Diabetic Digest - Wednesday, February 6, 2013

Readers:

I've been shoveling and shoveling and shoveling snow. I'm really tired, but it's a good kind of tired. I'm sure that I'll sleep very well tonight and have to shovel even more tomorrow, which couldn't be better for my health and my driveway. That seems to be where I get the majority of my exercise during the winter months, but I know my limitations. If it gets too intense out there then I'll just borrow my neighbor's snowblower... or just breakdown and buy some gas for my own snowblower.

Take care of yourself, readers.

Regards,
Steve

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*-- Diabetic News --*
Low Adiponectin in First Trimester Linked to GDM
Also linked to insulin resistance regardless of adiposity or glycemic measurements

FRIDAY, Feb. 1 (HealthDay News) -- Low adiponectin levels during the first trimester of pregnancy correlate with a higher level of insulin resistance and an increased risk of developing gestational diabetes mellitus (GDM), according to research published online Jan. 8 in Diabetes Care.

Marilyn Lacroix, of the University of Sherbrooke in Canada, and colleagues conducted a prospective study to examine the correlation between adiponectin levels, measured in 445 pregnant women during the first and second trimesters, and (1) the risk of developing GDM and (2) insulin resistance/sensitivity, B-cell function, and compensation indices.

The researchers found that 38 women developed GDM. For these women, first trimester adiponectin levels were significantly lower than for women with normal glucose tolerance. After adjustment for body mass index and glycated hemoglobin, the odds of developing GDM were significantly increased with lower adiponectin levels in the first trimester (odds ratio, 1.12 for each 1 ug/mL decrease in adiponectin). Adiponectin levels in the first
and second trimester were significantly linked to insulin resistance and insulin sensitivity, but were not associated with B-cell function or insulin secretion.

"Low adiponectin levels already present at first trimester are likely a reflection of preexisting insulin resistance, which predisposes those women to develop GDM later in pregnancy if they have an insufficient B-cell capacity to respond to the increased demand related to pregnancy," the authors write. "We hope that better understanding of the pathophysiology of insulin resistance during pregnancy and of pathways involved in GDM development will lead to adapted preventive approaches to improve the health of mothers and offspring in the future."

Original Article: Low Adiponectin in First Trimester Linked to GDM


*-- Diabetic Recipe --*
Banana Fingers
Servings: 1
Prep time: 5 minutes
Cook time: 5 minutes
Total: 10 minutes

Ingredients
1/2 of one ripe banana
1 tablespoon fresh orange juice
1/4 teaspoon ground cinnamon
1 slice whole wheat or oatmeal bread, toasted

Directions
1. Preheat broiler. With a fork, mash banana with orange juice and cinnamon.
2. Spread on one side of toasted bread.
3. Place under the broiler until bubbling and lightly browned.
4. Cut into small fingers and serve.

Nutrition Information
Per Serving: 132 calories (10% calories from fat), 4 g protein, 2 g total fat, (0.4 g saturated fat), 29 g carbohydrate, 4 g dietary fiber, 0 mg cholesterol, 149 mg sodium
Exchanges: 2 carbohydrate (1 bread/starch, 1 fruit)

Original Recipe: Banana Fingers

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