July 2000 ~ Volume 1, Issue 1
10 FACTS ABOUT INSULIN SENSITIZERS (Thiazolidinedione)
- Insulin Sensitizers decrease blood sugar by decreasing insulin resistance
- Rezulin is no longer available
- Avandia and Actos have been on the market for about a year
- Rezulin was taken off the market because it was associated with a
small number of cases of liver failure
- Studies have not shown any liver problems with Avandia and Actos
- If you start taking Avandia or Actos you may be able to decrease your
insulin dose
- With Avandia and Actos, liver function is checked every 2 months for
the first year and every 3-4 months thereafter
-
It may take 1-2 weeks before you see any change in
initial blood glucose levels. It can take 3 months before the full
effect of the drug is seen
Studies have not shown any liver problems
with Avandia or Actos
- The most commonly reported side effect is swelling of the feet and
hands, this only occurs in a small percentage of patients
- If you have congestive heart failure or liver problems, you may not
be able to take this drug
†††
GOOD BYE AND WELCOME
EDA would like to say “Good-Bye” to Julie Francis and “Welcome” to Lisa
Everhart. Julie had a baby boy in June and will be staying home. We are
glad to have Lisa as our new Nurse Practitioner/ Diabetes Educator.
Julie says, “Thank you to all of my terrific patients. I will miss you!
You are in great hands with Lisa. It should be an easy transition. I will
send in a picture of our baby, so check out the bulletin board next time
you are here. Keep striving for those A1C’s between 6-7% and don’t over
treat your “lows”. Take care.”
Lisa adds, “ I am excited to be a part of EDA and look forward to getting
to know all of you. In the past few weeks I have had the opportunity to
work with Julie, who has taught me many tricks and pearls. She is a tough
act to follow! Please feel free to call me any time with questions or
concerns.”
†††
YOU ASKED FOR IT....
THE ATKINS DIET
PROS
CONS
- High protein intake may cause damage to kidneys
- Not recommended for people with diabetic kidney disease (protein in
urine) or other kidney damage or liver disease
- High amounts of saturated fat may increase risk of heart disease
- Often not a long-term eating or weight loss strategy (difficult for
some to follow)
- If higher carbohydrate diet is resumed, weight increases
- Nutritionally inadequate, low in fiber and low in antioxidants
- Induction phase (limits carbohydrates to 20g/day) limits vegetables
which contain fiber and vitamins
***MODERATE AMOUNT OF CARBOHYDRATE IN THE DIET IS GOOD.
CHECK WITH YOUR DIETITIAN ABOUT HOW MUCH YOU NEED.***
†††
RECIPE OF THE QUARTER
Herbed Broiled Tomatoes
4 Medium Tomatoes
1/4 cup grated parmesan cheese
2 Tbsp plain bread crumbs
2 Tbsp minced parsley
1 tsp dried basil
1 tsp dried oregano pepper
1 Tbsp olive oil
Remove stems from tomatoes and cut in half crosswise. Combine
remaining ingredients in bowl, and press mixture over cut side of tomatoes.
Place tomatoes on baking sheet, cut side up and broil 6 inches from heat
for 3-5 min. or until brown.
Yields 4servings
Nutrition Information:
Per serving: 97 kcal; 9 carbohydrates, 6.5 g fat;
3 g protein
Without Bread Crumbs: 79 kcal; 5 g carbohydrate; 6 g fat; 3 g protein
|
