Just out in the new issue of Diabetes Care: a report that diabetic women are more at risk for the various stroke subtypes. (Today is just a day for bad health news, I guess. See my previous blog on trauma injuries.) Stroke, as you may already know, is where blood supply to the brain is restricted or cut off.

The study's authors tracked the progress of 116,316 women through middle age during the period 1976 to 2002. That's a lotta women... They found the women with diabetes were at a higher risk for stroke, generally: four times higher than that of the general population for women with Type 1 diabetes, and twice as high for women with Type 2 diabetes.

That people with diabetes face a higher risk of stroke is not new. What is new? This study also looked at stroke subtypes and relative risk for women with and without diabetes for each of those subtypes. Some results: ischemic stroke (caused by a blood clot to the brain) risk was 6.3 times higher for T1 diabetics, 2.3 times higher for T2 diabetics. The risk for large-artery infarction and lacunar stroke was similar. The study also concluded that while Type 1 diabetic women face a higher risk of hemorrhagic stroke (where bleeding occurs in the brain or between the brain and the skull), Type 2 women did not.

This study was funded by the National Institutes of Health.

Read more about strokes and learn how to recognize signs of stroke by visiting some of the excellent Web-based resources out there. A good starting point is InteliHealth's section on stroke or visit the National Stroke Association's website. You could save someone's life!

Much like a roadblock, but with a fortuitous outcome -- an experimental heart drug didn't achieve the primary goal of a late-stage trial but it did dramatically reduce the risk patients would develop diabetes.

The anti-oxidant, anti-inflammatory drug, the first of its kind, reduced the risk of developing diabetes by 64% and demonstrated a small but statistically significant reduction in blood sugar after 12 months. The study included data from 6,144-patients. The company believes this finding to be a serendipitous outcome, despite the initial shortcomings of the trial objective. They need to confirm it in a large clinical trial. The impressive diabetes results may come as a surprise to investors who have abandoned AtheroGenics or who have been betting the drug will fail.

Heart patients in the study received either 300 milligrams of the drug or a placebo on top of a host of standard-of-care medicines they were already taking, such as aspirin, cholesterol-lowering statins, blood thinners and/or diabetes medicines.

The drug had an undesirable impact on blood fats, raising bad LDL cholesterol by about 12% and lowering good HDL cholesterol by roughly the same amount. There were also some potentially troubling safety signals with a trend toward more heart failure in those taking the drug. In spite of the undesirable affects on blood lipids, the drug has a profound effect on diabetes. Further research will be conducted on the efficacy of this drug in reducing the risk of developing diabetes.

Central obesity is associated with insulin resistance through factors that are not fully understood. Researchers studied the effects of three different diets on body fat distribution, insulin sensitivity and peripheral adiponectin gene expression.

Adiponectin is secreted from fat tissue into the blood. The presence of adiponectin can result in improved insulin sensitivity and glucose tolerance, and can assist in mobilizing sugar out of the blood The hormone plays a role in the suppression of the metabolic derangements that may result in type 2 diabetes, obesity, atherosclerosis and non-alcoholic fatty liver disease.

The study involved 11 volunteers who were the offspring of obese type 2 diabetic patients with noticeable abdominal fat deposits. The volunteers were considered insulin resistant and they maintained average hemoglobin A1c levels of greater than 6.5% without medication. All subjects underwent three dietary periods of 28 days each in a crossover design: a) diet enriched in saturated fat (SAT), b) diet rich in monounsaturated fat (MUFA; Mediterranean diet) and c) diet rich in carbohydrates (CHO). Weight, body composition and resting energy expenditure remained unchanged during the three dietary periods. However, when patients were fed a CHO-enriched diet their fat mass was redistributed towards their abdominal region and their periphery fat accumulation decreased compared with a diet MUFA-rich and high SAT diets. Changes in fat deposition were associated with decreased levels of adiponectin after meals and lower insulin sensitivity.

The results of this study conclude a diet rich in monounsaturated fat prevents central fat redistribution and a decrease in after meal adiponectin levels. These findings support the belief that a carbohydrate-rich diet in insulin-resistant subjects exacerbates the insulin resistance. The moral of the story is: to enhance insulin sensitivity - look for a diet rich in monounsaturated fats and less dense in carbohydrates. Chances are if you've tinkered around with your food pyramid - you already knew the results of this study.

The FDA has approved a new over-the-counter weight loss drug called alli (orlistat) that is designed to absorb 25% of the fat from your meal. However, nutrition and fitness expert Dr. Len Lopez, author of "To Burn or Not to Burn, Fat is the Question" shares his reasons why the new approved weight loss drug may not be beneficial to your health.

New research is showing that medications don't make us healthier. Research is showing that losing weight with medications doesn't decrease the rate of heart attacks, strokes or diabetes. Add that to the fact that your body loses nutrients with these medications and you can easily see how these new weight loss drugs can hamper your health. Dr. Lopez discusses practical steps to losing weight which includes diet and exercise, but also covers how stress and adrenal fatigue can disrupt our hormones, such as cortisol and adrenaline. These hormonal imbalances can throw off our metabolism and take us out of our fat burning mode.

Both of Dr.Lopez's books cover a good deal of information to understand how we can correct our imbalances in piecing together the weight loss puzzle. His knowledge explores the roles of insulin and cortisol in weight gain, cravings, fatigue and more. He also explains how stress can take you out of your fat burning zone and helps you regain your blood sugar balance, as well as implementing the "Five and Two" dieting plan.

Say NO to the weight loss drugs and say YES to the empowering knowledge Dr. Lopez has to share.

Tai Chi for Diabetes is easy to learn, effective and safe. It is designed to prevent and improve control of diabetes. The program will help to improve muscle strength, increase heart and lung activity, as well as improve balance and harmonize mind and body.

Gentle exercise helps people with diabetes by improving the control of blood glucose level. Tai chi is a gentle exercise with strong emphasis on mental relaxation, it is reasonable to assume tai chi can help to control diabetes by improving cellular uptake and glucose metabolism. Tai chi can also help mitigate the effects of stress, which is shown to make the control of diabetes worse. Tai chi reduces stress and improves relaxation.

The major problems of diabetes are complications such as hypertension, heart disease, visual impairment and vascular problem. Diabetes causes peripheral neuropathy, a condition that the nerves of feet are damaged thus affects balance and walking. Tai chi has been proven to be effective in improving balance and mobility.

The immense power of the mind has not been fully estimated. As one of the most effective mind-body exercise, Tai Chi teaches the student to be mindful of the intrinsic energy from which he or she can perceive greater self-control and empowerment. The mental training in Tai Chi will enhance clarity of the mind, improve relaxation and uplift mood.

The Tai Chi for Diabetes DVD costs $25. It includes 90 minutes of a general introduction of Tai Chi and diabetes, warm up and cooling down exercises, Qigong for Diabetes, 11 basic movements and 8 advanced movements. Viewers can learn different part at their own pace using the easy-to-learn and step-by-step instructions. If you prefer a less expensive option, you can order the Tai Chi for Diabetes Handbook for $10 or you can subscribe to the newsletter for free. Your budget, your decision.

Below I've included some feedback from people who have firsthand knowledge of Tai Chi for Diabetes. Here's what they have to say:

"I use your video a lot to perfect my technique, to check accuracy of movements, listen to instructions and recall various Tai Chi principles." Jana Solovka, Vic. Australia

"I have been practicing Tai Chi for over 20 years, and I have found no one that compares with Dr Lam - your presentation and expertise are what make the difference." Ted Stark, OR, USA

"The other day I was at the library and saw your video on the shelf... I was impressed with your presentation and the ease of following along. It is clearly one of the best Tai Chi instructional videos I have seen." Allan J. Glazer, DPM USA

Any headline that features die is bound to grab your attention. The headline appeared in an article published by The Scotsman. What the title lacks in sensitivity it makes up for in reader feedback. Both, statistically eye-popping and universally alarming, I give you extracts from the article and a few passionate responses from readers. How does it make you feel?

Research from Edinburgh University reveals the number of people diagnosed with type-2 diabetes will soar by 60% within the next ten years. This is mainly due to the obesity crisis, with current estimates showing a quarter of the population is likely to be classed as obese by 2018. Doctors say they are treating an increasing number of teenagers for type-2 diabetes, which traditionally only develops in older people. Being overweight is a strong factor in becoming a type-2 diabetic, which can lead to complications of diabetes like blindness, amputations, cardiovascular disease and kidney failure. Diabetes and complications therein are estimated to costs the NHS nearly a tenth of its yearly budget. With future expectations of diagnosis -- the strain on the NHS will get worse. Andy Kerr, the health minister, admitted diabetes would prove to be a time bomb if the Executive's healthy eating initiatives failed. But he ruled out screening children for diabetes or rationing healthcare for people diagnosed with type-2 because of their unhealthy lifestyles.

And now for the comments:

Commenter #3 says I daresay the Scottish obesity/diabetes problems predates devolution.
Commenter #9 says, The statistical analysis regarding type 2 diabetes is flawed; the medical profession have been guilty in prescribing drugs and reissuing prescriptions for drugs that are only safe for short periods. One such drug has had its usage limited by the authorities within the past 3 years in Scotland and has only been reclassified in England and Wales in the past 6 months. This drug is now listed as causing type 2 diabetes, how many more are there out there? Hence the statistical analysis is being used to cover a grave error that is to be covered up.
Commenter #20 says, Perhaps we should take a closer look at why our kids are obese. They are marooned in the house for most their lives and when they actually do go out mum or dad are suckered into driving them everywhere. Tackle the fear which causes this situation and you are half way to solving the obesity problem of our youngsters.

All things considered, what if this headline was featured in the New York Times or more revealing - the 5 o'clock news? How would you react to it?

Yes, once again - the thoughtful feedback of thediabetsblog audience has landed me smack-dab in the middle of a dietary goldmine! Today I proudly introduce the genius of Dreamfields Pasta, thanks to a comment from ItalianGM.

Inspired by the movement of healthier living and lower carb lifestyles, Dreamfields Pasta created a product that the whole family could eat. They culminated their rich experience in pasta, which happens to supply premium pasta products throughout the world, to produce some of the best tasting healthiest pasta on the market. Ever hear of Barilla Plus? Well, in a taste test comparison Dreamfields Pasta beat it, hands down. It is available in 6 popular shapes: Lasagna, Rotini, Spaghetti, Linguine, Elbows, and Penne Rigate. Don't be turned off by the price - at nearly $4 a pound, wholesome goodness isn't cheap.

In all fairness - Dreamfields Pasta is culinary magic. A world class product, delicious old-world taste and al dente texture define the reputation but you'll be the wet noodle if you don't taste test it for yourself. In a million years I never would have imagined the possibility of making mac & cheese with a total digestible carbohydrate count of 19 grams. The real test is seeing if the folks believe its low-carb.

British researchers have found that tight glucose control during hospitalization for a stroke may not improve survival.

The study involved 933 patients enrolled within 24 hours of a stroke who had glucose in the range of 6.0 to 17 mmol/l. Participants received saline solution or continuous glucose, potassium, insulin infusions to reduce their blood glucose. Patients were monitored every two hours with glucose adjusted if needed every eight hours. The researchers found that both treatment and placebo groups had improvement in glucose levels. The treatment group had an overall mean 0.57 mmol/l reduction in glucose over 24 hours while glucose levels also fell spontaneously with simple saline hydration. There was also no difference in the secondary outcome of disability. There was a significant reduction in systolic blood pressure in the treatment group. A researcher noted, "In the majority of patients, treatment with a simple saline infusion will correct mild to moderate hyperglycemia."

The saline and glucose relationship is similar to the way the noninvasive glucose monitors measure blood sugar (aka Glucowatch)., This relationship between sodium and glucose in the blood moves inverse. When your sugar levels are elevated, your sodium is down. When you force sodium into your blood, your sugar is suppressed. Doctors must proceed with caution in light of this study. When it comes to aggressively lowering glucose, especially after a trauma, it could be more harmful than helpful.

Yes sports fans -- diabetes did make a cameo at the Super Bowl. Did you see her?

The notorious commercials-- costing several million a pop- livened up the intensity of the game. The K-fed commercial had a reputation a long time ago – and passed it, with flying colors! The commercial of diabetic interest was paid for by King Pharmaceuticals. It featured a man dressed as a heart, being chased by different factors that can wear and tear on your little pumper. Of course, the role of "diabetes" was portrayed wonderfully by a woman. Hell hath no fury, people. And the message?

The ad is promoting an educational site that King Pharmaceuticals has partnered with the American Heart Association to launch. The site is named beatyourrisk.com. The chief commercial officer for King Pharmaceuticals said, "The purpose of the ad is to raise awareness for the Web site to any extent possible and educate people that they are at serious risk. This is not toenail fungus. People can die." So true! And after you finish cleaning up the remains of the potato chips, wings, and beer - check out the site and rejoice in preventative education!

The results of this study do not surprise me at all. Researchers have found that psychosocial factors like cynical distrust, chronic stress and depression, may be associated with higher levels of inflammatory markers. These inflammatory markers are related to an increased risk for cardiovascular disease, the leading cause of premature death among people with diabetes.

The study included 6,814 men and women between the ages of 45 to 84. Participants were assessed for their levels of depression, chronic stress and cynical distrust. Blood samples obtained at the start of the study were analyzed for markers for inflammation. The researchers found associations between all three psychosocial factors and inflammatory markers.

A high stress lifestyle may increase the chance that an individual engages in social behaviors that increase inflammatory markers. The same high stress lifestyle may contribute to obesity and related metabolic problems. Furthermore, socioeconomic position is likely to be a precursor to psychosocial characteristics. True. But let's not wager our lives on a dollar-denominated scale. Consider the Chinese proverb, those who know when they have enough are rich. Now ask yourself where you stand in the socioeconomic parade. If you put it that way - I'm on easy street! Too bad it's in the wrong neighborhood.

Pomegranate juice was shown to reduce the risk of arthrosclerosis in diabetics who participated in a study conducted over three months. The pomegranate juice also appeared to slow the absorption of unhealthy LDL cholesterol by immune cells.

People with diabetes have increased risk for atherosclerosis, contributing to coronary heart disease, heart attacks, strokes, and other circulation problems. The results of this study suggest that the antioxidants found in pomegranate juice may be beneficial in reducing these heart-related risks associated with diabetes. The sugars in pomegranate juice are attached to unique antioxidants, which actually make these sugars protective against atherosclerosis. Researchers examined the effects of drinking a concentrated pomegranate juice that is the equivalent to about a 6-ounce glass of freshly squeezed pomegranate juice for three months in 10 healthy adults and 10 adults with type 2 diabetes (who were not dependent on insulin therapy). Drinking pomegranate juice did not affect overall cholesterol levels, but researchers found it reduced the uptake of LDL (bad) cholesterol by immune cells, which is a major contributing factor to atherosclerosis.

Albeit a little tart, the reputation of the pomegranate falls heavily on the sweet side. One pomegranate delivers 40% of an adult's daily vitamin C requirement. Food manufacturers' favor using pomegranate extracts instead of the juice because it contains no sugar, calories, or additives. Factor in the folic acid, the free-radical destroying antioxidants, and the overall health benefits of the Chinese apple and ask your arteries if it's worth a 6 ounce glass. I'm guessing the answer is yes.

Bariatric surgery is the term for operations to help promote weight loss by making it difficult for the patient to consume a lot (or even a normal amount) of food. It offers a viable solution of mitigating type 2 diabetes, if not curing it entirely. In 2004, a major study showed that after 10 years, diabetes disappeared in 36% of patients who had the surgery, compared with 13% who did not.

Bariatric surgery is an increasingly popular option for people who can't lose enough weight by diet and exercise. The number of such surgeries has quadrupled since 2000, reaching 177,600 this year. For morbidly obese patients with type 2 diabetes, bariatric surgery results in a cure rate of 80-98%. About 90% of type 2 diabetics are overweight. In terms of just diabetes alone, the cure rate of serious illness after surgery is greater than 80%.

Bariatric surgery is nothing to take lightly. Although it is a serious procedure, it gives type 2 diabetics a token of hope they may never have to rue the day of diabetic complication like blindness, amputations, neuropathy, stroke, heart attack, and life itself. Is the risk worth the reward?

Here's some uplifting news for elderly diabetics -- the condition does not increase the likelihood that they'll develop Alzheimers disease, according to a report in the medical journal Neurology.

The data came from the Religious Orders Study, which included 1,000 older religious clergy (nuns, priests and brothers). The goal of the Religious Orders Study is to evaluate the transition from a normal functioning brain to the mild cognitive impairment of Alzheimer's disease and related disorders. The participants agreed to an evaluation each year and brain donation after death. Of the 233 autopsied participants, researchers found just over one third had one or more cerebral infarctions, and patients with diabetes were about 2.5 times more likely than others to have cerebral infarction. A cerebral infarction, also called a stroke, is a life-threatening condition marked by a sudden disruption in the blood supply to the brain The levels of Alzheimer-type damage were similar between subjects with and without diabetes.

Understanding the results of this study may contribute toward decreasing the effects of diabetes on the brain. Since cerebral infarctions primarily affect muscular coordination, and Alzheimer's disease is a neurodegenerative disease (muscular and memory) - the results of the Religious Orders Study support the hypothesis that diabetes is not linked to Alzheimer's in seniors. Should old acquaintances be forgotten, and never brought to mind? Not due to diabetes. Happy New Year!

Many of us know that failure to properly manage diabetes can lead to financially stifling and disabling complications, heart disease and stroke, kidney disease, blindness and amputations to name a few. Between medications, supplies, durable goods (for those of you pumping), doctor's visits and training - diabetes can really decay your annual income. And yes, I'm talking about the copays. When an individual lacks health insurance altogether or has inadequate coverage, the costs are even greater.

As diabetes continues to rise -- it is increasing by 8 percent each year, according to the U.S. Centers for Disease Control and Prevention -- state health coverage protections are becoming more important than ever.

See the Coming Attractions of Stewart Perry's interview with dLife Host Nicole Johnson Baker The Cost of Diabetes, October 1, on dLifeTV. Learn the ins and outs of dealing with insurance companies and how to best use the programs available for diabetics. dLifeTV can be seen every Sunday on CNBC at 7:00pm ET/4:00pm Pacific. Visit dLife for further information. It's all about diabetes.

Do you know what a transient ischemic attack, or TIA, is? Well, neither did I until five minutes ago. It's a mini-stroke. Now, that's a term you may be familiar with. Basically, they look just like a regular stroke but they cause no long-term problems. Trouble is, once you've experienced a mini-stroke, you're at much greater risk of having a regular, full-on stroke.

Here's news about mini-strokes that should be of interest to diabetics: a Dutch study concludes that impaired glucose tolerance, a precursor to diabetes, is linked to increased risk of stroke in non-diabetics who have already suffered a minor or mini-stroke. Specifically, study participants who had impaired glucose tolerance exhibited a scary eighty percent increased stroke risk. In other words, for those who have already suffered a TIA and who have impaired glucose tolerance, the risk of suffering a full stroke is higher than for those with regular glucose tolerance.

Results have been published in the rather unfortunately titled medical journal Stroke (June 2006)