Readers:

I am a firm believer that “laughter is the best medicine.”
And thanks to Lee Berk, a psychoneuroimmunologist, of Loma
Linda University, and Dr. Stanley Tan, an endocrinologist
and diabetes specialist at Oak Crest Health Research
Institute in Loma Linda, I’m not alone.

Take a little time to read a remarkable article that talks
about the healthy benefits of laughter.

And when you’re done with today’s Diabetic Digest just
laugh. Do yourself some good and laugh. It always makes
me feel better.

Regards,
Steve

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Laughter is the best medicine

SAN DIEGO – Mirthful laughter was linked to lower
cholesterol and less risk of cardiovascular disease in
a study of high-risk diabetic patients, U.S. researchers
said.

Lee Berk, a psychoneuroimmunologist, of Loma Linda
University, and Dr. Stanley Tan, an endocrinologist
and diabetes specialist at Oak Crest Health Research
Institute in Loma Linda, examined the effects of mirthful
laughter on 20 high-risk diabetic patients with hyper-
tension and hyperlipidemia — an elevation of lipids in
the bloodstream.

Both groups were started on standard medications for
diabetes — glipizide, TZD, metformin, ACE inhibitors
and statins. The researchers tracked both groups for
12 months, testing their blood for the stress hormones
epinephrine and norepinephrine; HDL cholesterol;
inflammatory cytokines, which contribute to the
acceleration of atherosclerosis and C-reactive proteins,
a marker of inflammation and cardiovascular disease.

One group viewed self-selected humor for 30 minutes in
addition to the standard drug therapies.

At the end of one year, 26 percent of the laughter group
had higher levels of high-density lipoprotein, the “good”
cholesterol, compared to 3 percent in the control group.
Harmful C-reactive proteins decreased 66 percent in the
laughter group vs. 26 percent for the control group.

The findings were presented at the annual meeting of the
American Physiological Society, part of the Experimental
Biology 2009 gathering in New Orleans Convention.

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Fitter Diabetic Men Live Longer

NEW YORK (Reuters Health) – Among middle-aged and older
men with type 2 diabetes, their capacity for exercise is
related to their likelihood of dying over a 7-year period,
according to a new study.

Dr. Peter Kokkinos from the Veterans Affairs Medical
Center, Washington, D.C., and colleagues say their find-
ings show a strong association between increased exercise
capacity and lower mortality risk.

Between 1986 and 2007, 1703 African American men and 1445
Caucasian men with type 2 diabetes completed a maximal
exercise test. This classified them as “low-fit,” “moderate-
fit,” or “high-fit.”

During 7 years of follow-up, “a graded reduction in
mortality risk was noted with increased exercise capacity
for both races,” the researchers report in the medical
journal Diabetes Care.

Among African Americans, the death rate was 46 percent in
the low-fit group, 27 percent in the moderate-fit group,
and 15 percent in the high-fit group. Corresponding rates
among Caucasians were 37 percent, 19 percent, and 9 percent.

The results suggest, the investigators say, that the
exercise-related reduction in mortality may be stronger
and more graded for Caucasians than for African-Americans.

It’s important to note, the researchers say, that the men
in their study for the most part came from a relatively
low socioeconomic background, whereas most information on
the benefit of fitness in diabetics has come from more
privileged populations.

“Thus, our findings support the notion that higher exercise
capacity is associated with lower all-cause mortality in
men with type 2 diabetes, independent of socioeconomic
status,” Kokkinos and colleagues point out.

The findings, they add, “extend the public health message
regarding the health benefits of cardiorespiratory fitness
to men with diabetes … and that health care professionals
should encourage diabetic subjects to initiate and maintain
a physically active lifestyle consisting of moderate-
intensity activities.”

SOURCE: Diabetes Care, April 2009.

Copyright Reuters Limited.

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Diabetic Recipe

Grilled Vegetable and Pesto Sandwiches

(makes 4 servings)

olive oil cooking spray

1 red bell pepper, 8 ounces (240 g) quartered

1 yellow bell pepper, 8 ounces (240 g) quartered

1 1/2-pound eggplant (684 g) sliced diagonally
1/4 inch (0.6 cm) thick

pesto (see recipe below)

4 whole wheat rolls, 1 ounce each (30 g)

4 ounces (120 g) sliced low fat mozzarella cheese

8 basil leaves

1. Coat the vegetables with cooking spray and grill until
cooked through. Cut the peppers into strips

2. Prepare the pesto.

3. Lightly coat the rolls with cooking spray and grill
until just browned.

4. Spread 1 teaspoon (5 ml) pesto on each roll. Top with
slice of cheese and then the vegetables. Divide the
basil leaves between the sandwiches and heat on the
grill until the cheese begins to melt. Serve immediately.

Per serving: 205 calories (18% calories from fat),
8 g protein, 4 g total fat (1.6 g saturated
fat), 36 g carbohydrates, 9 g dietary fiber,
10 mg cholesterol, 309 mg sodium

Diabetic exchanges: 2 1/2 carbohydrate (1 bread/starch,
1/2 skim milk, 3 vegetable), 1/2 fat

Copyright 1997-2001 Diabetic-Lifestyle.

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