August / September 2003
Diabetes -The Medical Perspective
The American Diabetes Association has guidelines for the
management of those with diabetes. These guidelines, or standards
of care, were developed for clinicians, patients, and researchers
to use as a basis for quality diabetes health care.
These standards of care state that the person with diabetes
is best cared for by a health care team. The team should
include a doctor, nurse, dietitian, pharmacist,
and mental health professionals with a background in diabetes.
Treatment goals, such as blood glucose target levels, weight,
or blood lipids, should be discussed with the team and patient.
Everyone is different and the
treatment goals need to consider that. Self-monitoring of blood glucose is
an important part of management. Those with diabetes should
be taught how to use
their machines, and a schedule for blood glucose checks should be agreeable
to both the health care team and the patient. The health
care team will check periodically
to be sure that the person with diabetes continues to use the machine correctly,
and that the machine is still accurate.
A hemoglobin A1c test is a blood test that can assess how
well a person’s
blood glucose has been controlled over the past 2-3 months. A hemoglobin
A1c test should be taken at least twice a year for those
who are meeting their treatment
goals, maybe more often for those who are having difficulty with goals.
Remember to talk to your health care team if the tests
or the goals don’t
make sense to you. They can write instructions or explanations out for you so
you don’t forget.
Diabetes and Food
Whether you have diabetes or not, summer is the time to
grill and cook out. Nobody wants to spoil a wonderful picnic
by getting sick, so keep food safe! The following list offers
some quick tips for safe food preparation:
- Take meat and poultry home immediately from the store
- Marinate foods in the refrigerator, not on the kitchen
counter or outside.
- Don't re-use marinade.
- Pre-cook food only if it will go immediately on to the
- Do not partially grill extra hamburgers to use later.
Once you begin cooking hamburgers by any method, cook them
until completely done to assure that bacteria are destroyed.
- Don't use the same platter and utensils for raw and cooked
meats. Raw meat juices can contain bacteria that
could cross-contaminate safely cooked foods.
- Keep cold foods cold and hot foods hot. Keep the cooked
meats hot by setting them to the side of the grill rack,
over the coals where they would eventually overcook.
- In hot weather (90°F and above), food should never
sit out for more than one hour.
Exercise as a Part of Living
Summer is also the time for sports that swing! Golf, baseball,
softball, and tennis. While everyone wants to hit it out
of the ballpark, or land on the green, most of us are weekend
warriors at best! Although exercise is important and necessary
for our health, we don’t want to hurt ourselves in
pursuit of the best swing.
Experts suggest the following tips to keep you swinging
- Strengthen and tone your upper body before you hit
the courts, field, or course.
- Find your balance. Practice balance exercises to keep
you on your feet.
- Don’t forget to exercise your legs so that balance
- Keeping stomach and back muscles in shape will help with
balance and with your swing. Stomach and back muscles
provide support for the upper body.
- Any cardiovascular or aerobic exercise will help your
stamina – how long
you can last in the field, on the course, or on the court!
- Don’t forget to stretch – both before and
after your game.
Remember - talk to your doctor before beginning any exercise
Recipes To Try
Sunset Orange Cake
1 pkg. yellow cake mix
1 cup hot water
1 pkg. sugar-free orange gelatin
lite whipped topping (2 tablespoons per serving)
1/3 cup water
6 ounces no-fat orange yogurt
1 small can mandarin oranges
non-stick cooking spray
- Preheat oven to 350º.
- Spray a 13 x 9” pan
with non-stick cooking spray.
- Combine cake mix, 1 teaspoon gelatin, 1/3 cup water,
yogurt, and eggs. Beat at low speed until moistened, then
speed for 2 minutes. Pour into prepared pan.
- Bake at 350º for 30 to 40 minutes. Cool cake in pan
for 15 minutes.
- Combine hot water and remaining gelatin. Prick cake
with a fork at half-inch intervals. Pour gelatin
evenly over cake.
- Serve with 2 tablespoons whipped topping and two
slices of mandarin oranges.
4 grams protein
53 mg cholesterol
38 grams carbohydrate
4 grams total fat
16 % calories from fat
Zucchini Tortellini Toss
1 pkg. frozen tortellini
1/2 teaspoon basil
6 to 8 roma (plum) tomatoes, chopped
1/2 teaspoon oregano
3 to 4 medium zucchini
1/2 cup shredded Parmesan cheese
1/2 teaspoon garlic salt
- Cook tortellini as directed on package.
- Heat tomatoes, zucchini, garlic salt, basil, and oregano
in a medium skillet 3 to 5 minutes until zucchini
- Stir in tortellini, cooking 2 to 3 minutes.
- Serve topped with Parmesan cheese.
17 grams protein
54 grams carbohydrate
8 grams total fat
50 mg cholesterol
22% calories from fat
Self-monitoring of blood glucose (SMBG) is a term that
means people test their glucose themselves several times
each day or each week. The test usually involves pricking
a finger to obtain a small blood sample, applying a drop
of blood on a reagent strip, and determining the glucose
concentration by inserting the strip into a meter for a blood
glucose reading. Blood glucose results are then recorded
in a logbook. People with diabetes use their SMBG results
to change their diet or medication, or talk to their health
There are at least seven manufacturers and more than 20
types of SMBG meters on the market. For most, some kind of
strip is needed but for some no strip
is required. For some, it is important to wipe away any excess blood before
reading, and for others this is not important. Almost all
take less than one minute to show
a test result.
What should you do if you get a reading that is really
out of line for you? The same thing the regular laboratories
do – repeat the test. If your results
are still very much out of your range, call your health care team.
For additional information about blood glucose monitors
go to http://www.diabetes.org/
main/ community/ forecast/ ResourceGuide2003/BloodGlucose.jsp
“Link for Life” is an interactive program on
diabetes and heart disease which is part of an initiative
of the American
Diabetes Association and the American College of Cardiology,
and is sponsored by a pharmaceutical company Glaxco Kline
“Help! My Underwear is Shrinking!” by
Jo Ann Hattner, MPH, RD; Ann M. Colston, MS, RD; Mike Goodkind,
BA offers an easier way to control carbohydrates and plan
meals, as well as some motivation to do it! Published in 2003
by McGraw Hill, 137 pages.
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