Diabetes News
Week of June 4, 2000

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Smoking And Gum Disease
Controversial New Diet Guidelines
Dieting Difficulties
New Diet-- Got Milk?
Birth Weight And Kidney Disease
Babies In Sweden Tested For Diabetes
Financial Report From Telemetrix
Larry King Joins JDF
Diabetes This Week News

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Smoking And Gum Disease

Smoking has long been linked to numerous health problems. Just recently, research reported in this newsletter described a connection between smoking and heart disease. Now, doctors have found that smoking can contribute to gum disease, which can lead to numerous other problems as well.

The research on smoking and gum disease was conducted by the Centers for Disease Control and Prevention in Atlanta, Georgia, and was published in the Journal of Periodontology. The researchers reviewed health data of 12,000 US adults from 1988-1994. They found that there was a direct correlation between the duration and intensity of smoking and the risk for gum disease.

According to the American Academy of Periodontology, people who smoke less than half a pack a day are three times more likely to have gum disease than those who don't smoke. Even more dramatic is the statistic that those who smoke more than a pack and a half a day are six times as likely to develop gum problems than those who do not smoke.

Smoking is linked to gum disease because it reduces the amount of oxygen and nutrients that can be delivered to gum tissue. Also, when people smoke, their natural defenses against infections are impaired, so they are more likely to develop health problems like gum disease. Gum disease itself can lead to more serious health problems, such as heart disease, respiratory problems, and diabetes.

On a more positive note, it seems that the risk for gum disease decreases when a person quits smoking. Former smokers who haven't smoked in eleven years have no greater a risk for gum disease than people who have never smoked. That's another incentive to put out that cigarette for good!

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Controversial New Diet Guidelines

Does the US Department of Agriculture really know what constitutes a healthy diet and do they act on it? 

Every five years, the US Department of Agriculture releases the US Dietary Guidelines, which comprise the government's official recommendations for what Americans should eat. Although some changes were made from the last guidelines, critics of the new guidelines believe that this year's report was influenced more by economics than sound medical advice.

A group called the Physicians Committee for Responsible Medicine is petitioning  the USDA, saying that the government's guidelines are much too weak, and do not actually support an entirely healthy diet. The committee charges that the USDA gave in to pressures from the meat and dairy industries when they included these foods as staples instead of reserving them as optional in a healthy person's diet.

The committee has based their petition on the National Nutrition Monitoring and Related Research Act, which says that the guidelines have to be based on available scientific knowledge. The committee says that there is no scientific reason for the omission of information on the connection between vegetarian diets and the reduction in risk of heart disease, cancer, diabetes, stroke, and other diseases. Information about vegetarian diets was included in the 1995 version of the guidelines, but omitted in the 2000 version.

In response to the USDA's guidelines, the Physicians Committee for Responsible Medicine has created their own dietary guidelines which emphasize grains, vegetables, fruits, and legumes. They recommend avoiding animal fat and vegetable shortenings, and a minimal intake of sugar, salt, and alcohol.

President Clinton expressed his support for the new dietary guidelines, especially for the inclusion of exercise. The guidelines recommend that adults and children exercise for 30 minutes every day, and state that this can reduce the risk of heart disease, colon cancer, and diabetes. This was the first time that the guidelines included information about the importance of exercise.

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Dieting Difficulties

What motivates people to start and stick to a healthy plan of diet and exercise?  New research shows that many people with Type 2 diabetes who need to adopt healthier lifestyles, don't even try, and those that do try dieting and exercise often give up quickly.

Doctors from the Indiana University Center for Aging Research in Indianapolis have published results of their study in a recent issue of Preventative Medicine. The study included 733 people with Type 2 who were between the ages of 50 and 62. Approximately 86% of these people were overweight or obese. When the study began, 80% of the group stated that they were dieting in the hopes of controlling their blood sugar as well as losing weight. Likewise, 66% said they were exercising, and 75% said they did not smoke.

At the end of the study 44% of those who were trying to lose weight at the beginning of the study had stopped trying. Also, of those who had said they were exercising at the beginning of the study, far more had quit their exercising than those who continued to exercise.

The doctors hope that more research will be conducted in order to understand the reasons why people decide to begin and continue healthy lifestyles.

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New Diet-- Got Milk?

When many people diet, the first foods they decrease or eliminate are dairy products. However, new research suggests that this may be the wrong approach.

According to research in The Federation of American Societies for Experimental Biology journal, it may actually be helpful to consume 3-4 servings of low fat milk or other lowfat dairy foods per day to help the body decrease fat production and break down fat, as well as obtain calcium. 

Although the information sounds promising, it is important to note that the research was provided by the National Dairy Council, which has more than a passing interest in Americans' consumption of dairy products.

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Birth Weight And Kidney Disease

When babies are born with low weights, doctors and parents are concerned about immediate health risks. However, new research indicates that a low birth weight may lead to health problems later on, and may increase the risk for end-stage renal disease. This is a form of kidney failure so advanced that transplants are often needed.

Researchers studied 1,230 people with end-stage renal disease who were younger than 50. The results showed that those who were born weighing less than 5.5 pounds were 40% more likely to develop the disease than those with heavier birth weights.

Doctors believe the link is due to the kidney's filtering system, comprised of nephrons. Previous studies have shown that premature babies have fewer nephrons, which may lead to kidney problems later on. 

This research was conducted by doctors from the Medical University of South Carolina in Charleston and published in the Archives of Internal Medicine.

Similar research has indicated that low birth weight may be linked to asthma, heart disease, high blood pressure, and diabetes. The reason for this may be poor nutrition during pregnancy and after birth. When low birth weight babies are given a calorie overload to increase their weight, they may be put at risk for later problems with weight, and diseases associated with obesity.

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Babies In Sweden Tested For Diabetes

A new study to be conducted in Sweden is designed to help identify those people who are at risk for developing Type 1 diabetes. Researchers hope that these individuals will then receive the medical care they need.

The study will involve 10,000 babies, and will be conducted by Diamyd Medical. Diamyd hopes to develop a diabetes vaccine to use on the babies who are found to be high risk. For now, mothers will not be informed if they have babies who are at high risk for diabetes, since no cure is available.

The likelihood of finding a vaccine is somewhat remote since the mechanisms that create Type 1 are as yet unclear and suspected to be widespread.

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Financial Report From Telemetrix

The company CME Telemetrix Inc. has recently released their financial report of the first quarter of the fiscal year 2000. This company is currently developing a non-invasive blood glucose monitoring device.

The company is adopting a more aggressive growth strategy, in which the glucose monitor plays a major role. CME has also formed an alliance with Motorola, which purchased a 5% share in exchange for worldwide marketing rights. When the glucose monitor comes on the market, Motorola will pay a royalty to CME based on the product's net selling price.

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Larry King Joins JDF

The Juvenile Diabetes Foundation (JDF) has recently elected six new members to its International Board of Directors, one of whom is CNN talk show host Larry King. King has long been a supporter of JDF, and has Type 2 diabetes himself.

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