Readers:

I’ve been seeing this particular doctor for over ten
years now. It’s important to have a doctor that you trust
and that takes the time to listen and work with you to
keep you safe and healthy. Some doctors don’t look at you
as a person. They see you as your diagnosis and that’s
what they treat. You really want someone who wants to help
you take control the situation and want to better it.

My doctor always informs me about new diabetic supplies,
studies and treatments. He helps me take better care of
myself. Because after all you have to take care of your-
self.

Regards,
Steve

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Pneumonia Vaccination Important for Diabetics

NEW YORK (Reuters Health) – Researchers from Denmark say
they have “strong evidence” that diabetes is associated
with a 25 percent to 75 percent increase in the relative
risk of hospitalization due to pneumonia.

Writing in the journal Diabetes Care, the researchers
say these results “emphasize the value of influenza and
pneumococcal immunization, particularly for patients
with longer diabetes duration, and the importance of
improved glycemic control to prevent pneumonia-related
hospitalization among diabetic patients.”

Using health care databases for northern Denmark, Dr.
Jette B. Kornum from Aarhus University Hospital, Aalborg
and colleagues identified 34,239 individuals with a
pneumonia-related hospital admission and 342,390
individuals from the general population who served as
a control group.

The analysis of these data revealed that individuals with
diabetes had a 26 percent higher risk of pneumonia-related
hospitalization compared with those without diabetes.

The risk of pneumonia-related hospitalization was increased
by 4.4-fold in subjects with type 1 diabetes and by
1.2-fold in those with type 2 diabetes.

The longer duration of diabetes with poor glycemic control,
the higher the risk of hospitalization for pneumonia
became, Kornum and colleagues observed. Compared with the
subjects without diabetes, having diabetes for 10 years or
more was associated with a 37-percent greater risk.

Diabetes combined with an A1C level of 9 percent or
greater, a standard measure of blood glucose, which
should be 7 percent or lower, was associated with a
60 percent increased relative risk of pneumonia-related
hospital admission, while diabetics who had an A1C of
less than 7 percent had a 22 percent risk, compared
with nondiabetic subjects.

“Our data extend previous studies suggesting that diabetes
is a risk factor for pneumonia,” Kornum and colleagues
conclude.

SOURCE: Diabetes Care, August 2008.

Copyright 2006 Reuters Limited. All rights reserved.

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Heart Disease Risk Soars with Obesity, Diabetes

NEW YORK (Reuters Health) – People who are both obese and
have diabetes are highly likely to develop heart disease
during their lifetime, a new study shows.

Researchers found that of more than 3,400 adults in a long-
running U.S. heart study, women who were obese and diabetic
had a nearly 80 percent chance of developing heart disease
at some point. For their male counterparts, that figure
was nearly 90 percent.

Lifetime risk was based on the likelihood that a 50-year-
old would develop heart disease in the next 30 years.

Obesity and diabetes commonly go hand-in-hand. The new
findings, published in the journal Diabetes Care, show
that diabetes on its own significantly raises the lifetime
risk of heart disease, and that obesity worsens the
situation.

Dr. Caroline S. Fox of the National Heart, Lung and Blood
Institute in Bethesda, Maryland, and her colleagues the
lifetime heart disease risk of normal-weight women who
did not have diabetes was 34 percent. The risk for normal-
weight women with diabetes was 55 percent.

Among obese women, those who did not have diabetes had a
47 percent chance of developing heart disease, while the
risk for those with diabetes was 79 percent.

The pattern was similar for men, with a lifetime heart
disease risk of 49 percent among normal-weight, non-
diabetic men, and a 77 percent risk for normal-weight
men with diabetes. Obese men without diabetes had a
67 percent lifetime heart disease risk, while the risk
for obese diabetic men was 87 percent.

The number of Americans with diabetes is expected to
rise to 48.3 million by 2050, the researchers note,
and heart disease due to diabetes appears to already
be on the rise.

“This trend may continue to worsen if current
trajectories do not change,” they warn.

SOURCE: Diabetes Care, August 2008.

Copyright 2006 Reuters Limited. All rights reserved.

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Diabetic Recipe

Chocolate and Vanilla Swirl Cookies

(makes about 60 cookies)

1/2    cup (120 g) margarine, softened
2    tablespoons (24 g) sugar
2    teaspoons (10 ml) vanilla extract
6    tablespoons (90 ml) liquid egg substitute
1 1/2    cups (210 g) unbleached all-purpose flour
1/2    teaspoon (2.5 ml) baking powder
1/4    cup (60 ml) skim milk, warmed to room temperature
1    teaspoon (5 ml) unsweetened cocoa powder
1/8    teaspoon (0.6 ml) chocolate extract
refrigerated butter-flavored cooking spray

1. Cream margarine, sugar, vanilla, and egg substitute.
Beat well. Add flour, baking powder, and 3 tablespoons
(45 ml) of the milk. Stir to thoroughly mix. Divide
dough into 2 parts.

2. Add cocoa and chocolate extract to one part, stirring
until well blended. Chill both halves for at least
1 hour.

3. Working on a floured surface, roll out each part to a
rectangle about 3 inches (7.5 cm) wide. Place chocolate
part on top of white part, pressing together tightly
with a rolling pin.

4. Brush the chocolate dough with remaining tablespoon
(15 ml) milk. Roll up like a jelly roll to make a log
about 1 1/2 inches (4 cm) in diameter. Wrap in waxed
paper and chill until firm, about 2 hours.

5. Preheat oven to 375°F (190°C), Gas Mark 5. Slice cookies
1/8 inch (.5 cm) thick. Place on a nonstick cookie sheet
that has been lightly coated with cooking spray.

6. Bake for 8 minutes, until lightly browned. Transfer to
a wire rack to cool.

Per 3-cookie serving:    85 calories (53% calories from fat),
2 g protein, 5 g total fat,
8 g carbohydrate, trace dietary
fiber, trace cholesterol, 73 mg sodium

Diabetic exchanges:    1 carbohydrate (bread/starch), 1 fat

Copyright 1997-2001 Diabetic-Lifestyle.