Note: The contents of this blog are for informational purposes only and should not be construed as medical advice or substitute for professional care. For medical emergencies, dial 911!
Georgetown guard Austin Freeman has developed diabetes, which shouldn't affect his basketball career, but has made the junior's status questionable for today's start to the Big East tournament in New York City.
Regardless of when he begins playing, his physician, Stephen Clement, head of the Diabetes Center at Georgetown University Hospital, will be on hand to help the Hoyas' leading scorer manage his condition.
Clement told reporters at a press conference that it may take up to a month to determine which type of diabetes Freeman has. Type 1 diabetes, which occurs when the pancreas stops producing insulin, afflicts five to 10 percent of all diabetics. Type 2 diabetes occurs when the body can't use the insulin that is produced.
Freeman had felt ill for several days leading up to his diagnosis. Doctors had originally suspected a stomach virus, gave the starter intravenous fluids and, though pale, allowed him to play in a weekend game. When he became increasingly ill, he was driven back to Washington and take to a hospital.
Teens with type 1 diabetes may be getting new ways to monitor their health.
Vanderbilt University School of Nursing's Shelagh Mulvaney, Ph.D., led a study of a Web-based intervention to improve glycemic control among adolescents. The results, published in Diabetes Care were presented at the annual meeting of the International Society for Research on Internet Interventions in Amsterdam.
The study involved 72 participants age 13 to 17 who had been diagnosed with type 1 diabetes for at least six months. One group received access to conventional care, while the other received access to conventional care and access to YourWay, the Web site program professionals, researchers, young patients and other volunteers designed for the study.
In addition to tips on diabetes management, the site also included multimedia stories about struggles teenagers face after diagnosis like time management, school stress and social pressure. The stories also discuss the embarrassment that one might feel after diagnosis when they can be labeled as "different."
"We put a lot of thought and time into developing what we hoped would be helpful scenarios. It was important that they be authentic, real-world situations that can and do arise," Mulvaney said in a press release.
In addition to stories, the site used a personalized homepage, problem-solving guide and peer forum. Weekly e-mails to those registered for the site encouraged participation within the site and increased attention to self-management. In the future, the team would like to include text messaging intervention.
"The Internet and mobile technologies provide patients unprecedented access to learning tools and supports. They also readily integrate learning experiences into everyday situations, and allow researchers innovative ways to teach, motivate and prompt successful health behaviors," Mulvaney said.
Though the site is not available to non-research participants, with positive results like these, it's possible that the site will be available for wide-range use in the future.
After being diagnosed in 2000 at age 19, his doctors told him that he would not be able to compete at an Olympic level. He could ski, but he wouldn't be able to keep his blood sugar stable for the 50-kilometer cross country race.
Immediately, he began experimenting with different tools to maintain keep his blood sugar levels normal during competition. He now wears a small insulin pump to manage his diabetes.
His determination paid off.
He's a 13-time U.S. National cross-country champion who is competing in his third Olympics. In 2002, Freeman was a member of the 5th-place United States Olympic relay team. The U.S. had never fared that well in the event.
"I'm motivated to win for my country and myself, but to also prove to detractors that it's possible to compete against the world's best cross country skiers, even with type 1 diabetes," Freeman said in a statement.
The New Hampshire native has posted the best U.S. cross country distance results since the early 80s. He won the inaugural Under-23 championships race in Italy and was the first American to qualify for the exclusive "Red Group," the top 30 athletes on the World Cup circuit.
Freeman is hardly the only Olympian with diabetes.
Olympic swimmer Gary Hall, Jr., was diagnosed with type 1 diabetes at age 24, two years after the 1996 Atlanta Olympics. Despite taking home four medals -- two silver and two gold -- at those games his doctors believed he would never race again.
Eventually, though, he met Anne Peters Harmel, MD, who believed that he could succeed despite his diabetes. Six months after his diagnosis, he set a record at the U.S. Nationals. In his next two Olympics, he earned six additional medals including two gold medals in the 50-meter freestyle.
Retired from swimming, Hall created The Gary Hall Jr Foundation for Diabetes, which raises money for promising research. The foundation also provides costly product and care to uninsured and underinsured patients.
As we wait with great hope for a cure for diabetes, we do so with a smile thanks to humor to be found on the new website LOL Diabetes (www.loldiabetes.com). I've posted before about this site, which itself is part of the popular diabetes website Six Until Me (www.sixuntilme.com). Nevertheless, things have become waaaaaay to funny over there for me to not highlight some of my favorites.
These would be my Top 5:
5 - The Insulin Monkey.This picture features a stuffed animal, a monkey to be exact, with dozens of syringes sticking out of it, much like a pin cushion. The words "You're Doing it Wrong" that are printed on the picture sum it up perfectly.
4 - iPump.A play on the now famous iPod silhouette ads, this mock version of this campaign features people wearing insulin pumps in place of iPods.
3 - Thumbtacks.A photo of a child's Spider Man poster fastened to the wall with -- Thumb Tacks? No, no, no. Look again...those are lancets! As someone aptly commented on the entry, what a great use for all those extras!
2 - Wanted!In this Old West style Wanted poster, there's a bounty for bringing in Twinkie the Kid. Turns out "The Kid" is wanted for Shootin' Up High Blood Sugars.
1 - The Enemy. By far my favorite, Short, simple, and hilarious. The photo features no other than Willy Wonka himself, with the words "The Enemy" written below. Very true. And very funny.
There's a workout, and then there's a Work Out. And THEN, there's a BOXING WORK OUT. Trust me, there's a reason why boxers are able to spend over a half an hour in a ring exchanging punches and not go into cardiac arrest. It's because these guys and gals have trained their butts off for months before ever stepping foot in that arena, let alone that ring. But, you don't have to be Rocky Balboa to get the benefit of a boxing workout, which is why I am this week highlighting some of the basic boxing moves that you too can add to your fitness routine.
First of all, be sure to always maintain a proper stance. This means keeping your feet a little more than shoulder width apart, with your dominant foot in the back (in other words, if you're right handed/footed, than you want your right foot in the back and for your left foot to lead). Try your best to stay on the balls on your feet, which will allow you to do all your fancy stutter-stepping footwork (or for now, just keep you balanced). Your hands should be made into fists and kept close to your face. Your elbows need to be tucked closely to your body. From here, you're ready to start dotting some imaginary bad guy's eyes.
There are four basic punches in boxing: the Jab, the Cross, the Hook, and the Uppercut. To keep things easy, we're going to only focus on the Jab and the Cross. To throw the Jab, you need to flick out your lead hand (which should be the hand that is not dominant -- again, if you are right handed/footed, that hand/foot is kept toward the rear, whereas the weaker hand/foot leads...which, in this case, is your left). As you extend your arm to throw your Jab, your hand should twist like a corkscrew at the end of the punch. Once you have extended your arm, be sure to immediately bring your arm back, tuck your elbow back into your side and return your fist to the side of your face. To throw a Cross, you take your dominant hand and throw a straight punch with it, twisting at the waist as you do. Again, you want to twist your wrist at the end of the punch, adding more 'snap' to the motion. Once the punch is thrown, bring your arm back right away, tuck your elbow back in, and bring your fist back next to your face.
By combining these two punches, you are doing a 1-2 combination. A lot of times people will throw a few jabs before throwing a cross, which of course is fine (and very much the case in an actual boxing match). Use this punch combination on a large heavy punching bag (the cylindrical kind that hangs from the ceiling or stand) while wearing what are known as bag gloves (lightweight boxing gloves that can be purchased at most any sporting goods store or even Wal-Mart).
Boxing is broken into three-minute rounds with one-minute rests in between each round. In accordance with this design, that is how you will also train. Three minutes of, say, shadowboxing -- using the 1-2 combination I just taught you, followed by a round or two of jumping rope, followed by three or four rounds of hitting the heavy bag, and then finishing off with a few rounds of abdominal work.
Even if you take it slow at first (which I really suggest you do), you'll find that the boxing workout is absolutely exhausting. This is exactly why so many health clubs now offer "cardio-boxing" as a group aerobics class. You'll burn far more calories doing this workout than you will on a stair-stepper or walking on a treadmill, and you'll do so during less time. Intensity is the key. Like I said, there's a workout, and then there's a Workout. And then there's a BOXING WORKOUT. Try this routine and, before long, you'll be wearing a grey track suit and running the stairs of the Philadelphia Museum of Art.
For a great video demonstration I found online that features the basics of boxing, click HERE.
Note: The content presented in this post is for informational purposes only. Please consult your doctor or fitness professional before starting a physical fitness program.
Why is diabetes an imperfect science? The last 22 years of my life with diabetes have disproved as much (or more) than it has confirmed in conventional diabetes wisdom. The facts were in the studies - but researchers didn't know what to do with them, at the time. Here's where the mysteries will unfold..
The last year blogging with The Diabetes Blog has been an in your face demonstration of the imperfect science of diabetes. Many undisclosed details of studies from days gone by have proven to be a reason why diabetes has been an imperfect science. Since when has science been imperfect? When you don't complete your homework. Don't get wrong - science has done the homework, but you - the diabetic - have not been privy to every fact found in these studies. Nowadays, there's no excuse. The dog doesn't eat my homework.
It's time these facts made it to the light of day. I am taking my investigative curiosity and hanging a shingle over LoveDiabetes.com - because that's who I am: Allison Love Beatty! Let's buddy-up with the researchers and their homework. It's about time we solved the universal mysteries of diabetes. The facts are available. With combined knowledge, existential and pathological, we can make more of these studies from yesteryear and the days to come.
Someday soon we will see the trend of diabetes reverse - less diagnosis, less complications, and reduced costs. I've got Internet access, unlimited long-distance, and plenty of time. The fun is just getting started! This is my invitation to you - what's your diabetes mystery? Leave me a comment on LoveDiabetes.com so I know what's on your mind. Together we will prove there is no such a thing as an imperfect science.
A type 1 diabetic mystery is why do some Type 1s get complications and others seem to never get them? A massive Japanese study of Type 1 diabetics found that those with fulminant diabetes developed complications much faster and more severely than those with non-fulminant diabetes.
The difference between fulminant and non-fulminant is the speed and intensity at which the disease develops. Fulminant Type 1 diabetes typically develops suddenly with near total loss of beta cell function. This type of diabetes is confirmed with testing c-peptide levels. Non-fulminant type 1 diabetes has residual c-peptide levels that eventually taper to undetectable. Sometimes this is seen through many years of the Honeymoon Period.
This study may be the antithesis of conventional wisdom for preventing complications. Staking all hopes on blood sugar control is heavily optimistic. Yes controlling blood sugar does lessen the workload for existing beta cells, and thus extends the lifespan of each beta cell. Research suggests that c-peptide offers protection to beta cells, both from apoptosis (cell death) and encourages new cell growth. This new cell growth applies to beta cells and other cells of the body that endure long-term Type 1 diabetes complications.
Diabetics are instructed that maintaining normal blood sugars is the Holy Grail of preventing long-term complications. Yes and no. The truth is controlling your blood sugar will not allow complications of Type 1 diabetes to develop as quickly, presuming you still had some level of beta cell function upon diagnosis (i.e., c-peptide). That doesn't sound like a reward as much as it does a delayed punishment. I'd like c-peptide with my insulin, please. It's off the à la carte menu? That's fine - serve it up! I want to thank Klausen for bringing this study to my attention.
If there's any one exercise that everyone seems to use as a show of pure strength and power, it is certainly the bench press. "How much ya' bench?" is a popular question thrown around weight rooms, and the answers are almost always inflated so as to match the ego of the responder. But, throwing around as much weight as possible may not exactly be the best way to see and feel results from this exercise. That's why I am highlighting the proper form, execution and target muscles of this gym workout staple.
The bench press targets the development of the pectoral muscles (aka the chest muscles), but also calls upon help from your triceps (located on the back of your arms) and deltoids (aka shoulders). To properly do this exercise, you first have to lie flat on your back on a bench (or sturdy alternative -- remember my makeshift bench idea with milk crates and a long, thick plank of wood?). You will then place an equidistant grip on the bar with your hands, lifting it off the support rack. Once you have the bar securely above your sternum and with your arms fully extended, you can now begin. Slowly lower the bar until it touches the chest or stops only an inch from the chest (this is up to you), but be sure to not let the weight "bounce" off of you. Once you've reached the bottom of the movement, hold for one second and then press the weight back up to the starting position. Tip: when you raise the bar, be sure to exhale the air you took in while you were lowering it. Also, when you press the weight upward, try to avoid completely locking your elbows to full extension. This will ensure that there is constant pressure and also help avoid elbow injury). Continue this motion for the desired number of repetitions and sets.
There are several variations to the bench press, including the incline bench press, the decline bench press, the dumbell bench press, etc. Also, you can try mixing up the amount of reps you do from one set to the other, or even the amount of weight you place on the bar. Bear in mind that if your goal is size and strength, fewer reps/longer rest in between sets/fewer sets/heavier weight is the combination you want to go with. If muscle tone and a bit of cardiovascular effect are your desired results, I would stick with a combination of more reps/shorter rest in between sets/more sets/lighter weight.
For a good video demonstration of the bench press, click HERE.
Note: The content presented in this post is for informational purposes only. Please consult your doctor or fitness professional before starting a physical fitness program.
Ed Hinerman, a life insurance specialist with the Hinerman Group, was posed an interesting challenge recently. For years he has successfully found affordable life insurance for many adults with type 1 diabetes, but he had never been asked about life insurance for children with Type 1 diabetes until now.
After speaking with underwriters in the top 40 or so companies, he found a discernible lack of interest due to lack of data. Companies would say that they couldn't consider someone with type 1 diabetes until they were either age 15 or age 20. A peer in the industry told Ed the knee jerk reaction was because insurance companies haven't done mortality studies on children. They simply don't have any data upon which to base the pricing for products. Uh oh!! That coupled with the fact that there really isn't any financial incentive for them to study and create products for a relatively small market that would produce relatively low premium, kind of sets the tone. Well, now the war has been defined and the battles are becoming clearer.
When Ed contacted the ADA for assistance in this matter - hold your breath (it's a shocker!) - they turned a cold shoulder on a diabetic's need. What if the diabetic's parents were doing what so many families do - and trying to buy a whole life policy to help pay for their kids college someday? It's really not fair! Here's where fair begins -- Ed asked me to gather some facts it will take to get the insurance companies attention. Does anybody have any idea of the mortality rate of children after being diagnosed with type 1 diabetes?
Bottom line. Life insurance companies make big money and for them to cut and run from children just because it might not make them more big bucks, or because they really haven't done their homework and aren't interested in doing it, isn't acceptable. Game on! I hope we can make a good showing, at the very least - hit one out of the park for the fans. Thanks for inviting me to play, Ed!
I don't mind high sugars as much as I loathe lows. Personally I'm not so ruffled by shots either (but my liver begs to differ). However, in a message posted on The Islet Foundation, Pfizer reported that insulin-dependent diabetics declared they most hate taking shots. Was this the warm-up for the Exubera campaign? Here's a fact I support! A close second to this hatred is the hypos. Any diabetic will confess -- hypos are unforgiving. So what if you could catch two birds with one capsule?
I must reiterate the scientific genius behind the Oramed gel caps. The encapsulated insulin bypasses destruction in the stomach cavity. It reaches an entry point in the intestines where it reports for duty to the liver. This allows the liver to resume command of the glucose metabolism, just like Mother Nature intended. Whey you inject insulin - you are overriding the livers ability to monitor blood sugar and putting yourself in the line of fire for the dangerous lows. We all know this state of derangement too well. You won't find my lows picture on a milk carton if I happen to lose it, either.
Frequent episodes of hypoglycemia (even mild ones) force the brain to become accustomed to the low glucose. Unfortunately this also causes suppressed signaling of adrenaline, the livers last resort before dangerous lows. More specifically, the glucose transporters located in the brain cells are damaged from frequent episodes of hypoglycemia. So what was once the hypo threshold for the brain to signal adrenalin release becomes lower. Clinically, the result is hypoglycemic unawareness. Down with the shots, down with the lows and big ups with the future of diabetes control! Now we're getting somewhere.
Dr. Bernstein, a world leading authority in diabetes, is hosting a live internet broadcasts to answer your questions on diabetes. Diabetes 911 is setup to stop the complications of diabetes before it's an emergency. Here's a link to the page where you can submit your questions, to be answered on his next broadcast -- September 19, 2007.
Just a heads-up for The Diabetes Blog reading community - AOL has announced they will be retiring The Diabetes Blog on September 14, 2007. So this is a preemptive blog to get your calendar out, send yourself a reminder email titled: OPEN ON SEPTEMBER 19th!!!!
This will not be my last blog shared with you, all mighty readers of the blogosphere. I'm working to get my proverbial welcome mat in place to continue unfolding the mysteries of diabetes on LoveDiabetes.com. More to come...
My recent blog on interlopers offering advice about controlling diabetes upset a good friend of mine. He asked a question that gave me one of those What if...dream sequences. The reality check warrants a new blog.
He asked -- what if an interloper talked your doctor into reconsidering the use of natural animal insulins because they read the research and figured out that it was the better choice? Would you still think interlopers have no value in diabetes control?
Touché` - you sunk my battleship. I had to confer with a fellow diabetes OC blogger to get the he said / she said feedback. She made a very good point, too. In her words, there is a special group of non-diabetics who have an acute understanding of the disease, and who may have a somewhat intuitive understanding of how it works, but most of the time there is a silent acknowledgement that their opinion can at any given time be dismissed in favor of the diabetics'. Words of wisdom typed from the sorceress of Lemonade Life.
Today's lesson for Allie: listen without prejudice. Learn from all who are willing to share their experiences. Prosperity in life comes from the gifts we share with each other. My friends have shared valuable insight to teach me how to gain from every experience in life. I now see that the advice others have to share is the gift we have yet to receive. Denying the gift before we ever receive it is ungrateful. Graciously humbled - Allie B
UCLA researchers report Nevada County, California residents have the lowest rate of diabetes in the state -- 2.6 percent. That's about one-third the state-wide average (6.8 percent), and slightly less than one-quarter the prevalence of diabetes in Imperial County (11.2 percent).
Take a few guesses why Nevada County's rate of diabetes is so much lower than Imperial County, and well under the national average of 7 percent. Do families eat less processed food around the dinner table? More jogging trails? Better health insurance coverage? Researcher Theresa Hastert states, "There is no one thing, but higher income is associated with better foods and exercise."
Hastert explained Nevada County is mostly white, affluent, educated and insured. Imperial County has a large population of Latinos and migrant farm workers. Nevada County's numbers support general findings that minorities without affordable, continuous health care are more prone to the disease. Who's got time for the dinner table -- Hastert openly speculates eating more junk food may be a consequence of dodging between three jobs just to get by. Also, Nevada County is a beautiful area -- she wonders if environmental factors play a role.
Is diabetes a socio-economic disease? If so, we're in trouble. The gap is widening between our nation's haves and have nots, and large concentrations of poor minorities may explain the disproportionate rates of diabetes from county to county. Read more in The Union.
Ok, sounds like a joke - but seriously, TuDiabetes is growing like gangbusters! Meredith Cummings wrote a great article on TuDiabetes and its explosive growth! The online community for people touched by diabetes, is growing at a rate of 10% per week. Way to go, Manny!
And why shouldn't we all plant a flag in this real estate? TuDiabetes offers nonstop support through conversations, debates, mysteries and revelations - all amounting to some degree of resolve. TuDiabetes is a great place to remind you that we're not alone in this dark tunnel. Need some light? Ask and you shall receive. And, by the way - you can get the answer to the lightbulb question by signing in and friending Meredith Cummings.
I logged in today and saw a great question. A member named Cody asks if others are annoyed when people who don't know what it's like to be diabetic try to offer advice. The group of interlopers is frankly growing like a virus. I define the interlopers as people who feel they know the world of diabetes without having landed on the tarmac! It's easy to study the playbook. It's a whole different ballgame to get your butt on the field. Good luck with college, Cody!
Diabetic foot complications are responsible for many lower extremity amputations. But this last drastic step can be prevented up to 85 percent of the time with early diagnosis and proper care.
Now Thai researchers and physicians have shown using a patient's own stem cells can effectively heal chronic foot wounds. Diabetes patients with chronic foot wounds, aged 50-72, were injected with stem cells obtained from their own blood. Most excitedly, the wounds healed nicely within three to four months. The stem cell treatment also makes fiscal sense. According to this article, stem cell treatment for wounds in a patient with diabetes costs about $6,000, one-fifth the cost of conventional treatment for a leg wound.
Studies have shown primary care physicians often fail to examine the feet of patients with diabetes. It's a shame, as this step is the least costly and most effective way to prevent foot wounds and potential amputations. But at the same time, it is nice to know there is a promising, cheaper treatment utilizing patient-donated stem cells.
There's a workout, and then there's a Work Out. And THEN, there's a BOXING WORK OUT. Trust me, there's a reason why boxers are able to spend over a half an hour in a ring exchanging punches and not go into cardiac arrest. It's because these guys and gals have trained their butts off for months before ever stepping foot in that arena, let alone that ring. But, you don't have to be Rocky Balboa to get the benefit of a boxing workout, which is why I am this week highlighting some of the basic boxing moves that you too can add to your fitness routine.
Why is diabetes an imperfect science? The last 22 years of my life with diabetes have disproved as much (or more) than it has confirmed in conventional diabetes wisdom. The facts were in the studies - but researchers didn't know what to do with them, at the time. Here's where the mysteries will unfold..
A type 1 diabetic mystery is why do some Type 1s get complications and others seem to never get them? A massive 
bench press. "How much ya' bench?" is a popular question thrown around weight rooms, and the answers are almost always inflated so as to match the ego of the responder. But, throwing around as much weight as possible may not exactly be the best way to see and feel results from this exercise. That's why I am highlighting the proper form, execution and target muscles of this gym workout staple.
Ed Hinerman, a life insurance specialist with the Hinerman Group, was posed an interesting challenge recently. For years he has successfully found affordable life insurance for many adults with type 1 diabetes, but he had never been asked about life insurance for 
I don't mind high sugars as much as I loathe lows. Personally I'm not so ruffled by shots either (but my liver begs to differ). However, in a message posted on 
Dr. Bernstein, a world leading authority in diabetes, is hosting a live internet broadcasts to answer your questions on diabetes. 
My recent blog on interlopers offering advice about controlling diabetes upset a good friend of mine. He asked a question that gave me one of those What if...dream sequences. The reality check warrants a new blog.
UCLA researchers report Nevada County, California residents have the lowest rate of diabetes in the state -- 2.6 percent. That's about one-third the state-wide average (6.8 percent), and slightly less than one-quarter the prevalence of diabetes in Imperial County (11.2 percent).
Ok, sounds like a joke - but seriously, TuDiabetes is growing like gangbusters! Meredith Cummings wrote a great article on 
Diabetic foot complications are responsible for many lower extremity amputations. But this last drastic step can be prevented up to 85 percent of the time with early diagnosis and proper care.
