THE DIABETIC NEWSLETTER January 6, 2003 - Volume IV; Issue #23 - http://diabeticnewsletter.com Published every other Monday by The Diabetic Gourmet Magazine Visit The Diabetic Gourmet Magazine at http://diabeticgourmet.com ---- Please Visit This Week's Sponsor Below ------------ NEW LOWER PRICE ON THE DIABETIC GOURMET COOKBOOK!!! Our new cookbook is now being offered at 32% off the regular price at Amazon.com, making it a mere $11.53. This collection of mouth-watering dishes includes healthy versions of crowd pleasers like chocolate chip pancakes, cranberry scones, huevos rancheros, potato skins, pot roast, veal piccata, peanut butter cookies, banana cream pie, baklava, hazelnut chocolate cheesecake and pecan winter waffles. For more info and to learn how to order for yourself or as a great gift for someone you love, please visit: http://diabeticgourmetcookbook.com ----- End of Sponsor Message ------------------------- CONTENTS: ========================= - In The News - Announcements - Feature Recipes - Mexican Red Rice - Bean and Cheese Chili Rellenos - Tomato, Spinach, and Cheese Burritos - Mexican Hash - Diabetes 101: - Diabetes Insipidus - Food and Cooking: - Making A Nut Case - Diabetes Q and A: - How do I know if I am at risk for getting Diabetes? - Diabetes Related Explanations & Definitions - Information About This Newsletter This week's feature recipes appear courtesy of Surrey Books and are excerpted from "1,001 Delicious Recipes For People With Diabetes." Book info at: http://tgcmagazine.com/bin/track/click.cgi?id=24 ========================= IN THE NEWS ========================= Gelatin Particles Show Promise for Delivering Therapeutic Genes Read at: http://thediabeticnews.com/news/438.shtml Alcohol-Induced Sodium Sensitivity May Increase Blood Pressure Read at: http://thediabeticnews.com/news/439.shtml 45-Percent of New Dialysis Patients are Diabetic; Longer Treatment and Highly Permeable Artificial Kidney use May Not Improve Survival Rates Read at: http://thediabeticnews.com/news/441.shtml Study Finds Traditional Diuretics Work Better Than Newer Medicines for Treating Hypertension Read at: http://thediabeticnews.com/news/440.shtml New Mouse Model Sheds Light on Lipoatrophic Diabetes Read at: http://thediabeticnews.com/news/437.shtml Full Diabetic Gourmet Magazine Newswire and Archive: http://diabeticgourmet.com/In_The_News/ Get the news delivered as it's reported! Subscribe to The Diabetic News at http://TheDiabeticNews.com ========================= ANNOUNCEMENTS ========================= ---// Win a Copy of Our Debut Cookbook! That's right, just visit our pre-release website and sign up for our book announcement mailing list. You'll automatically be entered to win a copy of "Recipes From The Diabetic Gourmet." Visit http://DiabeticGourmetCookbook.com ---// Enter This Month's Free Contest/Giveaway Visit us today and enter our free giveaway to win a copy of "The Other Diabetes: Living and Eating Well With Type 2 Diabetes" by Elizabeth Hiser. Enter at http://diabeticgourmet.com/contest ========================= THIS WEEK'S RECIPES ========================= More recipes online at http://diabeticgourmet.com/recipes/ ------------------------------- MEXICAN RED RICE Makes: 6 Servings (about 2/3 cup each) INGREDIENTS - Vegetable cooking spray - 1 large tomato, chopped - 1/2 cup chopped onion - 1 clove garlic, minced - 1/2 teaspoon dried oregano leaves - 1/4 teaspoon ground cumin - 1 cup converted rice - 1 can (14-1/2 ounces) reduced-sodium fat-free chicken broth - 1/3 cup water - 1 carrot, cooked, diced - 1/2 cup frozen, thawed peas - Salt and pepper, to taste DIRECTIONS Spray large saucepan with cooking spray; heat over medium heat until hot. Saute tomato, onion, garlic, and herbs until onion is tender, 3 to 5 minutes. Add rice; cook over medium heat until rice is lightly browned, 2 to 3 minutes, stirring frequently. Add broth and water to saucepan; heat to boiling. Reduce heat and simmer, covered, until rice is tender, about 25 minutes, adding carrot and peas during last 5 minutes. Season to taste with salt and pepper. Nutritional Information Per Serving: (2/3 cup) Calories: 146, Fat: 0.4 g, Cholesterol: 0 mg, Sodium: 41 mg, Protein: 4.7 g, Carbohydrate: 30.7 g Diabetic Exchanges: 2 Bread/Starch ----------------------- BEAN AND CHEESE CHILI RELLENOS Makes: 6 Servings INGREDIENTS - 6 large poblano chilies - 2-3 quarts water - Vegetable cooking spray - 1/2 small jalapeno chili, seeds and veins discarded, minced - 4 cloves garlic, minced - 1 teaspoon dried oregano leaves - 2 packages (8-oz each) fat-free cream cheese, room temperature - 1/2 cup (2 oz) Mexican white cheese (queso blanco) or farmer's cheese, crumbled - 1-1/2 cups cooked pinto beans or 1 can (15 ounces) pinto beans, rinsed, drained - 1 tablespoon vegetable oil DIRECTIONS Cut stems from tops of poblano chilies; remove and discard seeds and veins. Heat water to boiling in large saucepan; add poblano chilies. Reduce heat and simmer, uncovered, 2 to 3 minutes, until chilies are slightly softened. Drain well and cool. Spray small skillet with cooking spray; heat over medium heat until hot. Saute jalap chili, garlic, and oregano until chili is tender, 2 to 3 minutes. Mix cream cheese, white cheese, beans, and jalapeno chili mixture; stuff poblano chilies with mixture. Heat oil in medium skillet until hot; saute chilies over medium to medium-high heat until tender and browned on all sides, 6 to 8 minutes. Serve hot. Nutritional Information Per Serving: (1/6 of recipe) Calories: 204, Fat: 5.5 g, Cholesterol: 22.3 mg, Sodium: 520 mg, Protein: 17.2 g, Carbohydrate: 19.4 g Diabetic Exchanges: 1 Vegetable, 1 Bread, 1-1/2 Meat, 1/2 Fat ----------------------- TOMATO, SPINACH AND CHEESE BURRITOS Makes: 4 Servings INGREDIENTS - 1 cup fat-free ricotta cheese - 1 cup reduced-fat ricotta cheese - 1 teaspoon grated Parmesan cheese - 3/4 teaspoon chili powder - 1/2 teaspoon crushed red pepper - 1/2 teaspoon ground cumin - 8 ounces fresh spinach leaves, divided - 4 flour tortillas (8-inch) - 1 large tomato, chopped - Olive oil cooking spray - 1/2 cup prepared salsa - 1/2 cup fat-free sour cream DIRECTIONS Process cheeses, chili powder, red pepper, and cumin in food processor, or beat in large mixing bowl, until smooth. Coarsely shred half the spinach leaves. Layer shredded spinach, cheese mixture, and tomato is center of each tortilla. Fold opposite sides of tortilla over filling, then roll tortilla. Lay burritos, seam sides down, in lightly greased baking pan. Spray lightly with cooking spray. Bake at 400 degrees F. until golden brown, about 25 minutes. Divide remaining spinach leaves among 4 plates; arrange burritos on spinach. Serve with salsa and sour cream. Nutritional Information Per Serving: (1 Burrito) Calories: 285, Fat: 5.3 g, Cholesterol: 16.9 mg, Sodium: 712 mg, Protein: 26.6 g, Carbohydrate: 34.7 g Diabetic Exchanges: 2 Vegetable, 1 Bread, 3 Meat ----------------------- MEXICAN HASH Makes: 4 Servings INGREDIENTS - 1 pound boneless beef eye of round, fat trimmed, cut into 1/2-inch cubes - 1 quart water - Vegetable cooking spray - 1 large tomato, chopped - 2 large poblano chilies, sliced - 1 large onion, chopped - 1 pound Idaho potatoes, unpeeled, cooked, cut into 1/2-inch cubes - Chili powder, to taste - Salt and pepper, to taste DIRECTIONS Heat beef cubes and water to boiling in large saucepan; reduce heat and simmer, covered, until beef is tender, 30 to 45 minutes. Drain; shred beef. Spray large skillet with cooking spray; heat over medium heat until hot. Cook beef over medium-high heat until beginning to brown and crisp, about 5 minutes. Add tomato; cook over medium heat 5 minutes. Remove mixture from skillet and reserve. Add poblano chilies and onion to skillet; cook until tender, 5 to 8 minutes. Add potatoes and cook until browned, about 5 minutes. Add reserved meat mixture to skillet; cook until hot, 3 minutes. Add reserved meat mixture to skillet; cook until hot, 3 to 4 minutes. Season to taste with chili powder, salt, and pepper. Nutritional Information Per Serving: (1/4 of recipe) Calories: 242, Fat: 4 g, Cholesterol: 54.7 mg, Sodium: 55 mg, Protein: 23.4 g, Carbohydrate: 27.9 g Diabetic Exchanges: 1-1/2 Vegetable, 1 Bread, 2-1/2 Meat ========================= DIABETES 101: DIABETES INSIPIDUS ========================= DIABETES INSIPIDUS Diabetes insipidus (DI) is characterized by excretion of large amounts of dilute urine, which disrupts your body's water regulation. To make up for lost water, you may feel the need to drink large amounts of water. You are likely to urinate frequently, even at night, which can disrupt sleep or, on occasion, cause bedwetting. Because of the excretion of abnormally large volumes of dilute urine, you may quickly become dehydrated if you do not drink enough water. Children with DI may be irritable or listless and, in some cases, may have fever, vomiting, or diarrhea. Normal Fluid Regulation in the Body Your body has a complex system for balancing the volume and composition of body fluids. Your kidneys remove extra body fluids from your bloodstream. This fluid waste is stored in the bladder as urine. If your fluid regulation system is working properly, your kidneys make less urine to conserve fluid when the body is losing water. Your kidneys also make less urine at night when the body's metabolic processes are slower. The hypothalamus makes antidiuretic hormone (ADH), which directs the kidneys to make less urine. In order to keep the volume and composition of body fluids balanced, the rate of fluid intake is governed by thirst, and the rate of excretion is governed by the production of antidiuretic hormone (ADH), also called vasopressin. This hormone is made in the hypothalamus, a small gland located in the base of the brain. ADH is stored in the nearby pituitary gland and released from it into the bloodstream when necessary. When ADH reaches the kidneys, it directs the kidneys to concentrate the urine by returning excess water to the bloodstream and therefore make less urine. DI occurs when this precise system for regulating the kidneys' handling of fluids is disrupted. The most common form of DI, central DI, results from damage to the pituitary gland, which disrupts the normal storage and release of ADH. Another form, nephrogenic DI, results when the kidneys are unable to respond to ADH. Rarer forms occur because of a defect in the thirst mechanism (dipsogenic DI) or during pregnancy (gestational DI). Diabetes Insipidus versus Diabetes Mellitus DI should not be confused with diabetes mellitus, which results from insulin deficiency or resistance. Diabetes insipidus and diabetes mellitus are unrelated, although they can have similar signs and symptoms, like excessive thirst and excessive urination. Diabetes mellitus (DM) is far more common than DI and receives more news coverage. DM has two forms, referred to as type 1 diabetes (formerly called juvenile diabetes, or insulin-dependent diabetes mellitus, or IDDM) and type 2 diabetes (formerly called adult-onset diabetes, or non-insulin-dependent diabetes mellitus, or NIDDM). DI is a different form of illness altogether. Central DI Damage to the pituitary gland can be caused by different diseases as well as by head injuries, neurosurgery, or genetic disorders. To treat the resulting ADH deficiency, a synthetic hormone called desmopressin can be taken by an injection, a nasal spray, or a pill. While taking desmopressin, you should drink fluids or water only when you are thirsty and not at other times. This is because the drug prevents water excretion and water can build up now that your kidneys are making less urine and are less responsive to changes in body fluids. Nephrogenic DI The kidneys' ability to respond to ADH can be impaired by drugs (like lithium, for example) and by chronic disorders including polycystic kidney disease, sickle cell disease, kidney failure, partial blockage of the ureters, and inherited genetic disorders. Sometimes the cause of nephrogenic DI is never discovered. Desmopressin will not work for this form of DI. Instead, you may be given a drug called hydrochlorothiazide (also called HCTZ) or indomethacin. HCTZ is sometimes combined with amiloride. Again, you should drink fluids only when you are thirsty and not at other times. Dipsogenic DI A third type of DI is caused by a defect in or damage to the thirst mechanism, which is located in the hypothalamus. This defect results in an abnormal increase in thirst and fluid intake that suppresses ADH secretion and increases urine output. Desmopressin or other drugs should not be used to treat dipsogenic DI because they may decrease urine output but not thirst and fluid intake. This fluid "overload" can lead to water intoxication, a condition that lowers the concentration of sodium in the blood and can seriously damage the brain. Gestational DI A fourth type of DI occurs only during pregnancy. Gestational DI occurs when an enzyme made by the placenta destroys ADH in the mother. The placenta is the system of blood vessels and other tissue that develops with the fetus. The placenta allows exchange of nutrients and waste products between mother and fetus. Most cases of gestational DI can be treated with desmopressin. In rare cases, however, an abnormality in the thirst mechanism causes gestational DI, and desmopressin should not be used. A specialist should determine which form of DI is present before starting any treatment. Diagnosis Because DM is more common and because DM and DI have similar symptoms, a health care provider may suspect that a patient with DI has DM. But testing should make the diagnosis clear. Your physician must determine which type of DI is involved before proper treatment can begin. Diagnosis is based on a series of tests, including urinalysis and a fluid deprivation test. Urinalysis is the physical and chemical examination of urine. The urine of a person with DI will be less concentrated. Therefore, the salt and waste concentrations are low, and the amount of water excreted is high. A physician evaluates the concentration of urine by testing its specific gravity or osmolality. A fluid deprivation test helps determine whether DI is caused by (1) excessive intake of fluid, (2) a defect in ADH production, or (3) a defect in the kidneys' response to ADH. This test measures changes in body weight, urine output, and urine composition when fluids are withheld. Sometimes measuring blood levels of ADH during this test is also necessary. In some patients, an MRI (magnetic resonance imaging) of the brain may be necessary as well. Source: NIDDK ========================= FOOD AND COOKING ========================= MAKING A NUT CASE Scientists and health experts have started to go nuts. Researchers have determined that nuts - used in moderation - can make beneficial contributions to a healthful diet. Nuts provide many of the same nutrients as other protein sources, like meat and poultry, but without the saturated fat. There is new evidence that unsaturated fats - found in foods such as nuts, vegetable oils and fish - can lower the risk of several chronic diseases. Studies have shown significant drops in cholesterol when people add walnuts, almonds, pistachios, peanuts, or other nuts to their diets. (Peanuts are technically legumes but are eaten like nuts and have similar nutrition.) In addition to mono- and polyunsaturated fats, nuts contain vitamin E, protein, magnesium, potassium and dietary fiber - all potential cancer-fighting substances. The key to including nuts in your diet is moderation. Nuts are concentrated in calories, so be sure you cut back on other foods and watch portions. A serving of nuts is a scant handful. The cholesterol drops in the new research studies usually involved substituting three servings of nuts for other foods each day. Nuts should be exchanged for foods with a similar number of calories. For example, instead of serving broccoli with 2 teaspoons of butter, saute cooked broccoli in 1 teaspoon of olive oil and sprinkle it with a tablespoon of chopped nuts. You get a lot of bang for your buck with a nut. A handful of nuts, which can be quite satisfying, is a better snack than chips or high-fat crackers made with hydrogenated oils. And nuts can replace some of the meat or cheese as the protein in salads and stir-fries. Spiced nuts are a good, filling snack. The flavor of most nuts benefits from a light toasting, as in the following recipe. SPICED TOASTED ALMONDS Ingredients - 1 Tbsp. dried thyme leaves - 1 tsp. kosher or sea salt - 1/4 tsp. red (cayenne) pepper, or to taste - 2 tsp. canola oil - 2 cups whole, unblanched almonds - Canola oil spray Directions Preheat oven to 400 degrees. In large, shallow bowl, combine thyme, salt, pepper and oil. Set aside. Place nuts in medium bowl. While tossing with fork, lightly spray with canola oil so all surfaces are coated. Lightly coat baking sheet with canola oil spray. Turn nuts onto sheet and spread evenly across surface. Place baking sheet in center of the oven. Toast until nuts are lightly browned and fragrant - about 8 minutes. Occasionally, shake pan to shift nuts and prevent scorching. (Be careful not to let nuts get too dark or they'll taste burned.) Remove from oven and immediately add hot nuts to spice mixture. Stir for a few minutes to coat the nuts thoroughly. Taste and adjust the seasonings. Serve warm or at room temperature. Nuts can be sealed and stored for up to two weeks. Reheat in a hot oven. Makes 2 cups or 8 servings. Nutritional Information Per Serving: 223 calories, 19 g total fat (1 g saturated fat), 7 g carbohydrate, 7 g protein, 4 g dietary fiber, 235 mg sodium Source: AICR ========================= DIABETES RELATED DEFINITIONS AND EXPLANATIONS ========================= - ENDOGENOUS Grown or made inside the body. Insulin made by a person's own pancreas is endogenous insulin. Insulin that is made from beef or pork pancreas or derived from bacteria is exogenous because it comes from outside the body and must be injected. - LIPODYSTROPHY Lumps or small dents in the skin that form when a person keeps injecting the needle in the same spot. Lipodystrophies are harmless. People who want to avoid them can do so by changing (rotating) the places where they inject their insulin. Using purified insulins may also help. - RISK FACTOR Anything that raises the chance that a person will get a disease. With non-insulin-dependent diabetes, people have a greater risk of getting the disease if they weigh a lot more (20 percent or more) than they should. - NONKETOTIC COMA A type of coma caused by a lack of insulin. A nonketotic crisis means: (1) very high levels of glucose (sugar) in the blood; (2) absence of ketoacidosis; (3) great loss of body fluid; and (4) a sleepy, confused, or comatose state. Nonketotic coma often results from some other problem such as a severe infection or kidney failure. - PANCREATITIS Inflammation (pain, tenderness) of the pancreas; it can make the pancreas stop working. It is caused by drinking too much alcohol, by disease in the gallbladder, or by a virus. ========================= DIABETES Q AND A: ========================= QUESTION: How do I know if I am at risk for getting Diabetes? ANSWER: Experts suggest that adults age 45 years and older be tested for diabetes. If their blood glucose is normal at the first test, they should be tested at 3-year intervals. People under age 45 should be tested if they are at high risk for diabetes. Please check with your doctor if you think you may be at risk for diabetes. High-risk factors include: Being more than 20 percent above ideal body weight or having a body mass index (BMI) of greater than or equal to 27. BMI is the ratio of weight in kilograms to height in meters squared (kg/m2 ). (Your doctor or dietitian can provide information on your BMI) Having a mother, father, brother, or sister with diabetes. Being African American, Alaska Native, American Indian, Asian American, Hispanic American, or Pacific Islander American. Giving birth to a baby weighing more than 9 pounds or having diabetes during pregnancy. Having blood pressure at or above 140/90 millimeters of mercury (mmHg). Having abnormal blood lipid levels, such as high density lipoprotein (HDL) cholesterol less than 35 mg/dL or triglycerides greater than 250 mg/dL. Having abnormal glucose tolerance when previously tested for diabetes. Source: NIDDK ---- Advertisement / Sponsorship -------------------- NEW LOWER PRICE ON THE DIABETIC GOURMET COOKBOOK!!! Our new cookbook is now being offered at 32% off the regular price at Amazon.com, making it a mere $11.53. This collection of mouth-watering dishes includes healthy versions of crowd pleasers like chocolate chip pancakes, cranberry scones, huevos rancheros, potato skins, pot roast, veal piccata, peanut butter cookies, banana cream pie, baklava, hazelnut chocolate cheesecake and pecan winter waffles. For more info and to learn how to order for yourself or as a great gift for someone you love, please visit: http://diabeticgourmetcookbook.com ------ end of Advertisement ----------------------- ----------------------------------------------------- NEWSLETTER INFORMATION ----------------------------------------------------- The Diabetic Newsletter is published by The Diabetic Gourmet Magazine and emailed every other Monday. This is an opt-in newsletter, meaning all subscribers individually signed up to receive it via email. SUBSCRIBE or UNSUBSCRIBE at http://diabeticgourmet.com or follow this automatic REMOVAL link: xxx PRINT FORMAT TROUBLE? Try reducing font size prior to printing. DIABETIC NEWS - http://TheDiabeticNews.com MORE DIABETIC RECIPES -- http://DailyDiabeticRecipe.com DNL MESSAGE BOARD - http://diabeticgourmet.com/forum/newsletter/ GOURMET SHOPPING at http://gourmetshoppes.com Important Note & DISCLAIMER: The recipes provided include nutritional information and diabetic exchanges. Not all recipes are appropriate for all people. Please make sure a recipe is appropriate for your meal plan and pay careful attention to serving sizes. Information provided is for entertainment purposes only and is not a substitute for professional medical advice. Only your healthcare provider should diagnose your healthcare problems and prescribe treatment. Sponsors, as well as the information or claims made by sponsors, are not an endorsement for the sponsor or the products or services being offered, nor is the appearance of any sponsorship message an acknowledgment that any claims being made by a sponsor are accurate. All Contents Copyright © 2003 CAPCO Marketing. All Rights Reserved. Contents protected by US & International copyright laws. Diabetic Gourmet Magazine & Diabetic Newsletter are trademarks of CAPCO Marketing. All other brand or product names are trademarks or registered trademarks of their respective companies.
|