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FOOD FOR THOUGHT��������������������

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Artwork:Dancing fruits and vegetables

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���� We invite blurbs and tidbit articles for inclusion in

this column.Materials received may be edited and used as

space permits.Products and services included in this

column are for information only and do not imply endorsement

by the Diabetes Action Network of the NFB.

 

 

���������������� Drug Substitution Errors

 

���� The Institute for Safe Medication Practices (ISMP)

reports that prescriptions for the popular diabetes

medication Diabeta (glyburide) have been mistaken for the

beta‑blocker Zebeta (bisoprolol fumerate).They look and

sound alike, and substitution errors have been reported.

ISMP advises doctors, nurses, and pharmacists to consider

the patient's diagnosis, to determine whether the drug is

indicated, and to use print, not cursive script, to

communicate drug names.Patients should also be observant.

 

 

������������� New Type 2 Diabetes Information

 

���� Those of us who have diabetes, either type 1 or type 2,

are aware of the "post‑prandial spike," the sharp rise in

blood sugars that can occur after a meal.We chart it, we

detect it with our monitors, and, hopefully, we take action

to bring the sugars back down, with exercise, medications,

and modifications to diet next time.

 

���� Type 2 diabetes, more than 90% of all diabetes, is

characterized by slow and ambiguous onset.By the time the

symptoms are obvious and apparent, diabetes may have been

present for years ‑‑ causing damage and increasing the

chance of complications.The problem is one of early

detection.

 

���� New studies suggest a post‑meal blood sugar "spike" may

well be a sign of early type 2, even if the FPG (fasting

Plasma Glucose) test is still within the normal range.

Research suggests that such "post‑prandial" diabetes needs

intervention, to reduce the risk and rate of complications,

and that some of the newer oral medications, such as Glyset

and Acarbose, are effective "spike reducers."

 

���� Remember to discuss your blood glucose test results

with your doctor and diabetes educator.

 

 

������������������ 2000 Raffle Winners

 

���� At the keynote banquet for the 2000 annual convention

of the National Federation of the Blind, in Atlanta,Georgia,

the winning ticket was drawn in the Diabetes Action

Network raffle.Winning ticketholder was Aaron Hartman, of

Shelby, South Dakota.

���� Lots of people helped sell tickets, and the following

folks each sold 50 or more.In descending order of tickets

sold:Karen Mayry, from Rapid City, SD; John Stroot, of

Clinton, IN; Gisela Distel, of Albany, NY; Billie Weaver, of

Springfield, MO; Betty Walker, of Jefferson City, MO;

Bernadette Jacobs, of Baltimore, MD; Sally York, from Castro

Valley, CA; Ed Bryant, of Columbia, MO; Sandie Addy, from

Prescott Valley, AZ; The NFB of South Dakota;Bill Yates,

of Bakersfield, CA; and Paul Price, of Valley Center, CA.

Truly a winning performance ‑‑ See you next time!

 

 

���������������� More About ACE Inhibitors

 

���� There are many classes of medications to reduce blood

pressure.Research has shown that one class, the ACE

inhibitors, is most appropriate for diabetic use, especially

where kidney damage (nephropathy) is present.

 

���� But all ACE inhibitors are not quite the same.While

they all show clear cardiac benefits, and all help reduce

fluid pressure in the kidney (making the ACE inhibitors a

good choice for treatment of nephropathy, kidney disease),

They are not equally effective in their primary role, the

treatment of certain cardiac conditions.Comparison of

findings from two studies, the HOPE ("Heart Outcomes

Prevention Evaluation") and the QUIET ("Quinapril Ischemic

Event Trial") strongly suggest that newer ACE inhibitors,

such as Altace (ramipril) are more effective against cardiac

events.So, if you need an ACE inhibitor, be sure you are

using the correct one for you ‑‑ they're not all the same.

Talk to your doctor about the ACE inhibitors.

 

��

������������������ New Islet Cell Study

 

���� The "cure" for type 1, insulin‑dependent diabetes, may

well come from islet‑cell transplantation, from replacement

of the diabetic's own defective islet (Beta) cells by new,

healthy, insulin producing islet cells.The problem has

been to deal with the body's immune response, with the

problem of rejection.Many strategies have been tried.

What follows is a new one.

 

���� An Israeli team, led by Dr.Shimon Efrat, from Tel

Aviv University, is attempting to genetically re‑engineer

islet cells so they will resist autoimmune attack, by

splicing viral proteins into their DNA.Where other

researchers are exploring shielding islet cells by

surrounding them in porous polymers, Dr.Efrat's team is

perhaps the first to combine such shields with genetic

manipulation.

 

���� The study is still working with animals at this time,

and there is not yet a date for commencing clinical tests on

humans.The team expects such clinical tests could start in

the next few years.

 

 

��������������� Talking Telephone Caller ID

 

���� We have been asked to announce:The CIDney Model 560

Talking Caller ID will "speak" an incoming caller's 10‑digit

phone number (or custom caller category), between the first

and second ring.If that number is blocked or

unidentifiable, it will announce "number blocked," or "number

unidentifiable."The unit stores the last 99 incoming phone

numbers, and speaks them back to you on command, along with

date and day of the call.It has a visual and audible

"message waiting" indicator, and its three‑line LCD displays

name, number, date and time.The 560 also has a new "dial

back" feature.Priced at $49.95, contact:Full Life

Products, PO Box 490, Mirror Lake, NH 03853; telephone: 1‑

800‑400‑1540; website: http://www.superproducts.com

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������������������� New Division Board

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���� At this year's NFB national convention, in Atlanta,

Georgia, we, the Diabetes Action Network of the National

Federation of the Blind, elected our new Board.All veteran

diabetics, they are:

 

President:Ed Bryant (Columbia, MO)

 

First Vice President:Eric Woods (Denver, CO)

 

Second Vice President:Sandie Addy (Prescott Valley, AZ)

 

Treasurer:Bruce Peters (Akron, OH)

 

Secretary:Sally York (Castro Valley, CA)

 

Board Member‑At‑Large:Gisela Distel (Albany, NY)

 

Board Member‑At‑Large:Paul Price (Valley Center, CA)

Board Member‑At‑Large:Dawnelle Cruze (Portsmouth, VA)

 

���� Dawnelle, our newest member, is president of the NFB of

Virginia's Diabetes Action Network.She also works for the

Red Cross.

�����

 

���������������� VOICE DISTRIBUTORS NEEDED

 

���� Since the VOICE is now offered free, our Diabetes

Action Network will provide extra copies to anyone wanting

to help spread the word.We will gladly send from five to

five hundred‑plus copies each quarter to be used as free

literature.Medical facilities can order as needed for

patients. Individuals can usually place copies of the VOICE

in libraries, pharmacies, hospitals, doctors' offices, or

other public locations.

 

���� Diabetes education is essential.Anyone who

distributes the VOICE will be helping people with diabetes,

and their families, to learn about the disease and its

ramifications; to learn that they have options; and that

their world is far greater than whatever "limits" may be

imposed by the disease.If you would like to help spread

the word by distributing the publication, please contact:

Voice of the Diabetic, 811 Cherry Street, Suite 309,

Columbia, MO 65201; telephone:(573) 875‑8911, fax: (573)

875‑8902.NOTE:Please provide a phone number so we can

reach you.

 

 

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