Archive for January, 2009

Started Eating Less

January 28th, 2009

Readers:

I’ve had a cold for the last two weeks and I must say that
my blood sugar has been perfect. For as awful as I feel my
diabetes is well under control.

Since the first of January I have been eating better. Well,
when I say “eating better” I really mean “eating less.” I
really think that the key to getting healthy and losing
weight has to be portion control.

I used to eat until I was full. Now I eat a healthy,
sensible portions for my meals and my body, mind and
blood sugar respond with positive feedback. I have not
felt this good in a long time.

Who would have thunk it? Eating less really does help.

Regards,
Steve

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Americans Spending More on Healthcare: Report

NEW YORK (Reuters Health) – Americans spent about
40 percent more out of their own pockets for healthcare
over the past decade, according to a report in the latest
issue of the health policy journal Health Affairs. An
increase in chronic conditions, especially diabetes and
high blood pressure — not just among the “oldest old”
but among baby boomers and older adults — is to blame,
researchers say.

“Chronic conditions are more than just a health issue for
the elderly. They are a household economics issue for every
American,” lead co-author Kathryn Paez said in a statement.
“Taking the time and making the effort to prevent diseases
such as high blood pressure and diabetes will save
Americans money and increase their quality of life,” Paez,
a research scientist at the Silver Spring, Maryland-based
Center for Health Policy and Research, Social and
Scientific Systems, added.

Paez and colleagues compared 1996 and 2005 out-of-pocket
healthcare costs using data from the national Medical
Expenditure Panel Survey, which represents 292 million
Americans.

They found that the average annual out-of-pocket spending
on healthcare rose from $427 in 1996 to $741 in 2005. This
represents a 39.4 percent inflation-adjusted increase in
healthcare spending assumed directly by the consumer for
things like insurance co-payments, deductibles, and other
related medical items not covered by health insurance.

Prescription medications, by far, were the costliest out-
of-pocket expenditures. According to Paez and colleagues,
Americans over age 65 with multiple chronic diseases spent
an average of $1,292 per year on prescription drugs in
2005 – more than five times more than what they spent on
office visits. “The new Medicare Part D drug benefit may
mitigate the financial burden of drug costs for this
group,” the researchers say.

The greatest spike in spending occurred among people with
multiple chronic conditions such as high blood pressure
and diabetes. Between 1996 and 2005, reports of multiple
chronic diseases roles 9.7 percentage points among
Americans between 45 and 64 years old.

Whites reported having more chronic conditions than other
races and women were more likely than men to report having
at least one chronic medical condition, the results show.

Poor, near-poor and low-income Americans who did not
receive Medicaid spent double what Medicaid recipients
spent for care. This finding, Paez and colleagues say,
highlights the need to expand coverage to non-elderly
adults who are unable to obtain insurance through
employers or other means. This is the group that is
“increasingly developing chronic conditions while
becoming more likely to be uninsured,” they note.

Because many chronic ailments stem from poor lifestyle
habits and get better as lifestyle habits improve, health
insurance benefits and healthcare reform should include
incentives for people to adopt lifestyle practices that
reduce the risk of chronic conditions and improve health,
Paez and colleagues conclude.

“Employers are increasingly recognizing the value of
wellness programs and making them available to employees.
However, more dramatic and systematic efforts are needed
to induce a societal shift where primary and secondary
prevention is considered a basic benefit and healthy
lifestyles are the cultural norm,” they wrote.

SOURCE: Health Affairs, January/February 2009.

Copyright 2006 Reuters Limited. All rights reserved.

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New diabetic retinopathy therapy possible

BOSTON – U.S. scientists say they’ve developed a new
therapy that may be effective in treating diabetic
retinopathy — a common eye-related complication of
diabetes.

Researchers from the Joslin Diabetes Center in Boston and
ActiveSite Pharmaceuticals Inc. in San Francisco say
they’ve demonstrated a specific inhibitor of the protease
plasma kallikrein — ASP-440, developed by ActiveSite
Pharmaceuticals — might provide such a new therapeutic
approach.

Led by Harvard University Associate Professor Edward
Feener, the researchers discovered continuous systemic
administration of ASP-440 proved effective in decreasing
hypertension-induced increased retinal vascular perme-
ability in rodents by as much as 70 percent. The scientists
said increased retinal vascular permeability is a primary
cause of diabetic macular edema, a leading cause of visual
impairment associated with diabetes. ASP-440 was also found
to be effective in lowering the elevated blood pressure in
the animals. “These findings represent a pivotal step
towards understanding the importance of plasma kallikrein
as a target in diabetic eye disease and how its inhibition
may support the development of a safe and effective therapy
for diabetic retinopathy,” said Barbara Araneo, director
of complications research for the Juvenile Diabetes
Research Foundation.

The research is reported in the February issue of the
journal Hypertension.

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Diabetic Recipe

Easy Sticky Buns

(Recipe courtesy of Butter Buds ~ 10 Servings)

1 packet Butter Buds Mix, dry
1/4 cup hot water
3 tablespoons packed light brown sugar
1/2 teaspoon ground cinnamon
1 1/2 tablespoons chopped walnuts
1 package (7.5 ounces) refrigerated biscuits

1. Preheat oven to 375°F. Spray an 8-inch round baking
pan with nonstick cooking spray.

2. In a small bowl, combine the Butter Buds, water, brown
sugar, and cinnamon. Pour into the prepared pan.
Sprinkle with nuts. Arrange the biscuits in a single
layer on top of the nuts.

3. Bake 15 to 20 minutes or until well browned.
Immediately invert onto a serving plate.

Per serving: 80 calories, 1 g protein, 2 g total fat
(<1 g saturated fat), 16 g carbohydrate,
0 cholesterol, 240 mg sodium

Exchanges: 1 carbohydrate (1 bread/starch)

Copyright 1997-2001 Diabetic-Lifestyle.