Innholdsfortegnelse for July/August 2019 i Diabetes Self-Management

In recent years, scientists have discovered links between the gut microbiome—the bacteria that live in your digestive system—and various health conditions. The potential for gut bacteria to affect health outcomes has been demonstrated in a number of studies related to diabetes—both Type 1 and Type 2. As we noted a few years ago, the type of bacteria living in people’s intestines repeatedly has been shown to help predict Type 2 diabetes. And last year, Australian researchers found that both mice and humans with an increased genetic risk for Type 1 diabetes had a different makeup of gut bacteria from other mice or humans. Now, a study has found that the immune system reacts differently to gut bacteria in children with Type 1 diabetes or at risk for it, compared with…

Raspberries not only taste good, but also they might help with controlling blood sugar. So says a new study by researchers from the Illinois Institute of Technology in Chicago. The researchers began their investigation because of the growing evidence that dietary polyphenols are beneficial to human health. There are literally thousands of polyphenols, and they’re found in a variety of plant-based foods, such as vegetables, red wine, tea, extra-virgin olive oil, chocolate and fruits—including raspberries, which have 215 milligrams of polyphenols per 100 grams of weight. Several studies have provided strong evidence that the consumption of polyphenols can provide protection against cancer, cardiovascular disease, cerebrovascular disease, aging and neurodegenerative disease, and diabetes. In this newest study, which was published in the journal Obesity, the researchers recruited 32 adults between the…

Rising costs of commonly prescribed insulins have caused some people to ration their medications for financial reasons. One option is to change to older, and still cheaper, versions of insulin. The first insulin was made from animal products. In the early 1980s, the initial human-based recombinant medications (NPH, regular and mixtures branded Humulin and Novolin) were released. By the late 1990s, the currently preferred analog insulins (AI), including lispro, aspart, glargine and others, became available. The analogs took the recombinant insulin molecule and altered it so the effects would be seen quicker and be active for a shorter time when covering meals. For longer, basal coverage, their action was prolonged so they could be injected once a day and still control blood sugars overnight and between meals. This more closely…

Custard Peach Tart MAKES 8 SERVINGS Nutrients per Serving: Calories 130, Total Fat 6g, Saturated Fat 1g, Protein 4g, Carbohydrates 14g, Cholesterol 80mg, Fiber 1g, Sodium 165mg Dietary Exchange: 1 Bread/Starch, 1 Fat 1 cup all-purpose flour¼ teaspoon plus ⅛ teaspoon salt, divided4 tablespoons cold margarine, cut into pieces2-3 tablespoons cold water1 egg, separated2 eggs3 tablespoons sucralose-based sugar substitute1 teaspoon vanilla¼ teaspoon ground nutmeg1 cup fat-free (skim) milkFat-free whipped topping (optional)Caramel syrup (optional)¾ package (12 ounces) frozen unsweetened peach slices, thawed and drained 1. Preheat oven to 400° F. Combine flour and ¼ teaspoon salt in medium bowl. Cut in margarine with pastry blender or two knives until mixture resembles coarse crumbs. Stir in 2 tablespoons water just until moistened, adding additional water if necessary. Shape dough into disc. 2.…

Lemon Mousse MAKES 8 SERVINGS Nutrients per Serving: Calories 120, Total Fat 1g, Saturated Fat 1g, Protein 4g, Carbohydrates 21g, Cholesterol 2mg, Fiber 0g, Sodium 405mg Dietary Exchange: 1 Bread/Starch, ½ Milk 4 cups fat-free (skim) milk2 packages (4-serving size each) vanilla fat-free, sugar-free instant pudding and pie filling mix2 packages (½-ounce each) sugar-free powdered lemonade mix1 container (8 ounces) frozen fat-free whipped topping, thawedFresh or frozen mixed berries (optional)Fresh mint leaves (optional) 1. Whisk milk and pudding mix in large bowl 2 minutes, or until smooth. Whisk in lemonade mix. When mixture thickens, whisk in whipped topping until smooth. Pour into 8 dessert dishes. Cover and refrigerate until chilled. 2. To serve, top with berries, if desired. Garnish with mint. Yogurt Lime Tartlets MAKES 14 TARTLETS SERVING SIZE: 1…

Ice cream is not an essential food, but it seems to be one of life’s necessities. Ice cream lovers choose from rich full-fat decadent ice cream or tasty light ice cream or frozen yogurt. The serving size of ice cream is one ½ cup, less than the size of a tennis ball. Keep in mind, however, that one cup (two scoops) is a more common amount eaten. Check your bowl, and if your serving size is larger, do the math. Ice cream is high in calories, fat and saturated fat. How much fat and calories these products contain depends on the type of milk used and other added ingredients. Ice cream is made from a mixture of milk products, including milk, nonfat milk, cream, condensed milk combined with sweetening agents,…

Dishing up facts on food & nutrition trends SUMMERTIME eating, entertaining and traveling can be enjoyable and easy if preparation is part of the plan. This column explores how to entertain with meals that require minimal effort, add unique flavors to common dishes, and pack nutritious snacks for your next trip. I’m looking to add some new spices and condiments to my pantry. Are there any that you would recommend? Spice blends. Bored with the same standard spice blends in your cabinet? Try something new this summer to challenge your taste buds and add some international flavors to your favorite dishes. Za’atar: A popular Middle Eastern spice blend, this mix often contains oregano, thyme and marjoram as well as toasted sesame seeds and salt. Some varieties may contain sumac, cumin,…

Dear Readers, I am excited to be the new editor of Diabetes Self-Management, and I look forward to learning and discovering with you as we serve up delicious recipes, find innovations in the diabetes world, and dive into pioneering research. My inaugural issue, which you are holding in your hands, focuses on one of my personal favorite themes: summer survival and all things dessert. In these pages, you will find a guide to managing diabetes in the summer from none other than Dr. Oz (page 18), a guide to camps for kids with Type 1 diabetes (page 22) and a piece on the benefits of kickboxing as a fun exercise (page 50). If you have a sweet tooth (and who doesn’t?), we have packed these pages with diabetes-friendly desserts that…

Double Chocolate Biscotti MAKES 24 SERVINGS SERVING SIZE: 1 BISCOTTI Nutrients per Serving: Calories 38, Total Fat 2g, Saturated Fat 1g, Protein 1g, Carbohydrates 6g, Cholesterol 3mg, Fiber 1g, Sodium 58mg Dietary Exchange: ½ Bread/Starch ¾ cup all-purpose flour3 tablespoons sugar substitute3 tablespoons packed brown sugar2 tablespoons unsweetened cocoa powder1 teaspoon baking powder¼ teaspoon salt2 tablespoons butter1 tablespoon chocolate syrup2 egg whites, lightly beaten½ cup puffed wheat cereal4 teaspoons sliced almonds 1. Preheat oven to 350° F. Line cookie sheet with parchment paper; set aside. 2. Combine flour, sugar substitute, brown sugar, cocoa, baking powder and salt in medium bowl. 3. Melt butter in small saucepan. Pour into small bowl. Stir in chocolate syrup and egg whites. Stir butter mixture into flour mixture to form stiff dough. Stir in cereal.…

Tangy Gazpacho MAKES 6 SERVINGS SERVING SIZE: 1 CUP Nutrients per Serving: Calories 80, Total Fat 3g, Saturated Fat 0g, Protein 3g, Carbohydrates 12g, Cholesterol 0mg, Fiber 3g, Sodium 174mg Dietary Exchange: 1 Bread/Starch, ½ Fat 4 large tomatoes (about 2 pounds), peeled, seeded and coarsely chopped1 green bell pepper, seeded and coarsely chopped1 large cucumber (about 12 ounces), peeled, seeded and coarsely chopped1 cup chopped purple onion3 cloves garlic¼ cup red wine vinegar1 tablespoon canola or corn oil2 tablespoons mild cayenne pepper sauce (such as Frank’s Red Hot Sauce, not Tabasco)¾ teaspoon salt Garnish: 1 tomato, seeded and finely chopped½ yellow pepper, seeded and finely chopped3 green onions, finely chopped½ cucumber, peeled, seeded, and finely chopped¼ cup finely chopped fresh parsley 1. Place tomatoes, pepper, cucumber, onion, garlic, vinegar,…

AS SUMMERTIME APPROACHES, the heat inevitably sets in. For some, it is a welcome comfort, and for others, it is downright intolerable and provokes irritation. Fortunately, no matter what side of the fence you sit, there are intrinsic and extrinsic functions that help provide a naturally downregulating effect to cool the body during the heat. After spending the winter and early spring months snuggled up in sweaters and thick leggings, you may find the heat initially feels almost unbearable. Gradually reintroducing yourself to the warmth can be helpful for building up your “heat-tolerance.” Intrinsically, our bodies have the wonderful automatic cooling mechanism known as sweating. When our internal temperature becomes too hot, the skin releases water from broken-down compounds that escape in the form of sweat to cool our skin…

Cognitive-behavioral therapy (CBT) is a type of psychotherapy originally developed to relieve depression. It helps patients become aware of faulty or negative thinking and then teaches skills to change these dysfunctional thought patterns. Since it was developed some 50 years ago, its use has been expanded to many other areas, such as addiction, phobias and weight loss. Now, according to a new study published in the journal Diabetes Care, CBT might have a role to play in the treatment of diabetes. According to Doyle Cummings, PharmD, one of the authors, “Prior literature suggests that comorbid behavioral problems such as depression or diabetes-related distress symptoms are common…New care strategies are needed for busy primary care settings where Type 2 diabetes is most commonly managed.” For their study, the researchers recruited 139…

1 Stay hydrated Sipping on water through the day is essential to staying healthy and cool. Try to avoid alcohol and caffeinated beverages, as they can lead to dehydration and increase your blood sugar levels. 2 Check your blood sugar more often Particularly before, during and after you are active, check your blood sugar to make sure it is in your target range. 3 Be mindful of when you exercise Avoid exercising outside during the hottest times of the day. If possible, exercise in an air-conditioned space or in a pool to avoid heat exhaustion. 4 Practice proper foot care Avoid walking around barefoot, even at the pool or beach, to avoid infection. Trim toenails straight across and check your feet at the end of each day for cuts, blisters,…

No-Bake Blueberry Cheesecake MAKES 8 SERVINGS Nutrients per Serving: Calories 284, Total Fat 24g, Saturated Fat 15g, Protein 6g, Carbohydrates 11g, Cholesterol 66mg, Fiber 1g, Sodium 196mg Dietary Exchange: 1 Bread/Starch, 4½ Fat 8 zwieback toasts*1 tablespoon butter1 envelope (2½ teaspoons) unflavored gelatin1 cup boiling water2 packages (8 ounces each) cream cheese, softened⅓ cup sucralose-based sugar substitute1 teaspoon vanilla1 cup thawed frozen whipped topping¾ cup unsweetened frozen blueberriesFresh blueberries and mint sprigs (optional) 1. For crust, place zwieback toasts and butter in food processor. Cover; pulse until coarse crumbs form. Pat thin layer of crumbs onto bottom of 9-inch springform pan. 2. For filling, place gelatin in medium bowl. Add boiling water; stir until gelatin is completely dissolved. 3. Beat cream cheese, sugar substitute and vanilla in large bowl with…

Banana Peanut Butter Bread MAKES 20 SLICES SERVING SIZE: 1 SLICE Nutrients per Serving: Calories 169, Total Fat 9g, Saturated Fat 2g, Protein 6g, Carbohydrates 18g, Cholesterol 19mg, Fiber 2g, Sodium 147mg Dietary Exchange: 1 Bread/Starch, 1 Meat, 1 Fat 3 tablespoons granulated sugar2 large eggs¼ cup vegetable oil¾ cup reduced-fat peanut butter3 small, ripe bananas, mashed1¾ cups all-purpose flour2 teaspoons baking powder½ teaspoon baking soda½ cup chopped, unsalted peanuts 1. Preheat oven to 350° F, and grease and flour a 9x5-inch loaf pan. 2. In mixing bowl, combine sugar, eggs and vegetable oil. Whip until smooth. Stir in peanut butter and mashed bananas until creamy. Add flour, baking powder, baking soda and chopped peanuts. Stir until smooth and blended. 3. Pour batter into prepared loaf pan and bake for…

Add some sun to your weight management THE CHANGING SEASONS offer opportunities for you to freshen up your weight management strategies. This summer, let’s reinforce the healthy habits you’ve already established with a sunny attitude and an action plan that’s ideal for the season. Hydrate like your life depends on it Whether it’s the heat, humidity or both, atmospheric conditions during summer make your body parched continuously. Use this as an opportunity to develop a “water habit”–staying hydrated can increase weight loss by keeping you fuller for longer, speeding up your metabolism and enhancing fat loss. In contrast, inadequate hydration can lead to high blood sugar levels and polyphagia—excessive hunger or greater appetite. If water doesn’t sound like the most exciting way to hydrate, infuse it with non-sugary or low-sugar…

Outer Aisle Gourmet Plantpower Cauliflower Sandwich Thins IF YOU HAVE DIABETES, you’re likely watching your carbohydrate intake. And if you’re counting carbs or eating lower carb, it’s no secret that bread is a high-carb food that doesn’t always easily fit into your eating plan (especially if you find it hard to stop at just one slice!). Luckily, there’s Outer Aisle Gourmet Plantpower Cauliflower Sandwich Thins to turn to. These sandwich thins are made with basic ingredients: cauliflower, eggs, nutritional yeast and Parmesan cheese, plus a smattering of basil and oregano for a boost of flavor. Outer Aisle Gourmet Plantpower Cauliflower Sandwich Thins go beyond sandwiches—use them as hamburger buns or to make tacos or tostadas, too. And don’t worry about the carbs: each sandwich thin contains just 2 grams of…