predicts Which Type 2’s Will Become Type 1’s Within 5 Years*
Click
Here
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FREE
WEBSITE!!!
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Get
a
FREE
website
for
your
Diabetes
Organization.
Click
Here
To
Learn
More
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NEW PRODUCT
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 400
needles
that
pierce
the
skin
and
let
big
molecules
enter
the
bloodstream.
Drug
delivery
with
this
techniques
offers
several
advantages
over
pills
and
injections.
It
can
ensure
the
steady
release
of
medication
into
the
patient's
bloodstream
over
long
periods,
improving
the
efficacy
of a
dose.
It
can
prevent
the
rapid
breakdown
that
many
drugs
taken
orally
undergo
when
they
pass
through
the
digestive
system.
Click
here
for
more
information:
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Dr Richard K. Bernstein
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This
Months Corner:
 Dr.
Bernstein's
Feature:
Will
eating a low-fat
diet help you
live longer?
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INSIDE
DIABETES
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David
Kliff
 The
Pump Market - A
Market in
Turmoil
ADA
Highlights
David
Kliff, Publisher
The Diabetic Investor
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In
2 Nutrition
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Generate
Individualized meal plans for your patients!
See how your
patients can receive over 250 personalized recipes that are ideal
for individuals with diabetes, high cholesterol, heart disease and
weight management problems.
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NEWS
FLASH
!!!
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Over
One
million
US
adults
can't
afford
their
drugs
Click
Here
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FREE
CME!
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Free
CME
The
Hyperactive
Platelet
in
Type
2
Diabetes-
sponsored
by
Baylor
College
of
Medicine,
Houston,
Texas,
offers
2
hours
of
AMA
PRA
category
1
credit
To
access
this
free
on-line
activity,
visit
Click
Here
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