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Diabetic Digest - Wednesday, November 13, 2013

Readers:


My wife and I went out for dinner the other night. Before we had a chance to order I had some trouble with low blood sugar.

Some instances dealing with low blood sugar is not a problem, but then there are occasions where you're lucky to have someone with you to help. My wife is the best with that.

The only way I can describe to way I felt during dinner was like I was moving in slow motion and thinking at light speed. This never lends itself to well to keeping your diabetes in check.

My wife kept offering to run out to the car and get me some glucose tablets to help right the ship, but before I knew it I was running out to the parking lot to do it myself. What was I thinking? Something serious could of happened to me out there. Am I crazy?

That's why the rule is and always will be - "Always listen to your wife." It might just save your life.

Regards,
Steve


Comments? Questions? Email Steve


*-- Diabetic News --*

Poor Glycemic Control Raises CV Risks in Diabetic Dialysis Patients
by: Stephan Cho

ATLANTA-Poor glycemic control in incident dialysis patients is associated with an increased risk of cardiovascular death or non-fatal major cardiovascular (CV) events in patients with diabetes mellitus, according to a South Korean study presented at the American Society of Nephrology's Kidney Week 2013 meeting.

In a prospective cohort, Mi Jung Lee, MD, and collaborators from Yonsei University in Seoul examined 907 incident dialysis patients with type 1 or 2 diabetes mellitus. The investigators gathered patient information from 36 dialysis centers of the Clinical Research Center for ESRD throughout South Korea. They categorized patients by hemoglobin A1C levels. The mean baseline A1C was 6.6% and the mean follow-up duration was 15 months.

Compared with patients who had an A1C of 7.0% to 7.9%, those with an A1c below 6.0% had a 59% increased risk of a composite outcome of CV death or non-fatal major CV events. Subjects with an A1c of 6.0%-6.9%, 8.0%-8.9%, and 9.0% or greater had a twofold increased risk.

The researchers determined that an A1C of 9.0% or greater was significantly associated with an increased risk of CV events in patients with a body mass index of 24 kg/m2 or greater and a serum albumin level of 3.3 g/dL or greater.

Thirty-nine patients died from CV complications and 78 experienced non-fatal CV events.

Original Article: Poor Glycemic Control Raises CV Risks in Diabetic Dialysis Patients


*-- Diabetic Recipe --*

Fresh Fruit Slush

Servings: 4

Ingredients
1 1/2 cups chopped fresh fruit or unsweetened frozen fruit of your choice
8 ice cubes

Directions
1. Using a food processor or blender, blend the fruit until smooth.
2. While machine is running, add the ice cubes one at a time until the mixture takes on a slushy consistency. Pour into glasses and serve immediately.

Nutrition Information
Per serving: 25 calories (6% calories from fat), trace protein, trace total fat (0 saturated fat), 6 g carbohydrate, 1 g dietary fiber, 0 cholesterol, 0 sodium
Diabetic exchanges: 1/2 carbohydrate (fruit)

Original Recipe: Fresh Fruit Slush

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