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free Genuine Emerald... "Now they have too." - Rita
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Diabetic Digest - Wednesday, December 1, 2010

Readers:

I am such a dope! I made an appointment to see my doctor
today which just happens to be my birthday. What a bone-
head! The only thing he's going to give me is a blood
draw, a bill and a cup for a urine sample.

Well, I'll deal with that later, but for now I would like
you to take a few moments to read this very striking
article that a friend had sent to me. It's actually a
report entitled - Half of Americans Facing Diabetes by
2020. It will definitely be worth your time.

Also, I've come across a terrific recipe to share for
Grilled Sausage and Pepper Pizza. The name alone sounds
delicious. It makes my mouth water just thinking about it.

So enjoy today's issue and remember not to make a doctor's
appointment on your birthday.

Regards,
Steve

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Half of Americans Facing Diabetes by 2020: Report
By: Reuters

More than half of Americans will have diabetes or be pre-
diabetic by 2020 at a cost to the U.S. health care system
of $3.35 trillion if current trends go on unabated, accord-
ing to analysis of a new report released on Tuesday by
health insurer UnitedHealth Group.

Diabetes and prediabetes will account for an estimated
10 percent of total health care spending by the end of
the decade at an annual cost of almost $500 billion ? up
from an estimated $194 billion this year, according to
the report titled "The United States of Diabetes:
Challenges and Opportunities in the Decade Ahead."

The average annual health care costs in 2009 for a person
with known diabetes were about $11,700 compared with about
$4,400 for the non-diabetic public, according to new data
in the report drawn from 10 million UnitedHealthcare
members.

The average annual cost nearly doubles to $20,700 for a
person with complications related to diabetes, the report
said.

Complications related to diabetes can include heart and
kidney disease, nerve damage, blindness and circulatory
problems that can lead to wounds that will not heal and
limb amputations.

Diabetes, which is reaching epidemic proportions and is
one of the fastest-growing diseases in the United States,
currently affects about 26 million Americans.

Another 67 million Americans are estimated to have pre-
diabetes, which may not have any obvious symptoms.

More than 60 million Americans are unaware that they have
the condition, according to UnitedHealth.

People with prediabetes have higher than normal blood
sugar levels, but not yet high enough to be diagnosed as
diabetes.

Prediabetics often have other risk factors, such as over-
weight, high blood pressure and high cholesterol.

The 52-page UnitedHealth report also focuses on the grow-
ing obesity epidemic as that condition is a leading cause
of diabetes.

The authors of the report contend the skyrocketing cost
forecasts are not inevitable, however, if the crisis is
tackled aggressively, including early intervention to
prevent prediabetes from becoming diabetes.

"Because diabetes follows a progressive course, often
starting with obesity and then moving to prediabetes,
there are multiple opportunities to intervene early on
and prevent this devastating disease before it's too
late," Deneen Vojta, senior vice president of the
UnitedHealth Center for Health Reform & Modernization,
said in a statement.

"What is now needed is concerted, national, multi-
stakeholder action," Simon Stevens, chairman of the
UnitedHealth Center for Health Reform & Modernization,
said in a statement.

"Making a major impact on the prediabetes and diabetes
epidemic will require health plans to engage consumers in
new ways, while working to scale nationally some of the
most promising preventive care models." Stevens added.

If solutions for tackling the epidemic offered in the
report were adopted broadly and scaled nationally it could
lead to cost savings of up to $250 billion over the next
10 years, according to the UnitedHealth analysis.

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-------------------- Diabetic Recipe --------------------

Grilled Sausage and Pepper Pizza
(makes 8 servings)

olive oil cooking spray

8 ounces (240 g) reduced-fat turkey sausage (such as
kielbasa or specialty turkey sausage in a link form)

1 medium red bell pepper, 6 ounces (150 g), cored and
quartered lengthwise

1 small onion, 4 ounces (120 g), cut through the root
end into 1/2-inch (1.25 cm) wedges

1 10-ounce (300 g) tube refrigerated pizza dough

cornmeal

1 teaspoon (5 ml) olive oil

1 teaspoon (5 ml) crushed dried oregano

1/2 teaspoon (2.5 ml) crushed dried basil

1/2 cup (24 g) reduced-fat, low-sodium jarred marinara
sauce

2 to 3 fresh mushrooms, thinly sliced (optional)

crushed red pepper flakes

1/3 cup (40 g) shredded part-skim mozzarella cheese

1. Prepare the barbecue for medium heat. Arrange the
sausage, pepper, and onion on a baking sheet and lightly
coat with cooking spray. Grill sausage until cooked
through and pepper and onion until slightly charred and
crisp-tender, turning occasionally, about 12 minutes for
the sausage and 8 to 10 minutes for the vegetables.
Transfer the sausage and vegetables to a cutting board.
Cut sausage into 1/2-inch (1.25 cm) pieces and the pepper
and onion into thin strips. Discard the onion skin. Set
aside.

2. While you're waiting for the grill to cool to low heat,
open the dough package and on a lightly floured surface,
roll out dough to roughly form a 10-inch 25 cm) circle.
Place the crust on a cookie sheet which has been lightly
sprinkled with cornmeal and using your fingers, pat the
dough to desired shape and thickness.

3. Transfer the crust to the grill. Grill for about 3
minutes, until the top of dough puffs and the underside
is crisp and lightly browned. Using a large metal spatula,
turn the crust over. Brush the cooked top with olive oil
and sprinkle with oregano and basil.

4. Spread the marinara sauce on the top side of the crust.
Arrange sausage pieces, peppers, onions, and mushrooms (if
using) on top. Top with the mozzarella, covering the top
evenly.

5. Continue to grill for another 4 to 5 minutes, until the
pizza is cooked through, the dough lightly browned, and
the cheese melted. To insure even cooking, use tongs to
rotate the pizza two or three times during the cooking
period, taking care not to knock off the topping.

Per serving: 162 calories (29% calories from fat),
10 g protein, 5 g total fat (1.7 g saturated
fat), 19 g carbohydrate, 1 g dietary fiber,
24 mg cholesterol, 500 mg sodium

Diabetic exchanges: 1 lean protein (meat), 1 carbohydrate
(bread/starch), and 1 vegetable

Copyright 1997-2010 Vertical Health, LLC

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