The benefits of exercise and healthy eating constantly reinforce each other.

First of all, good blood flow to the penis is essential for erections. High levels of cholesterol and fat in your bloodstream leave deposits in the walls of your blood vessels. This leads to atherosclerosis and contributes to high blood pressure, both of which can damage blood vessels and reduce blood flow. Exercise helps lower cholesterol and blood pressure. A diet low in fat and cholesterol also helps to prevent and reverse the buildup of fatty deposits in blood vessels.

Second, a high blood sugar level damages nerves as well as the blood vessels that are involved in getting an erection. A good diet and the right amount of exercise help keep your blood sugar level under control. Studies show that people who exercise are less likely to get diabetes, and people with diabetes who exercise have better control of their blood sugar levels. Exercise helps you use sugar more easily. That leaves less sugar in the blood.

Eating a diet low in calories — and burning calories through exercise helps you tone your body and lose weight. Studies have linked erectile dysfunction and being overweight. Many other studies have shown that exercise fights depression, which also has a major impact on sexual function. With a leaner, toned body and a better sense of well-being and self-esteem, you’re more likely to feel sexy and have normal erections.

But there’s a lot of confusing information out there. Maybe you’re wondering exactly what you should eat and what kind of exercise to choose.

Designing a Sexy Plate

For someone with diabetes, it’s important to have a meal plan approved by your doctor and a registered dietitian who is trained in diabetes nutrition.

In general, though, there are simple ways to make sure you’re eating the right things at each meal.

One good guideline to use is the food pyramid. It tells you how much of various foods should be in your diet. The things you should eat most are at the bottom and those that should be the least part of your diet are at the top. According to the food pyramid, every day you should eat:

* 2 cups of a variety of fruit
* 2.5 cups of richly colored vegetables
* 3 ounces of whole grains like whole-wheat bread, oatmeal, or brown rice
* Up to 3 ounces of refined grains like pasta, white rice, or white bread
* 3 servings of dairy foods (A serving = 1 cup of low-fat milk or yogurt, 1.5 ounces of cheese)
* 5 ounces of meat, fish, eggs, or legumes for protein
* 5 teaspoons of oils (including the oil found in nuts and fish)
* 130 to 295 discretionary calories such as sweets (about 1 cookie or cup of ice cream)

(*Note: These amounts are recommended for the average adult woman. Men can consume about one ounce more in each category.)

The diabetes “exchange” system is another way of figuring out how much of what foods to eat. An exchange list shows what portion size of a given food gives you the same amount of calories and nutrients. For example, one medium-sized peach is equivalent to 12 large cherries.

The American Diabetes Association’s “Rate Your Plate” guide is a different way to look at what you’re eating. Following this guide, you divide your plate into imaginary quarters. One-quarter should contain starches, like potatoes or rice. One-quarter should contain meat. One half should contain vegetables.

Work Out Your Workout

When it comes to exercise, you don’t have to follow any “fad” workouts. Just find a way to get your body moving and your heart rate up. Here is the recommendation of the CDC:

* 30 minutes of moderate exercise five days a week; or
* 20 minutes of vigorous exercise three days a week.

But what do “moderate” and “vigorous” actually mean? You can tell how intense the activity you’re doing is by measuring your heart rate while you’re doing it.

First, figure out what your maximum heart rate is. That’s the number 220 minus your age. If you’re 40, your max heart rate is 180.

To measure your heart rate while exercising, pause briefly to take your pulse. Place your middle and index fingers on the artery of your neck or wrist where you can feel your pulse. Using a watch with a second hand, count the number of pulses, or beats, in 60 seconds. That’s your heart rate. (If you’d rather take less time to do it, you can count the number of beats in 30 seconds and multiply by two.)

When you’re doing moderate exercise, your heart rate will be 50% to 70% of your maximum heart rate — which is based on a person’s age. If your max heart rate is 180, your goal for moderate exercise is to get your heart rate up to 90 to 126 beats per minute (bpm).

Here’s that equation:

220 – age = max heart rate

180 x .50 (50%) = 90 bpm
180 x .70 (70%) = 126 bpm

For vigorous exercise, figure it the same way, but instead of 50% to 70% of your max heart rate, the range is 70% to 85%.

180 x .70 (70%) = 126 bpm
180 x .85 (85%) = 153 bpm

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Source: LifeScan, Inc.

· OneTouch® Ultra® Test Strips – Genuine(L) Counterfeit®
· Click Here to Download Image

Performance testing of the counterfeit test strips obtained by LifeScan to date shows erratic test results that do not meet LifeScan’s performance specifications. It is unknown how counterfeit test strips which may be in the marketplace will perform. LifeScan cannot ensure the accuracy and reliability of blood glucose test results obtained from test strips it did not manufacture. Patients should discontinue use of these counterfeit test strips and replace them immediately. Patients should also contact their physician to assess potential treatment implications. Use of these counterfeit test strips could result in inaccurate test results that may lead to improper treatment. For example, insulin treatment based on inaccurate blood glucose results could result in serious injury or death.

The outer cartons of the recently discovered counterfeit test strips have all of the following characteristics:

OneTouch Ultra Test Strips
(Photo: http://www.newscom.com/cgi-bin/prnh/20061013/NYF098-a )
— Multiple Languages-English and French text on the outer carton;
— Lot Number 2691191 (located on outer carton and vial); and
— Limited to 50-Count OneTouch Ultra Test Strip packages.

OneTouch (Basic/Profile) Test Strips
(Photo: http://www.newscom.com/cgi-bin/prnh/20061013/NYF098-b )
— Multiple Languages-English, Greek and Portuguese text on the outer
carton;
— Lot Numbers 272894A, 2619932 or 2606340 (located on outer carton
and vial); and
— Limited to 50-Count OneTouch (Basic/Profile) Test Strip packages.

A detailed description of this issue, specific information for merchants, and periodic updates are available at www.GenuineOneTouch.com.

Upon identifying these incidents, LifeScan immediately notified the Food and Drug Administration (FDA) and is vigorously pursuing legal actions. The company is also notifying wholesalers, distributors, retailers and pharmacists so that they can quickly identify and remove the counterfeit test strips from the market. Any merchant or patient who discovers counterfeit products is encouraged to report their finding by calling LifeScan at 1-866-621-4855. In addition, any patient or healthcare professional that discovers counterfeit products should file a report with FDA’s MedWatch program by visiting: http://www.fda.gov/medwatch/What.htm or calling 1-800- FDA-1088.

LifeScan, Inc., a Johnson & Johnson company, and a leading maker of blood glucose monitoring products, is dedicated to creating a world without limits for people with diabetes. For healthcare professional resources, and information on diabetes care and LifeScan products and services, visit www.LifeScan.com.

(1) The counterfeit OneTouch Ultra Test Strips are intended for use with
the OneTouch® Ultra®, OneTouch® Ultra® 2, OneTouch®
UltraSmart®, and OneTouch® UltraMini(TM) Blood Glucose Monitoring
Systems.
The counterfeit OneTouch (Basic/Profile)Test Strips are intended for
use with the OneTouch® Basic®, OneTouch® Profile® and
OneTouch® II Blood Glucose Monitoring Systems.

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I didn’t know squat about the benefits and overall happiness a healthy lifestyle would lead to. I was perfectly content eating frozen pizza, smoking cigarettes, and binge drinking on a regular basis. After I was diagnosed with diabetes, I had a lengthy discussion with my doctor that resulted in an epiphany, “Everything I love is killing me!”

First, we’ll define what I mean by healthy lifestyle. When I asked the question, “What is a healthy lifestyle?” the common answer seemed to be, “Don’t smoke, don’t drink, eat only vegetables and protein, and make sure to exercise every day.”

My first thought was, “You can give that crap right back to the birds.” I was 21, loved to party, and absolutely chock full of testosterone.

The ideas, practices, and benefits a healthy lifestyle provided sounded great for managing my diabetes, but I sure didn’t like the idea of my social life falling off the face of the planet. Believing in the power of moderation, I made some compromises with my disease:

1. Smoking

I quit smoking cigarettes and only smoked cigars on special occasions such as bachelor parties, Super Bowls, or the birth of my first child. That last part was a joke. After many years of searching, special occasions are the only reason I can find to put nicotine or smoke of any kind in your body.

2. Drinking

For me, this was a big one. I’m not really the type of guy that likes to meet girls at church, and school was not really an option for me, but drinking was all my friends and I did. As a result, drinking alcohol (sadly enough) was a major component of my social life. From that day forward, I laid down some basic rules.

No liquor. Liquor causes severe instability in blood sugar levels, and will cause serious problems. I stick only to beer and wine with a maximum of three drinks. If you monitor your sugar regularly and eat beforehand, you should be able to enjoy a nice night out.

3. Eating

Of the areas available for improvement in my lifestyle, eating was the easiest for me to adapt and overcome. When I learned that protein had a minor effect on my sugar that was good news, any hamburger and steak-loving American would be happy to hear that, but the bad news was that French fries, baked potatoes, and (my favorite) sweet potatoes were off limits. That meant I had to learn to love vegetables.

From that point forward, I began cooking veggies with light butter and cayenne pepper. I know that sounds odd, but I like spicy food. As far as your diet is concerned, for the sake of your happiness, find your favorite spices and seasonings and begin experimenting with healthy foods.

4. Exercise

When it comes to exercising many people (including myself) do not follow through for long enough to see substantial results. Personally, I believe in living an active lifestyle instead of becoming a fitness and free-weight junkie. What worked for me? Basic exercises (lunges, squats, and crunches) in front of the television every morning followed by a 15 minute walk.

Complying with the guidelines I listed above, I’m still able to have a fun, active lifestyle while controlling my diabetes. Finally, I need to say that I’m not a doctor, just a guy with Type 1 Diabetes. The practices I listed worked for me to maintain the young-adult lifestyle that I wanted. You may be different, and understanding your own personality traits is critical to successful moderation and control of your diabetes.

Brandon C. Hall is an online business owner and Type 1 Diabetic who runs many websites. For the latest articles and news related to diabetes and the diabetic lifestyle visit: http://www.diabetic-resources.com

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Don’t have any diabetic friendly gift ideas? No worries. I have put together some Christmas Gift Ideas for Diabetics that should make any Diabetic on your list happy.

What’s great is that not all the gifts are diabetes themed but all are included in the American Diabetes Gift of Hope program meaning partial proceeds go towards Diabetes research and awareness. What better Christmas gift could a diabetic receive than support for finding a cure for diabetes?

Pocket Page Recipe Book $15.99
We all know that diet is one of the most important elements in living a diabetes friendly lifestyle. A great gift for the diabetic in your life would be providing a place for them to organize all of those diabetes friendly recipes that they have been accumulating. Go one step further and gather some diabetes friendly recipes to fill their book for them.

Snowman Cookie Jar $19.99
I know that this may seem a little impersonal and actually kind of cruel – diabetics can’t have cookies right? Wrong. Instead of giving them an empty cookie jar you can fill it with homemade diabetes friendly cookies. There are tons of places on the web that you can find wonderful diabetes friendly cookie recipes. The diabetic in your life will appreciate the homemade touch.

Cast Iron Fragrant Wax Melter $17.99
Now like I said, not all the gifts have to have a diabetic theme to them. This one is just plain cool. You should also remember that partial proceeds from your purchase of this gift go towards diabetes research and awareness…a gift in itself. This wax melter comes with Cinnamon and Apple scented wax and will remind anyone in smelling distance of a homemade apple pie.

Make A Donation
One of the most thoughtful gifts you can give a diabetic is an honorary donation to the American Diabetes Association in their name. This donation will go towards finding a cure for Diabetes. The person you are making the donation in honor of will receive a card in the mail personalized with a message from you announcing your care and support. To me this is the best gift a diabetic could receive.

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The continuous glucose monitoring device, which was approved for adult use last year, alerts diabetics to potentially dangerous fluctuations in their blood sugar levels and provides more frequent readings than finger stick tests.

Dips and spikes in a diabetes patient’s glucose level can lead to complications such as loss of vision, kidney function or limbs. The monitoring technology in Medtronic, Inc.’s continuous glucose monitoring device displays realtime glucose levels and provides an alert when there is a dip or spike in the glucose level.

Nearly 21 million Americans have diabetes. That is roughly 7 percent of our country’s population. Thanks to research being done into this disease we are heading towards a cure. In the meantime the continous glucose monintoring device created by Medtronic, Inc. is certainly a step in the right direction.

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Kids with type 2 diabetes

Type II diabetes, in the past, was relegated to the adult population. However, in the new era of ever rising cases of childhood obesity and heart disease, the term adult onset diabetes is quickly becoming a misnomer. The number of children that are presenting to doctors with this disease is rising at epidemic rates.

Unlike Type I diabetes, where there is little to no insulin being produced by the beta cells of the pancreas, in Type II diabetes there is plenty of insulin. The problem lies in the fact that the cells of the body no longer respond to the insulin. The normal response is to cause gates in the cell membranes to open and letting the sugar in from the blood stream. Since this is not occurring, the sugar levels in the blood remain extremely high and the cells are deprived of the necessary energy that they would normally derive from the sugar.

Additionally, as Type II diabetes is sometimes not diagnosed for many years, the pancreas will sometimes stop producing insulin all together since the body sees no need to make something that can’t be used.

Many professionals are prescribing changes in diet and increased activity levels as the medicine needed to help reverse some of the non-responsiveness of the cells to insulin. Making lifestyle changes can dramatically improve the overall health of the patient as well. To augment adjustments in nutrition and exercise, doctors can also prescribe diabetes medication which assists to increase the responsiveness of the cells to the insulin that the body may still be producing.

If left untreated, Type II diabetes can eventually decrease the quality of life and life span of the patient.

Rachel Dayer runs and operates http://www.mustask.com, a health related portal.

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Inner City Diabetes Program

The Vine Hill Community Clinic serves an inner-city population in Nashville, Tennessee. Approximately 90% of the clinic’s patients are on a state form of Medicaid. Like many primary care clinics in the U.S., Vine Hill provides outpatient care to many patients with type 2 diabetes. Diabetes is the leading cause of adult blindness, kidney disease, and amputation. Although almost 18 million people in the U.S. have diabetes, less than optimal care is often provided, particularly in at-risk communities. Improving care for these patients is vital because many complications may be helped or avoided with good care and behavioral changes.

Recognizing the urgent need for improved diabetes care, the Vine Hill clinic contracted with LifeWings in 2004 to provide what is considered to be a very promising form of training for the healthcare industry: Crew Resource Management (CRM) based training. CRM is a team based approach to service delivery not usually found in the medical arena. CRM was developed in the 1990s to reduce the human error component of aviation accidents. CRM produces an inclusive, organized, collaborative environment in which potentially high-risk decisions can be made with the most possible information and high degrees of accountability and flexibility. CRM enables teams to make better decisions and have the best chance of avoiding negative outcomes. The methodology has worked remarkably in aviation, arguably the safest high consequence industry, resulting in no U.S. passenger deaths in three years.

The Vine Hill Community Clinic initiative included a formal study conducted on visits from 619 type 2 diabetes patients over a thirteen-month period. The conclusions of the study state that the CRM training was instrumental in improving the diabetes care process and the patient outcomes. The number of patients who met the recommended levels for blood pressure, amputation risk, body weight, and other factors improved after receiving care from the CRM trained staff. Further benefits to the clinic include improved organization of diabetes care team, decreased patient visit time, and shorter orientation periods for new staff: all very important cost-saving measures for the severely under-funded public health sector. Although follow-up training is important to the continued success, the improvements from this training are viewed as significant to this clinic.

The success of this effort, and others like it, are not going unnoticed by the medical community. With persistent press about the alarming number of preventable, error-induced deaths in the U.S., medical providers are desperately looking for innovative ways to improve patient care. Many medical care providers never receive formal training on teamwork, situational awareness, or conflict management. Critical communication skills that could save lives are often not taught, monitored, or measured. Protocols and checklists are often not a part of typical medical care delivery, in the clinic or in the operating room. Contrast this with the systematic, documented, and mandatory recurring training received by those in the aviation community and it is not hard to see why the numbers are materially better. CRM ensures all members of a crew flying an aircraft know their responsibilities, protocols, and obligation to speak up if they feel something is not safe. The medical community is learning that applying these principles to healthcare delivery can provide measurable improvements for their patients.

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The short answer is yes.

One of my clients is a diabetic. She is very careful about what she eats and she takes her insulin regularly. She has a tremendous amount of energy and a great outlook on life. She’s in her late fifties.

She asked me about the high-deductible health insurance policy and the HSA in my book. We began to work the numbers together.

With a high-deductible plan, she would definitely be paying out-of-pocket for insulin and other supplies every month, to the tune of over eighty dollars. But, on the other hand, she would save $250 on a reduced premium payment.

Once we did the calculation, she and I realized that it made perfect sense for her to switch to a high-deductible policy and use an HSA. Even after paying for her diabetic supplies, she was saving $170 every month, which amounted to $2,040 a year.

What could you do with $2,040 a year, given to you just for changing your insurance policy?

I can think of lots of uses. My client has also thought of lots of uses for that money, believe me! (I think she’s saving it for a nest egg.)

Now, whenever she sees me, she points and says “You’re the guy who saved me $250 a month!” That’s a great feeling.

If you have a chronic condition that requires pharmaceutical drugs or medical supplies or on-going doctor visits, please do this calculation for yourself. Compare the amount that you’d be paying out-of-pocket to the amount of money you’ll save with a lowered premium payment each month. You might be pleasantly surprised!

And, of course, if you have a relapse or a catastrophic health event, your insurance policy will kick in once you hit the deductible, and you’ll enjoy full coverage after that.

Health Savings Acccounts (HSAs) are a wonderful tool to help you reduce your health insurance costs. They are a perfect fit for the self-employed and the small business. And they are available today! Talk to your insurance agent, bank or financial advisor for more details. Who knows? You might have an extra $250 or more coming into your household next month!

Daryl Kulak is the author of the book “Health Insurance Off the Grid – A Wonderful Way to Use Alternative Medicine and Save Money on Insurance Using the New Health Savings Account (HSA).” The book provides a nine-step plan to get your self-employed or small business health insurance costs under control using a unique approach you won’t find anywhere else. The book is available for sale as an e-Book or paperback at the Website http://www.healthoffthegrid.com

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So it must be the obesity that links sleep apnea to type 2 diabetes, right? Wrong. Researchers have now found that when a patient’s airway is obstructed their body triggers it’s fight or flight response. This response produces high levels of cortisol. Cortisol at high levels leads to insulin resistance and glucose intolerance.

The study performed at Yale School of Medicine found that people diagnosed with Obstructive Sleep Apnea were up to 2.5 times more likely to develop type 2 diabetes. The study also showed that the more severe the sleep apnea the greater the risk was for developing diabetes.

Some of the symptoms of Sleep Apnea include loud snoring and daytime sleepiness. It is very, very important that anyone with either of these symptoms consult their physician. Their are non surgical treatments available for sleep apnea. One such treatment involves wearing a mask over the nose while sleeping which forces air into the airway while sleeping. This treatment is known as CPAP – continuous positive airway pressure.

Lately there has been a lot of focus on America’s diabetes epidemic. It is fascinating to me to find out just how many factors can go into someone developing diabetes. The more research that is done on this disease the better off we all will be in preventing diabetes and also battling diabetes.

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But bringing back the carbs can cause problems too. Did you know that many of the carbs we eat every day may cause a condition called insulin resistance? With the extra carbs adding the extra pounds and inches to your body, the insulin hormone runs into a big problem: It can’t help you process fuel, fats, or sugars. When you reach this condition, your body stores even more fat than it should be, mostly around your stomach and hips.

So how do we keep the delicious carbohydrate-filled foods without adding inches and developing insulin resistance? If you’re dedicated to losing weight and achieving health for the rest of your life, this solution is for you! You must understand that thre are two types of carbohydrates; good and bad. Good carbohydrates include non-processed foods like fruits, vegetables, and whole grains. Bad carbohydrates include those such as white bread, chips, snacks and other baked or fried foods that have been mechanically processed.

What are the good carboydrates?

These are the carbs we should focus on eating. They come in more natural forms such as whole grain wheat bread, fruit like strawberries and peaches, and vegetables such as carrots, green beans or squash.

What are the bad carbs?

If you want to keep the healthiest blood chemistry, try hard to avoid eating these foods. Some of the foods with “bad” carbohydrates include those such as white bread, chips, snacks and other baked or fried foods that have been mechanically processed. These carbs bad for you because during processing, much or all of the dietary fiber is removed from them, and your body cannot process these new complex carbs with efficiency.

Copyright (C) Shoppe.MD, PhenForum and Ian Mason, 2004-2005

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All the best,

Ian Mason

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