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U-M Comprehensive Diabetes Center  ~  ~  (866) 266-5221


August 2012

Welcome to our Diabetes e-News e-newsletter from the University of Michigan Comprehensive Diabetes Center! With this e-newsletter, we plan to provide you with our latest diabetes research and treatment news, practical tips, and event information. We hope you like it!



Gosh, it's hot! Tips for managing diabetes in the heat

cathy l. martinBy Catherine L. Martin, MS, RN, BC-ADM, CDE
Nurse Study Coordinator, U-M Comprehensive Diabetes Center

Perhaps you've noticed, we are having an especially hot and dry summer and it's likely that this really warm weather will continue. Hot weather can be especially challenging for people with diabetes. Here are some ideas for staying safe during the hot summer months:

Drinking fluids
Staying well hydrated is important, especially if you are spending time outside, or if you don't have air conditioning at home. The Centers for Disease Control reminds us to drink enough water so that you never become thirsty. If you are out in the heat and active (for example, working outside, participating in outdoor sports), that means drinking about 1 cup of water every 15 to 20 minutes (3 to 4 cups per hour). You should also make sure that you drink some water (or other non-caloric drink) before your activity or time out-of-doors begins.

If you become thirsty, stop whatever you are doing, try to get to a cool place (shaded area or indoors) and drink something. That feeling of thirst is telling you that you are dehydrated and at risk for heat stress or even heat stroke. Muscle cramps and confusion are also signs that it's time to get out of the heat, slow down, and get something to drink.

Avoid drinks with caffeine, alcohol, and large amounts of sugar, which can cause your blood sugar to run higher and lead to further dehydration. Water is the best option (flavored with a sugar-free drink mix or a bit of lemon, if you'd like), or a low-calorie sports drink (e.g., Gatorade G2).

You can find more tips for staying safe in the heat at:

As a general rule, protect all of your medications (pills, tablets, liquids, injectables) from direct exposure to sunlight and high temperatures. Medications should never be stored in your car, or on a sunny window sill. Injectable medications are particularly vulnerable to damage from high heat (generally over 84 degrees) and from being frozen.

Most injectable medications can be safely stored in a refrigerator (usually the door of the refrigerator is safe for preventing freezing). Injectable medications that you are currently using (e.g., an open insulin pen or vial) can generally be kept at room temperature, unless the room temp is greater than 84 degrees Fahrenheit. If you need to transport your medications (e.g., traveling for vacation), consider getting a small cooler to protect them from high heat.

If you notice that your blood sugar levels are going up for no obvious reason, consider whether your medication has been damaged by excess heat or freezing. The medication label or package insert will have information about proper storage. If you don't have the label, and you aren't certain about proper storage, you can ask your pharmacist.

Protect your feet from heat injury. Don't go barefoot! Pavement, decking, and sand can all be extremely hot and can burn the soles of the feet. People with neuropathy (nerve damage) may not be able to feel how hot the surface is, so are at even higher risk for burn injury.

Also, being barefoot increases the risk of injury to the foot from stepping on rocks, twigs, small shards of glass, fishhooks, etc. It's a good idea to check your feet daily for signs of injury. [And see the article on our podiatry staff, below!]

Low blood sugar
A key sign of low blood sugar is sweating, but if you are already sweating because it is hot outside, how will you know the difference? Best thing to do is to have a blood glucose meter handy and have some quick-acting carbohydrate available for treating low blood sugar.

Like medications, blood glucose test strips can be damaged by high heat. Humidity can also affect their performance. Keep meters and strips out of direct sunlight and don't let them sit in your car for long periods of time. Keep strips in their original vial to protect from humidity. Follow manufacturer's suggestions for calibrating the meter to ensure accuracy.

Stay safe and healthy this summer and enjoy it. Remember, the winter will be here soon enough!


Welcome Michael Munson, our new podiatrist

michael munson dpmDid you know that the U-M Diabetes Center has its own diabetes foot specialists on staff? And our staff of podiatrists (foot doctors) has been growing. Our newest addition is Michael Munson, DPM, who joined us in June.

Dr. Munson grew up in Toledo, Ohio but spent a lot of time in the Ann Arbor and Detroit area. After graduating with honors from the Ohio College of Podiatric Medicine, Dr. Munson completed his residency training at the Cleveland Clinic Foundation in 2000. He went on to a foot and ankle surgical fellowship at Presbyterian/St. Luke's Hospital in Denver, Colorado.

Prior to joining the University of Michigan, Dr. Munson was in private practice in Cleveland, Ohio and in Columbia, South Carolina. He says, "It’s a source of great pride to be a part of the University of Michigan. My wife and I have dreamed of coming back to the Ann Arbor area since I left residency and she received her Ph.D. 12 years ago!" 

He adds, "I am fan of Michigan athletics and have twin three-year-olds that are very interested to know what goes on in that big stadium we pass every day. And as a cyclist and boater, I feel fortunate to live in a state like Michigan and all it affords."

Dr. Munson's primary interest is in preventative diabetic foot care and wound care. He is also experienced with general podiatry, such as bunions, hammertoes, gout, sports injuries and fractures, heel pain, ingrown and fungal toenails, and warts.

Dr. Munson, along with Dr. Crystal Holmes and Dr. James Wrobel, see podiatry patients in our Metabolism, Endocrinology & Diabetes Clinic at Domino's Farms in Ann Arbor. So welcome him to Ann Arbor by scheduling a foot care appointment with him! Just call us toll-free at (866) 266-5221.


Meet our new diabetes educator, Danielle Rogosch

Danielle Rogosch, RN, CPT, joined the Adult Diabetes Education team in the MEND Division in June. She may be new to our division, but not to the U-M Health System! She has been a nurse with UMHS since 1994 and we are lucky to have her.

She is also not new to diabetes education. For more than 12 years, Danielle provided diabetes instruction to inpatients with type 1 and type 2 diabetes who were admitted to her hospital unit. A few years ago, she developed a diabetes education book for inpatients who were newly diagnosed or requiring a refresher. She also developed a guide for the nurses in her unit so that they were teaching standardized information.

"I started the diabetes education program on my unit because I have a passion for diabetes care and support," says Danielle. "I am a huge advocate for those with diabetes and strive to provide the best quality and up-to-date care."

The reason for this passion is because her son, Alex, who is 15 years old, was diagnosed with type 1 diabetes when he was one year old. "Alex's diagnosis definitely motivated me to seek the best for him and for others," she says.

Danielle grew up in Canton and now lives in Westland with her son, her daughter, Kaitlyn, 12, and her husband. She admits, "I have always wanted to be a nurse since I was a little girl. I love helping people, especially those with diabetes, achieve their goals of health and wellness."

Danielle has extensive experience with insulin pump therapy and intensive insulin management. She is a Certified Pump Trainer (CPT) for Animas and Medtronic insulin pumps. She also has experience with a large variety of blood glucose meters, including the teaching of their use.

"I am very excited for this opportunity to work in the outpatient setting. As an inpatient nurse, I never knew 'what happened' to those people once they left the hospital. So I am looking forward to the follow-up care!"

To schedule an individual education session or to inquire about the four-week series of group classes in the Adult Diabetes Education Program, please call (734) 998-2475, Monday–Friday, 8 a.m.–4 p.m.


Why people volunteer for our diabetes clinical studies

An important mission of the U-M Comprehensive Diabetes Center is our ground-breaking research. We are proud to be on the front line of discoveries in the detection, treatment, and prevention of diabetes and its complications. But, we cannot do it without YOU!

What is clinical research?
Studies involving people are called "clinical research" — because they deal with human beings in a clinic setting, instead of cells or mice in a lab. Any diabetes technology or medication available today had to be first tested on real people in a clinical study before it could be used routinely in patient care.

What motivates people to volunteer for clinical studies?
Many patients with diabetes volunteer in order to obtain the latest treatments. Others are interested in helping researchers develop better treatments, new drugs and devices, and perhaps even the key to a cure.

For family members, participating in clinical studies is a way of supporting a loved one with diabetes, while learning more about the disease. Volunteers without diabetes are especially important for studies that seek to determine the lifestyle, environmental, and genetic factors that cause diabetes.

Two patients share why they volunteer:

As a teenager, Roxann Fatchett-Harrington had just been diagnosed with type 1 diabetes when she first participated in a U-M clinical study. "That was more than 25 years ago," says Roxann, "and I still feel a tremendous sense of pride — knowing that I've contributed to the health of future generations and the inevitable discovery of a cure." And she is still a study participant!

Mike Tokai has had type 2 diabetes for nearly 20 years. "My grand-daughter, Hailey, was just four when she was diagnosed with type 1. I know that curing diabetes is going to be a long journey. So I participate in clinical studies to move the process forward and, hopefully, to make it easier for Hailey to live with this disease."

See Roxann and Mike tell their stories
You can view video testimonials from Roxann and Mike, in their own words, on our NEW diabetes clinical study website:

There you can also search for studies seeking participants and sign up for our clinical study registry.

If you have any questions about participating in a clinical study, you may contact our Clinical Research Team at: or (734) 998-4969.


Save the date for these events:

Sunday, September 9, 2012
11:00 a.m.–2:00 p.m.

Arab American Diabetes Health Fair
Fordson High School in Dearborn
Presented by the U-M Brehm Center for Diabetes Research, the U-M Brehm Scholars, and ACCESS (Arab Community Center for Economic and Social Services)
Includes free health screenings, Arabic-English translators

Sunday, September 23, 2012
8:30–11:30 a.m.

Ann Arbor-Dexter JDRF Walk

Hudson Mills Metropark in Dexter
Sponsored by the Juvenile Diabetes Research Foundation
Sign up for a U-M Team. Get snacks, t-shirts, exercise, fun!

Saturday, November 3, 2012
5:30 p.m. (Texas Hold'Em Poker Tournament starts 7:00 p.m.)
3rd Annual Rugiero Casino Royale Fundraiser
for the U-M Antonio Rugiero Diabetes Research Fund

Italian American Club in Livonia
Las Vegas-style gaming and fabulous food for a great cause

Saturday, November 10, 2012
9:00 a.m.–12:00 p.m. (tentative)
U-M World Diabetes Day Health Fair
Sheraton Ann Arbor Hotel
Free health screenings, lectures, and tons of diabetes information

Adult Diabetes Ed. Classes  ~  Pediatric (Child) Diabetes Ed. Classes
Adult Diabetes Support Groups

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