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    健康饮食杂志 Diabetes Self-Management 2019.11

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    内容提示: YOUR SEASONAL SURVIVAL GUIDEHoliday Party!DOS AND DON’TS OF CHOOSING A COCKTAIL HOW TO SQUEEZE IN EXERCISE THIS SEASONblack • ish STAR ANTHONY ANDERSON ON DIABETES 21SEASONAL RECIPES GET INVOLVED THIS NATIONALDIABETES MONTHNOVEMBER/DECEMBER 2019 28 Holidays, Alcohol and Diabetes: Do the Three Mix? Stay safe and have a happy and healthy holiday season with these recommendations 32 Sugar-Smart Holiday Season Find the joy in your holidays while keeping your weight and blood sugar under cont...

    威廉希尔app下载格式:PDF| 浏览次数:0| 上传日期:2019-10-19 15:55:51| 威廉希尔app下载星级:
    YOUR SEASONAL SURVIVAL GUIDEHoliday Party!DOS AND DON’TS OF CHOOSING A COCKTAIL HOW TO SQUEEZE IN EXERCISE THIS SEASONblack • ish STAR ANTHONY ANDERSON ON DIABETES 21SEASONAL RECIPES GET INVOLVED THIS NATIONALDIABETES MONTHNOVEMBER/DECEMBER 2019 28 Holidays, Alcohol and Diabetes: Do the Three Mix? Stay safe and have a happy and healthy holiday season with these recommendations 32 Sugar-Smart Holiday Season Find the joy in your holidays while keeping your weight and blood sugar under control with these tips 34 The Anti -Kidney Stone Diet How your diet can help you avoid kidney stones and be kind to your kidneys 36 What’s the Story Behind National Diabetes Month? Why November is associated with diabetes awareness—and how you can get involved 38 Using His Platform How actor Anthony Anderson educates fans and friends about living with diabetesFeatures 18 The Right Moves 20 Weighty Matters 22 Smart Smarter Smartest 24 Getting There 26 Food for ThoughtHealthy Living 4 News & Notes 6 Quiz 14 Product Spotlight 16 Ask Away 17 Curmudgeonly AthleteThe DoseIn Every Issue 2 Editor’s Letter 55 Recipe Index 56 Final CountdownOn the cover: Photographed by Angela Sackett. For the recipes, see page 55. 41 Holiday Appetizers Celebrate with these tasty—but healthy—apps that will that have everyone coming back for more 48 Holiday Dinner Party Save room for these crowd-pleasing soups, sides, main courses and luscious desserts••• NOVEMBER/DECEMBER 2019 •••SHUTTERSTOCK/ GREEDYGOURMETAt The Table For more information, visit????????????????????????????????????????????Discover the pen needle with a built-in removal chamber, designed to make pen needle removal ????????????????????????????????? 2• Patient preferred versus standard pen needles 2,3• ????????????????????????? ® Pentips ® Plus easy to change 2• ???????????????????????????????????????????????? 4 • Covered under most third party insurance plans 51. Comparison of 33G to 32G max outer needle diameter in accordance with ISO 9626:2016 standards. 2. ??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????DSM2019ADVA/OMI/1018/1/US???????????????????????????????????????????????????????NEW!33 G10% thinner than 32G 1Ask your doctor or pharmacist ???????????? ® Pentips ® Plus.?????? ® ???????? ® ?????????????????????????????????????????It’s our tiniest pen needle ever—featuring a needle so incredibly thin you’ll hardly notice it’s there. Dear readers,In November, the diabetes community observes National Diabetes Month, founded in 1975 to spread awareness of diabetes and the impact it has on millions of people in the United States. Curious to discover more about how the movement got started, learn how top diabetes organizations are making differences in the lives of people with the condition, and fi nd out how you can participate? You’ll fi nd information and inspiration in “What’s the Story Behind National Diabetes Month?” (page 44) and “Questions and Answers: American Diabetes Association CEO Tracey Brown and JDRF President and CEO Aaron Kowalski” (page 18).It’s also Diabetes Self-Management’s 36th year in print, and the issue you’re holding is the fi rst installment of a fresh, updated design, created with you, the reader, in mind. We’ve added new columns on travel and exercise, included a handy recipes index, provided additional tips and tools to help you put the advice you fi nd on these pages into practice in your own life, and made everything easier to fi nd and more fun to read.The holiday season is also here, which means family, fun—and, for many people with diabetes, questions about how to handle certain situations that are unique to this time of year. Wondering whether you can safely drink alcohol as part of the celebrations? Find out in “Holidays, Alcohol and Diabetes: Do the Three Mix?” (page 36). Worried how you’ll enjoy the festivities while staying on top of your blood glucose levels? Get tips in “Sugar-Smart Holiday Season” (page 40). Putting together your holiday menu? Try some of the festive and fl avorful recipe picks in “At the Table” (page 49).From everyone at Diabetes Self-Management, wishing you and your loved ones a happy and healthy holiday season!Best,Diane FennellEditorial Director, Wellness Division••• EDITOR’S NOTE •••Editorial Director, Wellness Division Diane FennellAssociate Editor Matthew BernatFood Editor Amy P. Campbell, MS, RD, LDN, CDEFor customer service or subscription information, please call (855) 367-4813.ART & PRODUCTIONArt Director Carolyn V. MarsdenSenior Designer Scott BrandsgaardSALES & MARKETINGVice President, Media Solutions Stuart Crystal | scrystal@madavor.comSenior Media Solutions Manager Bob Beucler | bbeucler@madavor.comSenior Media Solutions Manager Kathy Jones Rizzi | krizzi@madavor.comClient Services | clientservices@madavor.com Marketing Director Andrew YeumAudience Development Analyst Ryan GillisMarketing Associates Shawn Daniel Tommy Goodale Social Media Manager Tim Doolan Content Marketing Supervisor Anthony BuzzeoContent Marketing Associate Sarah MacDougallCUSTOMER SERVICECustomerService@DiabetesSelf-Management.us (855) 367-4813EDITORIAL BOARDPamela Allweiss, MD, MPH CDC Division of Diabetes TranslationAmy P. Campbell, MS, RD, LDN, CDE Boston, MassachusettsDavid E. Goldstein, MD Professor Emeritus, University of Missouri Health Science Center, Columbia, MissouriVirginia Peragallo-Dittko, RN, BC-ADM, CDE, FAADE, FAAN Executive Director, Diabetes and Obesity Institute, Winthrop-University Hospital, Mineola, New YorkJeff Plumer, Vice Chair JDRF International Board of DirectorsWilliam H. Polonsky, PhD, CDE Assistant Clinical Professor, Department of Psychiatry, University of California, San DiegoL. Raymond Reynolds, MD, FACP, FACE, ECNU Professor Emeritus, Division of Endocrinology, University of Kentucky, College of Medicine, Lexington, KentuckyJeanne L. Rosenthal, MD Attending Surgeon, Retinal Service, New York Eye and Ear Infirmary, New York, New YorkSheri Setser-Legg, MS, RD, LD, MLDE, CDE Diabetes Education Service Coordinator UK HealthCare Barnstable Brown Diabetes Center, University of Kentucky, Lexington, KentuckyBernard P. Shagan, MD Director, Diabetes Education Center, Monmouth Medical Center, Long Branch, New JerseyRichard M. Weil, MEd, CDE Exercise Physiologist and Director, Mount Sinai St. Luke’s Weight Loss Program, Mount Sinai St. Luke’s Hospital, New York, New YorkSusan Weiner, MS, RDN, CDE, CDN, FAADE Owner, Susan Weiner Nutrition, PLLC, Long Island, New YorkStephen Z. Wolner, DDS New York, New YorkIn Memoriam Dr. Lois Jovanovic, 1947-2018Diabetes Self-Management, November/December 2019, Volume 36, Number 6. Diabetes Self-Management (ISSN 0741-6253) (USPS 003-865) is published bimonthly by Madavor Media, LLC, 25 Braintree Hill Office Park, Suite 404 Braintree, MA 02184. Periodicals postage paid at Boston, MA and at additional mailing offices. Copyright © 2019 Madavor Media, LLC. U.S. subscriptions $29.94 per year. Postmaster: Please send changes of address to Diabetes Self-Management, P.O. Box 8507, Big Sandy, TX 75755-8507. For customer service or subscription information, please call (855) 367-4813. Advertising Sales: Madavor Media, LLC (800) 437-5828. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, elec-tronic or mechanical, including photocopying, recording, or any other means, without the prior written permission of Madavor Media, LLC. Statements and opinions expressed in this publication are those of the authors and not necessarily those of the publishers or advertisers. The purpose of this magazine is to provide readers with accurate and up-to-date medical information. It is not intended to provide medical advice on personal health matters, which should be obtained directly from a physician. We regret that we are unable to respond to inquiries about personal health matters. We sometimes make our list of subscribers available to carefully screened organi-zations whose products and activities may interest you. While many subscribers find this type of information valuable, some prefer not to receive unsolicited mail. Please contact our customer service department at (855) 367-4813 if you do not wish to receive such mailings. Photographs contained in this magazine are for illustration purposes only.OPERATIONSVP, Circulation Strategy Jason PomerantzOperations Supervisor Andrea PalliOperations Coordinator Toni EuniceHuman Resources Manager Alicia RoachSupervisor, Client Services Cheyenne CorlissSenior Client Services Associate Tou Zong HerClient Services Aubrie Britto Darren Cormier Rachel NeeAccounting Director Amanda JoyceAccounts Payable Associate Tina McDermottAccounts Receivable Associate Wayne TuggleEXECUTIVENewsstand Distribution Weekly Retail ServiceDIGITAL OPERATIONSSenior Director, Digital Products Renee DextradeurDigital Ad Operations Director Leza Olmer WordPress Developer David GlassmanSenior Digital Designer Mike Decker Chairman & CEO Jeffrey C. WolkVP, Business Operations Courtney Whitaker In memory of Susan Fitzgerald, COO, 1966-2018SHUTTERSTOCK/ DARREN BAKER2 DiabetesSelfManagement.com • Nov/Dec 2019 ••• DiabetesSelfManagement.com •••NEWSLETTER Subscribe today for updates on diabetes news, research, recipes, weight management and more. bit.ly/2NDzTMzHalki Diabetes Remedy: Hype or HopeIs the Halki Diabetes Remedy for real or is it just another “too good to be true” scam that makes false promises and empties your wallet at the same time? Find out from Certified Diabetes Educator and Registered Dietitan Amy Campbell.‘Tis the Season... for BAKING!PUMPKINBREADPUDDINGSEE RECIPE ON NEXT PAGE10 DECADENT, DELICIOUS AND DIABETES-FRIENDLY DESSERT RECIPES‘Tis the Season... for BAKING!Diabetes-Friendly DessertsDownload our free guide for 10 decadent, delicious, and diabetes-friendly desserts. From Pumpkin Bread Pudding to Peppermint Ice Cream Pie to Eggnog Sandwich Cookies, these recipes are sure to fill your holidays with good cheer!Easy Oatmeal Chocolate Chip CookiesThese classic oatmeal cookies require just 15 minutes of preparation time and 10 minutes of baking time. And better yet, they have just 14 grams of carbohydrate per serving. So heat up the oven and whip up a batch of these timeless favorites!Dealing With the Diabetes PoliceWith the holidays coming, are the “diabetes police” putting a damper on your day? While often well-meaning, loved ones who constantly question how you’re managing your condition can take a toll. Get four top tips for dealing with diabetes police in your life.5 Diabetes Tattoos and the Meaning Behind ThemPeople with diabetes are increasingly choosing to get tattoos that relate to diabetes. The tattoos are chosen for various reasons, and we found five people with type 1 diabetes who have chosen to let the world know with permanent ink and found out the reason behind the tattoos. LIFESTYLERECIPEFREE DOWNLOADVIDEOINTERACT WITH US Get more news, tools and recipes all month long!@DiabetesSelfManagement @ManageDiabetes @diabetesrecipesTHUMBS: SHUTTERSTOCK/ BY BILLION PHOTOS; WOOL SOCKS: ALEXMASTER; COOKIES: SHUTTERSTOCK/ NAT ALIIA ORLETSKANov/Dec 2019 • DiabetesSelfManagement.com 3 Vitamin D Pills May Slow Type 2 Diabetes BY DIANE FENNELLVitamin D supplementation may slow the progression of prediabe-tes and type 2 diabetes in those newly diagnosed by improving insulin sensi-tivity and beta cell function, according to a small new study published in the European Journal of Endocrinology.Vitamin D is a fat-soluble vitamin involved in a number of critical pro-cesses in the body, including maintain-ing bone health, preserving immune function and reducing chronic inflam-mation. Deficiency of the vitamin is common worldwide, affecting an esti-mated three quarters of teens and adults the United States population, and the condition has been linked with a variety of serious health issues, including type 2 diabetes.The researchers looked at 96 peo-ple who were at high risk of developing type 2 diabetes or who had recently been diagnosed with the condition. The participants were assigned to take either 5,000 IU of vitamin D for six months or a placebo (inactive treat-ment). (Average daily recommended amounts of vitamin D from the Food and Nutrition Board are currently from 400–800 IU, with up to 4,000 IU daily considered safe.)At the end of the study, subjects filled out questionnaires about their weekly sun exposure (sunlight is a source of vitamin D) and had various health markers measured. Although only 46% of the participants were identified as having low vitamin D at the start of the study, the researchers found that those receiving vitamin D supplementation had increased insulin sensitivity in their muscle tissue and improved function of beta cells (the cells in the pancreas that produce insulin).These findings differed from trials in people with longstanding type 2 diabetes, which had shown no benefit of vitamin D supplementation. The rea-sons for these differences are unclear, the researchers state, but may be due to longer treatment being needed or to “improvements in metabolic function” being harder to detect in those with longstanding diabetes.“Type 2 diabetes and prediabetes are a growing public health concern and although our results are prom-ising, further studies are required to confirm our findings, to identify whether some people may benefit more from this intervention, and to evaluate the safety of high-dose vitamin D supplementation in the long term,” noted lead researcher Claudia Gagnon, MD. “Until then I would suggest that current vitamin D supplementation recommendations be followed.” DSM••• THE DOSE ••• News & NotesSHUTTERSTOCK/ AGENCIES4 DiabetesSelfManagement.com • Nov/Dec 2019 Discover the FreeStyle Libre 14 day system.The FreeStyle Libre 14 day system is an FDA-approved continuous glucose monitoring (CGM) system that lets you accurately 1 check your glucose with a painless 2 one-second scan instead of a fi ngerstick. *Ask your doctor to write a prescription for the FreeStyle Libre 14 day system today. Learn more at FreeStyleLibre.us.*Fingersticks are required for treatment decisions when you see Check Blood Glucose symbol, when symptoms do not match system readings, when you suspectreadings may be inaccurate, or when you experience symptoms that may be due to high or low blood glucose. REFERENCES: 1. FreeStyle Libre 14 day User’s Manual. 2. Data on fi le. Abbott Diabetes Care. The FreeStyle LibreLink app is compatible with NFC-enabled smartphones running Android OS 5.0 or higher and iPhone 7 or later running iOS 11 or later. Use of theFreeStyle LibreLink app requires registration with LibreView, a service provided by Abbott and Newyu, Inc.INDICATIONS AND IMPORTANT SAFETY INFORMATION: FreeStyle Libre 14 day Flash Glucose Monitoring system is a continuous glucose monitoring (CGM) device indicated for replacing blood glucose testing and detecting trends and tracking patterns aiding in the detection of episodes of hyperglycemia and hypoglycemia, facilitating both acute and long-term therapy adjustments in persons (age 18 and older) with diabetes. The system is intended for single patient use and requires a prescription.CONTRAINDICATIONS: Remove the sensor before MRI, CT scan, X-ray, or diathermy treatment.WARNINGS/LIMITATIONS: Do not ignore symptoms that may be due to low or high blood glucose, hypoglycemic unawareness, or dehydration. Check sensor glucose readings with a blood glucose meter when Check Blood Glucose symbol appears, when symptoms do not match system readings, or when readings are suspected to be inaccurate. The FreeStyle Libre 14 day system does not have alarms unless the sensor is scanned, and the system contains small parts that may be dangerous if swallowed. The FreeStyle Libre 14 day system is not approved for pregnant women, persons on dialysis, or critically-ill population. Sensor placement is not approved for sites other than the back of the arm and standard precautions for transmission of blood borne pathogens should be taken. The built-in blood glucose meter is not for use on dehydrated, hypotensive, in shock, hyperglycemic-hyperosmolar state, with or without ketosis, neonates, critically-ill patients, or for diagnosis or screening of diabetes. When using FreeStyle LibreLink app, access to a blood glucose monitoring system is required as the app does not provide one. Review all product information before use or contact Abbott Toll Free (855-632-8658) or visit www.freestylelibre.us for detailed indications for use and safety information.FreeStyle, Libre, and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions. Other trademarks are the property of their respective owners.iPhone is a trademark of Apple Inc., registered in the U.S. and other countries and regions.Android is a trademark of Google LLC. Google Play and the Google Play logo are trademarks of Google LLC.The product images are for illustrative purposes only.© 2019 Abbott. ADC-14859v1.0 8/19Now compatible with Android ARE YOU AWARE? BY FRIEDA WILEY, PHARMD, RPHNovember is National Diabetes Month. Diabetes continues to be an epidemic throughout the world, but education can help lead to early diagnosis. Take this quiz to see how much you know about some of the less obvious signs and symptoms of diabetes. 1. Thirst can be a symptom of diabetes, but which of the following can also indicate high blood sugar???A Hunger and shakiness.??B Feeling full and tremors.??C Hunger and having headaches.??D Feeling full and having headaches.2. Which of the following changes in mood could be a sign that your blood glucose is out of whack? More than one answer may be correct.??A You suddenly feel happy all the time.??B You feel more impulsive than usual.??C You have mood swings.??D You are cranky. 3. Which of the following symptoms can be a sign that you may have diabetes? More than one answer may be correct.??A Your eye muscle becomes paralyzed and you start seeing double.??B Your thigh, which has been hurting for quite some time, now feels weak.??C You can’t lift or pick up your foot.??D One side of your face becomes paralyzed and starts drooping. 4. Diabetes might have which of the following effects on your skin? ??A It might lose elasticity. ??B It might become dry and itchy.??C It might be more prone to stretch marks.??D It might feel more moist and supple. FDA APPROVES NINE GENERIC NEUROPATHY DRUGSBY DIANE FENNELLThe U.S. Food and Drug Administration (FDA) has approved the first generic versions of Lyrica (generic name pregabalin), a popular medicine used for nerve pain from neuropathy (nerve damage) as well as for seizures, fibromyalgia and other neurological conditions.Neuropathy is one of the most common diabetic complica-tions, estimated to affect up to 70% of people with diabetes. It typically affects the feet and legs and sometimes the hands and arms, with symptoms that can include pain, tingling, burning and numbness. Pain from the condition can be dif-ficult to address, with limited treatment options available.Approved in 2004, Lyrica is believed to work on dam-aged nerves, possibly by reducing “extra” electrical sig-nals, but it is not known exactly how the medicine works in the body. According to the Associated Press, the drug costs roughly $460 to $720 per month without insurance, depending on the pharmacy, while prices for the nine newly approved generic versions cost from about $140 to $370 per month.The most common side effects of the medicine reported in clinical trials are dizziness, sleepiness, dry mouth, swell-ing, blurred vision, weight gain and abnormal thinking (generally difficulty with concentration/attention).“Today’s approval of the first generics for pregabalin, a widely-used medication, is another example of the FDA’s longstanding commitment to advance patient access to lower-cost, high-quality generic medicines,” stated Janet Woodcock, MD, director of the FDA’s Center for Drug Evalu-ation and Research. “The FDA requires that generic drugs meet rigorous scientific and quality standards. Efficiently bringing safe and effective generics to market so patients have more options to treat their conditions is a top priority for the FDA.” DSMQUIZSee page 8 for answers.AUTUMN SKY: SHUTTERSTOCK/ TRIFF; GENERIC DRUGS: SHUTTERSTOCK/ BILLION PHOTOS••• THE DOSE ••• News & NotesDIABETES AWARENESSMONTH6 DiabetesSelfManagement.com • Nov/Dec 2019 INTRODUCING SPLENDA STEVIA. The best tasting, 100% natural sweetener that’s made from a plant. Helping you achieve your health goals, without compromise.splenda.com/splenda-stevia1. When used in place of sugar; Rogers PJ, Hogenkamp PS, de Graaf C, et al. (2016) Does low-energy sweetener consumption affect energy intake and body weight? A systematic review, including meta-analyses, of the evidence from human and animal studies. Int J of Obes 40(3), 381-394. 2. Johnson C, Stevens B, Foreyt J et al. (2013) The Role of Low-calorie Sweeteners in Diabetes. Eur Endocrinology 9(2); 96-98. 3. SPLENDA Sweeteners are “free foods”, as defined by the American Diabetes Association and the Academy of Nutrition and Dietetics; read more at splenda.com/story, *Among healthcare professionals clinically treating patientsAchieving your health goalshas never been sweeterMANUFACTURER’S COUPON EXPIRES 03/31/2020RETAILER: Of f er cannot be combined with any other of f er. We will reimburse you the face value of this coupon plus 8¢ handling provided you and the consumer have complied with the terms of this of f er. Invoices proving purchases of suf f i cient stock to cover presented coupons must be shown on request. Any other application may constitute fraud. Coupon void where prohibited, taxed or restricted. Consumer must pay any sales tax. Cash value .001¢. Reproduction of this coupon is expressly prohibited. Mail to: TC Heartland, LLC, CMS Dept #90812, One Fawcett Drive, Del Rio, TX 78840.any one (1) SPLENDA® Sweetener Products(excludes 50ct)ZERO CALORIE SWEETENER 1. C. High blood glucose levels can make you feel hungry. Some people may even lose weight despite eating more, and this tends to be more common in people who have type 1 diabetes. Interestingly enough, blood glucose that is either too high or too low can make your head hurt, too. 2. B, C, D. Having diabetes can be stressful enough as it is. With all the fluctuations in your blood glu-cose along with other changes in your body, you might find yourself feeling moody, irritable or mak-ing decisions on a whim. Other symptoms include sluggish thinking, difficulty concentrating or feeling aggressive. Getting your blood glucose under control definitely helps to manage these symptoms, but it’s always a good idea to talk to your doctor about your symptoms—especially if you find yourself feeling depressed and thinking of harming yourself. 3. A, B, C, D. Peripheral neuropathy seems to hog all the attention when it comes to nerve damage in diabetes, but it’s not the only culprit. Diabetes can damage nerves in practically any part of the body. For example, cranial neuropathy can paralyze the eye and result in double vision, according to the American Dia-betes Association. People who have type 2 diabetes are more prone to developing femoral neuropathy. In this condition, damage to nerves in the thigh causes muscle weakness and muscle wasting. In focal neu-ropathy, damage to either a single nerve or bundle of nerves can paralyze areas such as a side of the face or even a thigh. Bell’s palsy, or facial paralysis, and blind-ness in one eye may occur as a result. Finally, blood vessel disorders or compression may damage nerves in the leg, making it virtually impossible to lift the foot. If you have or suspect that you may have diabe-tes, ask your doctor if you notice unusual pain, sensa-tions or lack of normal feeling in your body.4. B. If your skin seems drier than usual or itchy, it’s not all in your head. Higher-than-normal blood sugar levels can affect your skin, according to the American Academy of Dermatology. Poor circulation and skin infections can make these problems worse. That’s why it’s always important to take good care of your skin and use special care to inspect your body for signs of cuts, bruises, infections or other damage daily, or at least a few times a week. Pay special attention to areas where you have nerve damage, such as in the feet and lower legs, where you may not be able to feel when something’s wrong. DSMFrieda Wiley, PharmD, RPh, is a Texas-based clinical pharmacist and contract writer.QUIZ ANSWERSSee page 6 for questions.••• THE DOSE ••• News & NotesKETO PIZZA CRUST DEBUTS AT BLAZE PIZZABY DIANE FENNELLThe keto, or ketogenic, diet has recently risen in popu-larity, with many people who have diabetes trying this low-carb approach to eating in an effort to manage their blood sugar levels. In response to the demand, California-based chain Blaze Pizza is debuting a keto pizza crust.In July, the company announced the launch of the keto crust, which includes ingredients such as flaxseed, eggs and cheese and contains only 6 grams of net carbs per serving.“Pizza crusts are traditionally made mostly of flour, water and yeast,” said Blaze Pizza’s executive chef, Brad Kent, in an interview with Business Insider. “Removing the flour brings several challenges since the gluten and starches and sugars (carbohydrates) deliver the desirable light, crispy and chewy texture in addition to its toasty and yeasty flavor.”The chain is also debuting a new cauliflower crust, which, along with the keto crust, serves as the base for several new pizza options:Keto pizza: keto crust, spicy red sauce, mozzarella, ovalini mozzarella, bacon, cherry tomatoes, mushrooms, spinachProtein pizza: keto crust, red sauce, mozzarella, Ital-ian meatballs, smoked ham, grilled chicken, black olives, green bell peppers, oreganoVegan pizza: original dough, red sauce, vegan cheese, spicy vegan chorizo, mushrooms, red onions, green bell peppers, basil, olive-oil drizzle; andVegetarian pizza: cauliflower crust, red sauce, moz-zarella, ricotta, artichokes, Kalamata olives, red onions, spinachBlaze Pizza has more than 300 locations nationwide and several international stores. To find a location near you, visit the Blaze Pizza website (blazepizza.com). DSMBLAZE: SHUTTERSTOCK/ DAVID TONELSON8 DiabetesSelfManagement.com • Nov/Dec 2019 FINANCING AVAILABLE WITH APPROVED CREDIT1-888-599-0241Call Today for Your Free Shower PackageNow you can fi nally have all of the soothing benef i ts of a relaxing warm bath, or enjoy a convenient refreshing shower while seated or standing. Introducing Safe Step Walk-In Tub’s exclusive NEW Shower Package!? First and only walk-in tub available with a customizable shower? Fixed rainfall shower head is adjustable for your height and pivots to offer a seated shower option? Durable frameless tempered glass enclosure available? High-quality tub complete with a comprehensive lifetime warranty on the entire tub? Top-of-the-line installation and service, all included at one low, affordable priceNow you can have the best of both worlds–there isn’t a better, more affordable walk-in tub!Call today and receive aFREE SHOWER PACKAGE!FOR A LIMITED TIME ONLYCall Toll-Free 1-888-599-0241With purchase of a new Safe Step Walk-In Tub. Not applicable with any previous walk-in tub purchase. Offer available while supplies last. No cash value.Must present offer at time of purchase.www.BuySafeStep.comCSLB 983603 F13000002885 13HV08744300 SHUTTERSTOCK/ T ATYANA VYCTYPE 1 DIABETES: METFORMIN SHOWS HEALTH BENEFITS IN ADOLESCENTSBY QUINN PHILLIPSFor nearly the entire time since its discovery, insulin—and later, insu-lin analogs—have been the only drug treatment available for type 1 diabe-tes. That’s changed ever so slightly in recent decades, with the U.S. Food and Drug Administration (FDA) approving the injectable drug pramlintide (Sym-lin) in 2005, which can reduce insulin requirements and improve blood glu-cose control in many people.But as researchers have learned more about how the disease process and potential complications develop in type 1 diabetes, many have wondered if certain drugs for type 2 diabetes could also help some people with type 1. That’s because over time, many people with type 1 diabetes appear to develop insulin resistance—a hallmark of type 2 diabetes—and need more insulin to have the same effect at lowering their blood glucose. Insulin resistance is also associated with worse metabolic and cardiovascular health.In a recent study, researchers inves-tigated whether the popular type 2 diabetes drug metformin could have health benefits in adolescents with type 1 diabetes—a younger population than most similar studies in the past have examined. They found measurable improvements even in this group after just three months of taking the drug.Presented recently at the Heart in Diabetes CME Conference in Philadel-phia, the study involved 48 adolescent participants, about half of whom were randomly assigned to take 2,000 mg of metformin daily for three months, as noted in a Healio article on the findings. The remaining group took a placebo (inactive pill).At the end of the study period, the group taking metformin was found to have reduced body weight and fat mass, along with improved insulin sensitivity. They also showed reduced aortic wall shear stress and pulse wave velocity — two blood vessel measure-ments that indicate cardiovascular disease risk.While it’s too early to recommend metformin as a widespread treatment for type 1 diabetes, this study sug-gests that if its long-term safety can be established, the drug could have benefits starting even at a young age and improve the long-term outlook for cardiovascular disease. DSM••• THE DOSE ••• News & NotesStatement of Ownership, Management and Circulation 1. Title of Publication: DIABETES SELF-MANAGEMENT; 2. Publication No. 0741-6253 3. Filing Date: September 21, 2019 4. Issue Frequency: Bi-Monthly 5. No. of issues published annually: 6 6. Annual Subscription Price: $29.94 7. Complete Mailing Address of Known Office of Publication: 25 Braintree Hill Office Park, Suite 404; Braintree, MA 02184 Contact: Andrea Palli, Telephone: (617) 279-0191 8. Complete Mailing Address of Headquarters or General Business Office of Publisher: 25 Braintree Hill Office Park, Suite 404 Braintree, MA 02184; 9. Full Names and Complete Mailing Addresses of Publisher, Editor and Managing Editor: Publisher, Courtney Whitaker, 25 Braintree Hill Office Park, Suite 404 Braintree, MA 02184; Edi-tor, Lydia Goerner, 25 Braintree Hill Office Park, Suite 404 Braintree, MA 02184. 10. Owner: Madavor Media, LLC, 25 Braintree Hill Office Park, Suite 404 Braintree, MA 02184 11. Known Bondholders, Mortgagees and Other Security Holders Owning or Holding 1 Percent or More of Total Amount of Bonds, Mortgages or Other Securities: None 12. Does not apply 13. Publication Name: DIABETES SELF-MANAGEMENT 14. Issue Date for Circulation Data Below: September/October 2019 15. Extent and Nature of Circulation: A. Total no. copies (net press run): Average no. copies each issue during preceding 12 months: 424,840; Actual No. Copies Single Issue published nearest to filing date: 421,402; B. Paid Circulation: 1. Mailed Outside- County Paid Subscriptions Stated on PS Form 3541: Average no. copies each issue during preceding 12 months: 221,818; Actual no. copies single issue published near-est to filing date: 218,413; 2. Mailed In- County Paid Subscriptions Stated on PS 3541: Average no. copies each issue during preceding 12 months: 0; Actual no. copies single issue published nearest to filing date: 0 3. Paid Distribution Outside the Mails Including Sales Through Dealers and Carriers, Street Vendors, Counter Sales, and Other Paid Distribution Outside USPS: Aver-age no. copies each issue during preceding 12 months: 4,194; Actual no. copies single issue published near-est to filing date: 4,200 4. Paid Distribution by Other Classes of Mail Through the USPS: Average no. copies each issue during preceding 12 months: 0; Actual no. copies...

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