The healing continues. From laughter, that is.

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 are a whole bunch more that could have made a Top 10 list (namely: Soundtrack to a Low, Is This the Remix?, My Pump Makes Me Look Like a Cross-Dresser, Ah! Needle Landslide, and What's Better Than a Cookie).

Be sure to check out LOL Diabetes. Think you have something funny to add? I say go for it!!

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.

When I read the headline in this Yahoo! news, Obesity rates climb in most states, I took a stab at guessing the leanest and fattest states in America. My favorite state, Colorado, immediately came to mind for the fittest state. Ding, ding, ding ... that is correct! But I had no clue on the fattest state, West Virginia was a shaky guess. I heard the buzzer on that one, Mississippi became the first state to break the 30 percent barrier for obese, adult residents. But hey, I wasn't far off, West Virginia and Alabama are slightly behind the double-letter state.

Colorado has an obesity rate of 17.6. Yikes, this is the leanest state in the nation. Statistics were provided by the Trust for America's Health. They analyzed state health department-generated telephone surveys of height and weight, combining three years of data (2004-2006) for improved projections. No one denies obesity increases the risk for diabetes and chronic diseases. Jeffrey Levi, executive director, stated everyone believes obesity is an epidemic, but political and policymaker attention is lacking. Levi agrees weight is a personal choice and responsibility, but he wants societal improvements to help people make better choices, such as healthier school lunches and safer places to be active across all classes.

The report is not intended to stigmatize fat states, but motivate them to action. Is this honestly a good way to do it? We should be talking about poverty in Mississippi, not scolding them. The five poorest states were in the top 10 when it came to obesity rates. I'm sure the Mississippi fat jokes have already begun. This country loves to categorize, from Money's Best Places to Live to U.S. News & World Report's America's Best Colleges. Now we'll be adding an obesity category to all these reports. I can see it now, some diet rag will announce the Top 100 Thinnest Universities.

A new study by Kaiser Permanente's Center for Health Research carries both good news and bad news. Bad news first -- research of 9,439 mother-child pairs shows maternal blood sugar is tied to a future risk of obesity in offpsring. Pregnant women with above-normal blood sugar levels were twice as likely to have overweight kids. Across all racial and ethnic groups, the higher the mother's blood sugar during pregnancy, the greater the chance her offspring would develop obesity by 5 to 7 years of age.

Now if you're pregnant and you've been diagnosed with high blood sugar, take a deep breath. The good news is the risk of childhood obesity is reversible if elevated sugars are treated through diet, exercise and insulin (if required). At particular risk are women with sugar levels higher than normal, but not high enough to be deemed gestational diabetes. They were more likely to have obese children than women treated for gestational diabetes or those with normal sugars.

Borderline blood sugars are nothing to ignore. I shared in a previous post that moderately elevated glucose during pregnancy is associated with other problems such as cesarean section and heavier babies. Gestational diabetes criteria may widen. Also, Deanna reported earlier this month that gestational diabetes is linked to pancreatic cancer.

How come type 2 diabetes does not affect all obese people? A study recently published in the Journal of Clinical Investigation may explain why. Adiponectin is a hormone that controls insulin sensitivity. Leptin is a hormone which lessens appetite. Too much adiponectin allows mice to store excess calories in fat tissue instead of in more dangerous areas -- the liver, heart or muscle tissue -- where extra fat may lead to inflammation, diabetes and heart disease. Unfortunately adiponectin levels decline as people get fatter. So researchers wondered "what if overeating mice had high levels of adiponectin?"

Researchers genetically engineered mice to produce lots of adiponectin and a lack of leptin. The mice overate and became obese, but their high levels of adiponectin enabled them to dump their fat into fat tissue, which has antidiabetic effects. Dr. Philipp Scherer, senior author, stated the inability to appropriately expand fat mass while overeating may be an underlying cause of insulin resistance, diabetes and cardiovascular disease. Low adiponectin levels don't allow fat cells to accept fat, so the fat builds up in inflammatory locations.

Considering 66 percent of American adults are overweight or obese, Dr. Scherer stated researchers need to find way to deposit extra calories in the least harmful places. He plans to investigate how to maximize good fat areas and shrink bad ones. This solution is disturbing to me -- don't we need to get rid of the fat in the first place? Read more in Health News Digest and check out Diane's recent post on upper body fat's link to insulin resistance.

You've probably heard it in the news lately. The number of overweight children and teenagers aged 6-19 has nearly tripled over the last 40 years. Type 2 diabetes is not an adult-only disease anymore, adolescents are developing it. If we don't turn this trend around, many kids will have heart trouble by the age of 30 or 40. Healthier school fare is a part of the solution, but I believe parental influence on meal and snacking habits is most crucial. As your children head off to school in the coming days, do not forget about packing a healthy school snack (if required) ... I'll write later on healthy school lunches.

My little guy will step on the bus today for his first day of kindergarten. He is thrilled. He is ready. We walked the school hallways during an orientation earlier this week, and yesterday we had a kindergarten briefing where we learned all about school policies. The policy-chat was briefly interrupted by a tornado warning, where the entire school hit the deck in the hallways for 20 minutes, but luckily, no twisters!

As the policy-talk ensued, the teacher announced daily snacks must be healthy. Juice boxes were not allowed. A water bottle was fine, but the drinking fountain even better. Geez, I was starting to really like this school. Fruit and vegetables were strongly suggested, but no cookies, mile-high frosted cupcakes or sugary fruit snacks. I nearly stood up and clapped, but I didn't want to freak out a roomful of mommy strangers. After reading Allie's recent post on water, I will definitely pack a water bottle.

Yesterday afternoon we headed to the store and Frank picked out his snack -- he searched and searched until he found a perfectly shaped green apple. It's in his backpack, ready and waiting for his first day of big kid school. If you're shopping for school snacks, here is a helpful list of ideas to bring. Think fruits and vegetables. Don't throw those sugary graham crackers in your shopping cart. Stay away from the processed carbohydrates. This is your chance to develop healthier habits for a lifetime. Hey, you might not even need to be the fall guy -- hopefully it's "school policy."

Next month, 67-year-old Gary Stenlund is heading to the World Masters Championships in Riccione, Italy. He will compete against other senior javelin throwers for the World Masters crown. He's throwing with an arthritic knee and type 2 diabetes.

No stranger to the javelin, Stenlund set the world junior record in high school and was a two-time NCAA runner-up at Oregon State University. In 2003, he nailed the 60-to-64 World Masters top spot with a record throw of 191 feet. Here's one good reason to age, Stenlund topped the world record in the 65-to-69 age division three times last summer.

A sober alcoholic since 1984, he is no stranger to facing life challenges. I shouldn't complain about my sore knee, Stenlund competes with a bone growth on his right knee big enough to fit in the palm of your hand. The article does not mention much about his type 2 diabetes, but he keeps his 6' 1", 185-pound frame healthy through calisthentics, stretching and throwing that skinny metal rod. Go get 'em Gary! Read more in The Portland Tribune.

Do not miss this recent NY Times article by Gina Kolata, Looking Past Blood Sugar to Survive With Diabetes. It is a must read for anyone associated with type 2 diabetes, including patients, family caregivers and doctors. I am very encouraged to see a feature on type 2 diabetes in such a well-read newspaper. Many doctors are uninformed on the best ways to treat a person with type 2 diabetes, they spend much more time with type 1 patients. Furthermore, type 1 and type 2 are very different diseases, but since they both end in 'diabetes' there is deep confusion -- see Diane's previous post on this topic. Undoubtedly, we need Big Media to provide greater coverage on the differences and unique treatments for both type 1 and type 2 diabetes.

First off, type 2 diabetes is a form of the disease that usually appears in adulthood where the body does not produce enough insulin or the cells are resistant to insulin. Kolata's article focuses on one man's battle with type 2 diabetes, as well as the importance of other treatments beyond blood sugar control that can markedly prevent heart disease -- the number one threat to a person with type 2. Dave Smith, a pastor from Fairmont, Minnesota, has dealt with type 2 diabetes for nine years. From the start, his doctor advised him to control his blood sugar, so he was a faithful carbohydrate counter, finger pricker, type 2 pill taker. Nothing worked, so he added insulin.

Unfortunately, his fixation on controlling blood sugar ignored the most crucial treatment of all -- lowering cholesterol. According to Kolata's article, heart disease kills nearly everyone with diabetes. The second treatment Smith did not consider was the importance of controlling blood pressure. The third treatment is taking aspirin to control blood clots. Last October, Smith had a major heart attack and nearly died. He had never thought about heart disease, and his doctor never advised him to take a cholesterol-lowering statin or a blood pressure drug. The American Diabetes Association reports only 18 percent of people with diabetes know their increased risk for cardiovascular disease. Grrrr! This lack of awareness among patients and doctors must change for lives to be saved. It took a near-fatal heart attack for Smith to receive the combination of drugs he should have been prescribed at diagnosis: a statin, two drugs to lower blood pressure, aspirin, insulin and two drugs to reduce his blood sugar level.

The article also points out the myth of obesity and type 2 diabetes. While obesity does increase the risk for type 2, only 5 to 10 percent of obese people have the disease, and many people with type 2 are not obese. Genetics is a big determiner. Losing weight can definitely improve type 2 control, but most are not cured. Smith lost 40 pounds and still has type 2.

Dr. Irl B. Hirsch, a professor of medicine and director of the diabetes clinic at the University of Washington, stated it plainly. The first priority for a typical middle-age person with type 2 diabetes is to take a statin and lower the LDL cholesterol level. FYI, a person with diabetes should keep LDL cholesterol below 100 milligrams per deciliter, ideally 70 to 80. Keep in mind, this is even lower than the recommended LDL levels of 100 to 139 for a healthy person. Dr. Michael Brownlee, director of the JDRF International Center for Diabetic Complications Research at the Albert Einstein College of Medicine in New York, stated beyond a statin, blood pressure control and taking an aspirin to prevent blood clots are two other important measures.

The title of Kraft Foods' press release this morning was Good Eating, Good Living Radio Show and Website Aim to Clear Up Confusion and Isolation Often Associated with Diabetes. The radio show and Website will provide diet and exercise tips for people with diabetes. Recipes, a meal and fitness planner, product nutrition info, logs/journals, articles, etc ... will be offered. Amy Hendel, a registered physician assistant and Edye Wagner, a registered dietitian and certified diabetes educator, will host the 22 episode radio show beginning August 25 in 30 cities across the country.

Seems like Kraft is spinning a public relations campaign to help pardon the junk food they're hawking to kids and adults. They also are boldly advertising Kraft Foods products in the name of helping people with diabetes. This new program is more about food sales and rationalization against potential future litigation by showing Kraft stands by healthy eating. The press release even included a quote from Amy Hendel, "The good news for the millions with this disease is that by choosing Kraft products they don't have to deprive themselves of their favorite foods or sacrifice flavor."

If Kraft Foods truly wanted to help the millions of people in the United States with diabetes they should stop selling the junk such as Oreos, Fruity Pebbles and Chips Ahoy cookies. Although I do applaud many of their healthier products -- Triscuits, Post Shredded Wheat and Breakstone's Cottage Cheese. Also, in 2005, Kraft did stop advertising some junk food products to kids under age 12. But how about kids over 11? Kraft should also stop being a player in the Big Food lobbying games. The last Bush/Cheney campaign reaped thousands of dollars in donations from a lobbyist for Altria (the company formerly known as Philip Morris), which formerly owned 85 percent of Kraft Foods. (Kraft became a fully independent company March 30, 2007.) Altria also handed the Bush inauguration $250,000 in 2005. It's time for our government to stop taking Big Food's money and start regulating the junk out of Big Food's product lines. But Kraft is smart, if they appear like they're regulating themselves, the government and litigators are less likely to step in. Philip Morris executives know all about tobacco litigation.

This is not to say the radio show or Website will not be decent sources of information for people with diabetes. But as you tune in, keep in mind Kraft's intention may not be that altruistic. Don't miss this informative article on the deceptive tactics of Big Food, Kraft included.

I have the utmost respect for golfers with disabilities. In a conference match in high school, I played against an opponent missing her right hand and most of her forearm. As a right-handed golfer, her swing arc was primarily guided by her left arm, so she didn't miss a beat when it came to form. Whatever yards she lost on her long game were covered by a pretty mean short game.

I couldn't help but smile wide after hearing this story yesterday about Sheila Drummond, a golfer blinded by diabetes 26 years ago. She may have lost her eyesight to diabetes, but nothing can take this golfing accomplishment away. Last Sunday in a steady rain, 53-year-old Drummond teed off with a driver on the 144-yard, par-3 fourth hole at Mahoning Valley Country Club in Pennsylvania. She smacked it over a water hazard, between the sand traps and onto the green. Her ball hit the flagstick and dropped into the cup. A hole-in-one!

As her drive took off, Drummond's husband Keith, and two other players rounding out the foursome, told her it was a great shot -- then she heard the ball hit the stick. This story will be shared by many golfers gathering round the water cooler this season. Drummond is also on the board of directors of the United States Blind Golfers Association.

The odds of an amateur sinking a hole-in-one are estimated at 1 in 12,750. A few months ago, my mom played in a foursome just behind a friend of hers who teed off on her very first golf hole ever. She hit a hole-in-one. No kidding. What are the odds?

Here's more diabetes research gleaned from the long-term Women's Health Initiative Observational Study (WHIOS). 82,000 postmenopausal women from varying ethnicities are part of WHIOS, which examines the influence of behavior, socio-economic status, diet and other factors on a woman's health.

University of California, Los Angeles researchers identified thee markers that could predict type 2 diabetes before development of the disease. The molecules are inflammatory cytokines (messenger molecules) -- tumour necrosis factor-alpha (TNF-a); interleukin-6 (IL-6); and high-sensitivity C-reactive protein (hs-CRP). Across all four ethnic groups, hs-CRP was the most consistent predictor for increased risk of type 2. Interestingly, associations with these cytokines were independent of obesity or elevated levels of glucose and insulin.

Lead researcher Dr. Simin Liu stated the study was a final confirmation of earlier research on the underlying biology of type 2. He also said the pro-inflammatory state is often linked to obesity which can lead to insulin resistance. A simple blood test to identify these markers before the disease begins could encourage prevention of type 2 diabetes through nutrition and exercise. Motivation is one tough nut to crack, but I wish I'd be reading more research on cracking the nut for a cure. The study was published in the August 15 issue of Archives of Internal Medicine.

Things can get a bit stuffy sometimes in the medical world. This is probably for good reason, because in many cases the topic of conversation is someone's health. To help create a less "buttoned-up" medical environment, many people have taken up writing their own personal blogs. Such sites offer a look at what it's really like to live with a particular condition, rather than pouring through page after page of text or internet site that focuses almost entirely on the science behind it all. This, of course, is not to say that there isn't great value in the latter -- especially since that's primarily the type of blog we run here at TheDiabetesBlog. But, let's face it, sometimes you just need to take a step back from it all and laugh.

To that end, you may want to check out a new site called LOL Diabetes (www.loldiabetes.com). The site itself is an offshoot of the popular diabetes blog Six Until Me (www.sixuntilme.com). Following the design of the odd, but hugely popular, humor website that features cats and other small animals doing funny things, LOL Diabetes (LOL stands for Laugh(ing) Out Loud, by the way. Just in case you were new to...well, civilization) features photos, videos and stories that are two things: 1) Related in some way to diabetes, and 2) Funny!!

After viewing the site, don't be surprised if you feel compelled to submit a funny diabetes tidbit of your own. I'm even sort of tempted myself. If you choose to follow suit, you can go ahead and send your own humorous photo, video, or whatever to loldiabetes@yahoo.com Feel free to say that I referred you...it may get your stuff up on the site quicker ;)