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     GlucoMenu: New Research: Benefits of Controlling Blood Sugar
    Type 2 Study Reveals Benefits of Tight Blood Sugar Control

    The United Kingdom Prospective Diabetes Study (UKPDS) is the largest study on type 2 diabetes completed to date.  UKPDS evaluated whether intensive blood sugar control results in reduction of complications among those with type 2 diabetes.

    Newly diagnosed subjects were randomly put in 2 groups - a conventional group and an intensive group.  The conventional group had a goal of a fasting blood sugar of less than 270 mg/dl.  The intensive group had a goal of a fasting blood sugar of less than 108 mg/dl and were given oral hypoglycemic medications or insulin.

    The following outlines some of the UKPDS findings.

    • The conventional group was able to maintain a median A1c of 7.9% over a 10 year period.  The intensive group was able to maintain a median A1c of 7.0%.
    • UKPDS found those with better blood sugar control reduced risk of eye disease due to diabetes by 25% and reduced risk for early kidney disease by 33%.
    • For each percentage point reduction in A1c (for example 8% to 7%), there was a 35% decrease in risk for microvascular complications.  Microvascular complications are those occurring in small blood vessels such as the nerves, eyes, and kidneys.
    • For every percentage point reduction in A1c, there was a 25% decrease in risk for diabetes related death and an 18% decrease in risk for fatal or non-fatal heart attack.
    • UKPDS found no evidence of a specific elevated blood sugar level in which onset of complications occur and therefore blood sugar goals should be as close to normal as possible.
    The American Diabetes Association indicates these findings support the position that an active, intensive treatment can reduce complications from diabetes.  The UKPDS shows better blood sugar control can reduce microvascular complications.

    Note:  Diabetes treatment and care is specific.  Talk to your doctor about treatment and blood sugar goals that are right for you.  Discuss how you can reduce risk for diabetes related complications.

    The American Diabetes Association.  Standards of Medical Care for Patients with Diabetes Mellitus.  Diabetes Care, Volume 26, Supplement 1.

    Oxford Centre for Diabetes, Endocrinology & Metabolism:  Diabetes Trials Unit.

    Christine Carlson, MS, RD, BC-ADM, CDE
    GlucoMenu® Nutrition Director

       
    Christine Carlson, Registered Dietitian &
    Certified Diabetes Educator

    GlucoMenu helps Type 1, Type 2 & Pre-Diabetics with

  • Achieving better blood sugar results
  • Weight loss and weight management
  • Reducing confusion with treatment (what to eat, drink, activity, testing)
  • Coping with diagnosis, feeling better, and increasing energy levels
  • Previous E-mails to Christine (GlucoMenu® Nutrition Director)

    A1c:  What should my A1c level be?

    Acai Berry:  Is all the hype over acai berry for real, is it worth the high cost?

    Alcohol:  Can I have wine with dinner?

    Apple:  How many sugars are in an apple?

    BBQ:  What types of foods should I eat more of and what foods should I avoid at my BBQ?

    Blood Sugar Testing:  How often should I check my blood sugar if I have type 2 diabetes?

    Breakfast:  What are the best items I should choose for breakfast?

    Caffeine:  Does caffeine have any effect on blood sugar either good or bad?

    Carbohydrate:  Carbohydrate or calories?

    Carbohydrate Choices:  What are Carbohydrate Choices?

    Chromium:  Should I be taking Chromium?

    Diabetes:  Can you reverse diabetes?

    Diabetes:  Can you reverse pre-diabetes?

    Diabetes:  How do I change my diabetes profile on the website?

    Diabetes:  Newly diagnosed... Where do I start?

    Dining Out:  We eat out a lot.  Could you give us some suggestions for Japanese and Chinese?

    Dreamfields Pasta:  How does Dreamfields pasta count carbohydrates?

    Exercise:  When should I exercise?

    Fiber:  Which items are the best for fiber?

    Flax:  Should I add ground flax seed to my meal plan?

    Food Exchanges:  Can you explain food exchanges?

    Frozen Shoulder:  Do my symptoms sound like frozen shoulder?

    Fruit:  What is the difference between canned and fresh fruits?

    Fruit Juice:  What can I drink instead of water?

    Fruit Sugar:  Which fruits would be a better choice for me to eat?

    GlucoMenu:  In 9 months, I have lost 50 lbs and my wife has lost 43.  But more importantly...

    GlucoMenu:  Does GlucoMenu work for couples?

    GlucoMenu:  What is GlucoMenu?

    GlucoMenu:  I'm trying to lose weight... What is the lowest calorie level?

    GlucoMenu:  Menus for every season?

    Glucose Test:  My glucose tolerance test was at 105 - how high/low is that compared to acceptable levels?

    Gluten:  Should I be eating gluten free products?

    HFCS:  What's all the hype with High Fructose Corn Syrup?

    High Blood Pressure:  What should I order when eating out to limit sodium?

    High Blood Sugar:  My blood sugar levels have been running between 475 to 575.

    High Blood Sugar:  Tired after lunch.  Any suggestions?

    High Cholesterol:  In addition to having diabetes I have high cholesterol.  What can I order?

    Hunger:  What do you advise when I find myself, always, hungry and most of the time ravenous?

    Iron:  My iron is low.  What foods do you suggest?

    Lunch:  I have diabetes and work long hours.  Could you give me some tips on what to pack for lunch at work?

    Margarine or Butter:  Why unhealthy margarine instead of butter?

    Medications:  Can you give me some basic information on the medication Metformin?

    Menus:  I need 8 weeks of diabetic menus.  Can you help me with this?

    Nutrition Facts:  What is "other carbohydrate" and why aren't they included in the total carbohydrate count?

    Nuts:  What kind of nuts should I buy?

    Olean:  Where I can buy Olean and what brands of food have it?

    Pre-Diabetes:  I'm concerned & depressed about Pre-Diabetes... Any advice?

    Pre-Diabetes:  What are Pre-Diabetes lifestyle changes?

    Pre-Diabetes:  Newly diagnosed w/ Pre-Diabetes... Where do I start?

    Pre-Diabetes:  Do people with Pre-Diabetes have the same symptoms as those with Type 1 and Type 2?

    Pre-Diabetes:  Trying to lose weight, but now gaining... Suggestions?

    Snack Bars:  What snack bars do you suggest I use?

    Snacking:  How do I avoid overeating when I'm bored?

    Sodium:  Does low sodium mean high in potassium?

    Stevia:  Are Stevia sweeteners safe for someone who has diabetes?

    Sugar Alcohol:  What is the difference between sugar and sugar alcohols?

    Tomatoes:  Will tomatoes cause an increase in blood sugar levels?

    Travel:  I have type 2 diabetes and travel quite a bit.  What do you suggest?

    Type 2:  What should I do if I've just been diagnosed with Type 2 Diabetes?

    Vinegar:  Do you have any info on taking vinegar tablets or liquid to reduce blood sugar?

    Weight Loss:  Do you think I'm losing weight too fast?

    Weight Loss:  How do I lose weight?

    Yogurt:  What is the best yogurt for someone with Diabetes?

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