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September 2012                                                                                    View previous issues



Watch this TV broadcast by Crystal Holmes on footwear and foot care

crystal holmes dpm cwsEveryone, not just people with diabetes, need to take extra care of their feet in the warm weather.

With climate change likely to keep our temperatures above normal into the fall months, it's worthwhile to view the recommendations from expert podiatrist and Assistant Professor of Internal Medicine at the U-M Diabetes Center, Crystal Murray Holmes, DPM, CWS.

Dr. Holmes did a television interview for ABC-TV in Detroit and covered a wide range of topics, such as preventive foot care, proper summer footwear, and even safety at the nail salon.

To view Dr. Holmes's interview, see:


Do you have type 1 diabetes? Find out whether it affects your heart by participating in this historic clinical study

cindy plunkett rn ccrcBy Cynthia Plunkett, RNC, CCRC
Clinical Study Coordinator, U-M Comprehensive Diabetes Center

If you, or someone you know, has type 1 diabetes, we can use your help! The University of Michigan MEND Division is looking for people with type 1 diabetes for an observational clinical trial titled "Cardiac Autonomic Neuropathy and Myocardial Dysfunction in Type 1 Diabetes."

This study tests whether, in patients with type 1 diabetes, wide ranges in blood glucose readings lead to the injury of heart nerves (called cardiac autonomic neuropathy or CAN), to problems with heart pumping function, or to heart failure. It also evaluates the development of heart failure and higher cardiac risk in patients with type 1 diabetes.

Someone is eligible to participate in this study if they:

  • Have type 1 diabetes
  • Are 18 years of age or older
  • Have had diabetes for longer than 5 years
  • Have no previous heart problems, including high blood pressure
  • Have no previous complications associated with diabetes, such as retinopathy (eye damage) , neuropathy (nerve damage), or nephropathy (kidney damage).

During the study, participants are seen at the University of Michigan Metabolism, Endocrinology and Diabetes (MEND) Clinic, located at Domino's Farms, and at the University Hospital for their PET scan and MRI scan.

rodica pop-busui md phdAll study participants will go through various tests, including wearing a glucose sensor every 3 months, getting blood work done, and having a PET scan and an MRI scan of the heart. The study takes 36 months to complete. Patients are seen every 3 months.

There is no cost for the medical examination or the laboratory tests required by the study. All study-related materials will be provided during the study at no cost to the participant. Patients will receive payment for each completed visit after their study eligibility has been confirmed.

We are hopeful that, through this study, we will be able to detect the earliest progression of these heart problems, so that more effective prevention and treatment therapies can be developed. This ground-breaking trial was conceived by Rodica Pop-Busui, M.D., Ph.D., Associate Professor of Internal Medicine, MEND Division, using previously unavailable technology to observe the heart non-invasively!

Make a difference in diabetes research and be a part of history! If you are interested in learning more about this study, please contact Cynthia Plunkett, RNC, CCRC, Clinical Study Coordinator, at 734-936-8065 or via email at


Join a U-M team for the JDRF Walk and be eligible for great prizes

The 2012 Ann Arbor-Dexter JDRF Walk to Cure for Diabetes will take place on Sunday, September 23, 2012 at Hudson-Mills Metropark in Dexter. We'd like to invite you to join a U-M team to walk, donate, and/or raise funds for the event. And...

GET A LIMITED EDITION U-M WALK T-SHIRT when you donate or raise at least $25! (While quantities last.) This year, we also have kids' sizes! (One t-shirt per registered walker with minimum $25 each.) See the t-shirt design

u-m vs. msu graphicTWO U-M VS. MSU FOOTBALL TICKETS will be awarded to the top U-M fundraising walker*. The University of Michigan versus Michigan State University game will be held at Michigan Stadium in Ann Arbor on Saturday, October 20, 2012.

BE ELIGIBLE TO WIN TWO U-M VS. MSU HOCKEY tickets in a random drawing of U-M fundraising walker*. The University of Michigan versus Michigan State University game will be held at Yost Ice Area in Ann Arbor on Friday, November 9, 2012.

*See the website for prize rules and regulations.

jdrf kids imageNOTE: Even if you can't walk that day, you can register and donate and still be eligible for these prizes as a U-M team member!

We are proud that the University of Michigan Health System is a GOLD-LEVEL SPONSOR of the 2012 Ann Arbor-Dexter JDRF Walk and the Corporate Chair is our own Ora Hirsch Pescovitz, M.D., Executive Vice President for Medical Affairs and Chief Executive Officer, U-M Health System. In addition, the Walk's Physician Champions are Ernesto Bernal-Mizrachi, M.D., from the MEND (Adult Endocrinology) Division, and Inas Thomas, M.D., from Pediatric Endocrinology. We hope that you will join us to register and/or donate! See you there!


The lowdown on low-carbohydrate snacks

By the Adult Outpatient Diabetes Education Program, U-M Comprehensive Diabetes Center

weighing pastaDiabetes means that there is a problem with how your body handles glucose (sugar). Sugar is found in food with carbohydrates, such as grains and starches, fruits, starchy vegetables (i.e. potatoes, corn, and peas), legumes, milk and milk products (i.e. soy milk, rice milk), sweets, and many beverages.

It's important for people with diabetes to make healthy food choices. We recommend eating a variety of foods. Choose plenty of vegetables, fruits, whole grains, low-fat milk products, and lean meat and meat alternatives. However...

It's OK for people with diabetes to consume carbohydrates! Carbohydrates are important for providing the body with the energy it needs for physical activity and proper organ function. Just make sure that you count your carbs and watch your portion sizes. Remember to check the nutrition fact labels on prepared foods for appropriate serving sizes.

Follow the recommendations for food intake that you have been given by your doctor or other health care provider. IN GENERAL: Women should aim for 45–60g carbs per meal and a snack of 15–30g carbs. Men should have 60–75g carbs per meal and a snack of 15–30g carbs.

Below is a table of low-carb suggestions that many people have found helpful. You may visit our website for a printable, PDF version, too.


                           LOW-CARB SNACK IDEAS

15g of Carbohydrates:

1 plain granola bar
10 baked chips (potato or tortilla)
1 popsicle
15 mini pretzels
1 medium orange
1 Kellogg's Rice Krispie Bar
5 Vanilla Wafers
3 cups of light popcorn
1 Fruit Roll-Up
3 graham cracker squares
1/2 cup of light frozen yogurt
1 cup of berries or melon
1 light Fruit-n-Gel cup
3 Tootsie Roll Midgies
5-6 snack crackers
1 mini bagel (1 oz.)
1 Fudgesicle bar
2 large rice cakes
6 oz. of light yogurt
15 small grapes
4 pieces of Melba Toast

30g of Carbohydrates:

16 animal crackers
1/2 cup of instant pudding
1/2 bag of light popcorn (6 cups)
3 pieces of Twizzlers
3 Fig Newtons
2 oz. of regular trail mix
1/2 cup of sherbet or sorbet
1/4 cup dried fruit
1 package of instant oatmeal
1 English muffin with peanut butter
1 regular York Peppermint Patty
1 McDonald's Fruit 'N' Yogurt Parfait
3/4 cup hummus with carrots &
1 cup of Cheerios with
1/2 cup of skim milk
1 cup of unsweetened applesauce
80 Goldfish crackers


Upcoming diabetes-related events

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

Ann Arbor-Dexter JDRF Walk

Hudson Mills Metropark in Dexter
8801 North Territorial Road
Dexter, MI
Sponsored by the Juvenile Diabetes Research Foundation
Sign up for a U-M Team (search on "University of Michigan" under "Team Name") and get a limited-edition t-shirt for minimum $25 donation. U-M fundraising prizes include tickets to UM vs. MSU football and hockey games!!

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
39200 Five Mile Road
Livonia, MI 48154
Las Vegas-style gaming and fabulous food for a great cause

Saturday, November 10, 2012
9:00 a.m.–1:00 p.m. (confirmed)
U-M World Diabetes Day Health Fair
Sheraton Ann Arbor Hotel
3200 Boardwalk
Ann Arbor, MI 48108
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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