Vol 1, Issue 3 : Living Fit with Diabetes
Editor's Note

Spring and summer usually mean that plans are afoot to enjoy outdoor leisure activities, entertaining, and travel. Whatever way you choose to spend the long, balmy days, people with diabetes do need to remember that their health doesn't take a holiday. Oh sure, you can still join in the fun - you just need to think a little ahead before you lace up your runners, have a few cocktails, or set out on a road trip. Luckily, we've got just the expert advice to help you manage your diabetes while you fill up your summer itinerary. And technology lends a hand too by making it easier and less painful to keep a good, close watch on your blood sugar [see "Quick Draw" for the latest product innovation in glucose monitoring]. Find out what you need to know to keep your summer plans and blood sugar on track.

Angela Pirisi


Living Fit with Diabetes
How to put on the right moves -- safely

Travel-Proofing Your Diabetes Plan
Whether you're going abroad, on a cruise, or high-tailing it to cottage country this summer season, there's some planning you'll need to do.

Smart Sipping
How to keep drinking and blood sugar under control

Quick draw
7 lucky innovations for glucose monitoring



Butt Out for Blood Sugar
Smoking can almost triple your risk of type 2 diabetes, suggest the latest findings from a 5-year study over 900 American adults, ages 40-69.


News About Nightcaps
If you use insulin or insulin secretagogues, you should know that delayed hypoglycemia (low blood sugar) can occur up to 14 hours after drinking alcohol.


Hey Sleepy Heads
New research offers one more reason why some people are dozing off at work -- daytime sleepiness may be a sign of undiagnosed diabetes.

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Depression may mean diabetes
Feeling down? Don't rule out diabetes. Researchers at the University of Alberta found that those newly diagnosed with type 2 diabetes are 23 per cent more likely to have a history of depression. It's possible that people with depression may experience a biochemical imbalance that can result in hyperglycemia, which can potentially lead to type 2 diabetes. (Although previous studies suggest that there may be a similar link between depression and type 1 diabetes, statistics from type 1 diabetes weren't included in this study.) Also, most people with depression are inactive, which can result in weight gain and increase their risk of diabetes. More research is required to discover the exact reason behind such a link, including whether depression medication has an impact on glucose levels.
Keeping bones strong may prevent diabetes
Strong bones can prevent fractures as we age, and now US scientists suggest that they may someday help prevent and treat type 2 diabetes too. How? Findings show that bones secrete a hormone that helps regular sugar and fat, and certain bone cells produce osteocalcin, which controls the metabolism of blood sugar, or glucose. In studies on mice, bone-forming cells called osteoblasts released osteocalcin, which in turn increased both the secretion of insulin and insulin sensitivity. It also boosted the number of insulin-producing cells in the pancreas, and reduced fat stores. Researchers at Columbia University, New York, suspect that bone loss may explain age-related weight gain. How the bone-hormone link can lead to obesity and diabetes isn't clear yet, but these findings suggest one more reason to keep bones healthy.
Exercise combo best for managing diabetes
Studies have already shown that regular exercise can help prevent or delay the development of certain diabetes-related conditions, such as heart disease and stroke. But what kind is best—aerobic training (such as walking or running) or resistance training (such as lifting weights)? New findings suggest that a fitness combo may be best. Published in the Annals of Internal Medicine, the study involved 251 previously inactive adults (ages 39 to 70 years) with type 2 diabetes, who were randomly assigned to do 45 minutes of aerobic training, 45 minutes of resistance training, or 45 minutes of both kinds of exercise three times a week for 22 weeks. The result? Patients in the combined exercise group had better glycemic control than those who only did one kind of workout. So kudos to you if you're already exercising—just make sure you mix it up.
Can Multivitamins Help Manage Weight?
Findings from Laval University in Quebec suggest that multivitamins and minerals could help weight loss efforts. How? Results from a study that involved 267 men and 320 women, aged 20-65, showed that regular multivitamin use reduced appetite in women aiming to lose weight, and was linked with lower body weight and fat mass in men. The Canadian study, published in the British Journal of Nutrition, seems to suggest that food restriction, the basis of many diets, also reduces the body's intake of essential nutrients, which can affect hunger. It could be because some vitamins and minerals are involved in the synthesis of various hormones and signalling pathways in the brain that that control food intake, the authors speculate.

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