October 2012                                                                                                                    View previous issues


shirley kadoura, rd, cdeHelpful Halloween Hints

By Shirley Kadoura, RD, CDE
U-M Adult Outpatient Diabetes
     Education Program

For most people, Halloween brings to mind thoughts of costumes, spooky decorations, and, of course, candy! For a person with diabetes, the fun may be overshadowed by worry about how to control blood sugar and still enjoy the season. While there are no forbidden foods for people with diabetes, planning to include healthy foods along with a few favorite treats can help manage blood sugars and make the holiday enjoyable again.

Tip #1: Eat a balanced meal, including lean protein and non-starchy vegetables before diving into Halloween fun. Eat fewer carbs at your meal to allow for additional carbs you want to consume in treats later. Also, offering nuts and a veggie tray in addition to sweets at parties gives alternative choices for guests who count carbohydrates.

Tip #2: Fun-size it! Enjoy your favorite candy in moderation. Many fun-sized (smaller) candy bars contain only 10-15 grams of carbohydrate and can be included as part of a meal or snack. 

Tip #3: Don't buy your favorite candy to hand out to trick-or-treaters. Instead, buy candies you do not like (don't worry, they are someone's favorite!). This way, you can enjoy the costumes without getting distracted by the treats in your bowl.

Tip #4: Beware of "sugar-free" candy. "Sugar-free" does not mean "carbohydrate-free," and it is the total carbohydrates that raise blood sugar. Also, many sugar-free foods contain sugar alcohols, like Sorbitol, which can cause diarrhea when eaten in large amounts. Read labels and count the total carbohydrates for all food, including candy.

Tip #5: Give it away! Once the fun is over, it may be tempting to keep leftover candy until it is gone. But if you struggle to control yourself around sweets, you may want to consider donating your wrapped candy to a deserving charity like a children's hospital, or sending it to our military in active duty.

Living with diabetes does not mean missing out on Halloween fun. By planning ahead, everyone can enjoy making memories with family and friends.


The closest thing to Vegas! Attend the Rugiero Casino Royale Fundraiser on November 3

Have you ever dreamt of playing Texas Hold'Em poker live? Or envisioned yourself at a blackjack table surrounded by cheering onlookers as you place your winning bet? What about feeling like a celebrity at a high-profile charity event, getting dressed up and mingling with other philanthropists? Well, all these dreams can come true if you attend the 3rd Annual Rugiero Casino Royale Night, a fundraiser for the U-M Antonio Rugiero Diabetes Research Fund at the University of Michigan Comprehensive Diabetes Center.

rugiero casino royale logoThe Rugiero Casino Royale starts at 5:30 p.m. on Saturday, November 3 with a strolling supper, full bar, and gaming on authentic gaming tables with professional dealers. You don't have to pay for a plane ticket or a hotel room to enjoy this event's Las Vegas atmosphere! It takes place at the Italian American Club at 39200 Five Mile Road in Livonia, MI 48154. The cost is $75, which includes entertainment, silent auction, prizes, and $100 in gaming chips. The Texas Hold'Em Poker Tournament begins at 7:00 p.m. and requires a separate $100 ticket (along with the $75 event fee).

rugieros casino royale roulet 2011

For the third year in a row, the Rugiero Family — owners of the popular Antonio's Cucina Italiana restaurants in Dearborn Heights, Farmington Hills, and Canton, as well as the Roman Village Cucina Italiana in Dearborn — generously give of their time and resources to host this fundraiser for diabetes research. The reason this topic is so close to their hearts is because the family's father and restaurant co-founder, Antonio Rugiero, was diagnosed with type 2 diabetes when he was 32 years old. He passed away in 2008 from complications associated with diabetes. Soon after, Antonio's widow, Rita, and her four sons (Patrick, Anthony, Mark, and Robert) established the U-M Antonio Rugiero Diabetes Research Fund in his memory.

Anthony Rugiero said, "We wanted to keep our father's memory alive, and one way to do that is to support causes that our father believed in. We have a lot of respect for the University of Michgian and so did my father. He received wonderful care there late in his life and now we are giving back. The new University of Michigan diabetes research facility and what they are doing there is amazing. We are glad we can help, and I know my father would be, too."

rugiero familyAlong with purchasing tickets to attend the event, playing Texas Hold'Em Poker, and bidding on silent auction items, supporters of diabetes research can also take advantage of sponsorship and advertising opportunities. The family’s hope is "to donate maximum funds to the University of Michigan and do all we can to find a cure for this disease."

Would-be gamblers and philanthropists may purchase advance event tickets for $75 and optional $100 tickets for the Texas Hold'Em Poker Tourney through PayPal from the links on our event web page.

For more information, call (734) 981-9805, email rugierocasinoroyale@yahoo.com or visit www.antoniosrestaurants.com and click on "Events."


wdd logoThree lectures, longer hours for the 6th Annual U-M World Diabetes Day Health Fair on November 10

For the past six years, the U-M Comprehensive Diabetes Center has hosted a Diabetes Health Fair to commemorate the United Nations' World Diabetes Day (WDD) and the American Diabetes Association's Diabetes Awareness Month. Each year, the event gets larger and more features are added. The 2012 U-M WDD Health Fair, which takes place on Saturday, November 10 at the Sheraton Ann Arbor Hotel, is continuing that trend!

medequip logoOnce again, the University of Michigan's MedEquip division is our main sponsor. Patients can order their diabetes supplies, wheelchairs, and much more from MedEquip by calling toll-free: 800-530-0714.

In a response to attendees' requests on last year's surveys, this year's WDD Health Fair will be four hours long (9:00 a.m. to 1:00 p.m.) — giving attendees an extra hour to visit exhibit booths and get free health screenings.

Along with the screenings for kidney function (urine), Hb A1c and blood sugar, blood pressure, cholesterol (non-fasting LDL and total cholesterol), obesity risk (waist/hip ratios and height & weight for Body Mass Index), and foot checks (for people with diabetes only), we will add a special eye screenings for diabetic retinopathy (for people with diabetes only). All screenings are first-come, first-served, as long as time and supplies permit. A number system will be used in the waiting area for each screening.

There will still be three lectures, which was noted as a popular feature on the 2011 surveys. There will be a half hour between each lecture. Here are the lecture details:

9:30–10:15 am
"Exercise As Medicine: Preventing and Managing Chronic Disease with Exercise"

Heidi IglayReger, PhD Heidi IglayReger, PhD
Laboratory Supervisor
Laboratory for Physical Activity and Exercise Intervention Research
University of Michigan Medical School



10:45–11:30 am
"Diabetes Distress: Is Your Diabetes Stressing You Out?"

sacha uelmen rd cde Danielle Rogosch, RN, CPT
Adult Outpatient Diabetes Education Program
U-M Comprehensive Diabetes Center



12:00–12:45 pm
"Protein 101: Beyond Carbohydrates"

jen wyckoff mdShirley Kadoura, MPH, RD, CDE
Adult Outpatient Diabetes Education Program
U-M Comprehensive Diabetes Center




No advance registration is necessary for the WDD Health Fair for people who are already on the mailing list to receive this U-M Diabetes e-Newsletter, but if you would like to register additional people for the WDD Health Fair who are not on this mailing list, please go to: http://www.med.umich.edu/diabetes/WDD/WDDsignup.html

We would also like to thank this year's sponsors to date, who make the WDD Health Fair possible:
PREMIUM SPONSORS: Dexcom and Eli Lilly & Co.
OTHER SPONSORS: Abbott Laboratories,Detroit Dental Sleep Network, Insulet Corp., Lifescan, Inc. and Animas, Medtronic Diabetes, Novo Nordisk, Sanofi-Aventis, Solara Medical Supplies, Tandem Diabetes Care, U-M MedEquip, U-M Michigan Institute for Clinical and Health Research (MICH-R), U-M Orthotics & Prosthetics, and Wright & Filippis.

For more information about the WDD Health Fair, see: www.med.umich.edu/diabetes/WDD/


Do you have type 2 diabetes? We need a few more people for our neuropathy (nerve damage) study!

rodica pop-busui md phdDo you have type 2 diabetes and experience pain, numbness, tingling or a burning sensation in your feet? If so, you may have peripheral neuropathy, a complication related to type 2 diabetes. We are looking for 10 more people to help us study this condition and make an important contribution to diabetes research.

The University of Michigan MEND Division is currently enrolling people with type 2 diabetes into a clinical trial called: "Exenatide and Diabetic Neuropathy." The study is being conducted by Rodica Pop-Busui, MD, PhD, Associate Professor of Internal Medicine at the U-M Comprehensive Diabetes Center (photo L).

The purpose of this study is to look at the effects of Exenatide (Byetta) on peripheral neuropathy in people with type 2 diabetes. Exenatide is an injectable medication used by people with type 2 diabetes to control blood sugar. Peripheral neuropathy (nerve damage) is a complication of diabetes that can cause symptoms such as numbness, tingling, pain, and burning sensations in the feet and hands (the peripheral parts of the body).

Controlling blood sugar levels in patients with type 2 diabetes helps to prevent, delay, or improve the damage to nerve fibers that causes peripheral neuropathy, but it is not always enough. Laboratory evidence suggests that Exenatide may have additional beneficial effects on preventing the damage to peripheral nerves in patients with type 2 diabetes, beyond the benefit of controlling blood sugar.

If we can prove that this medication does provide relief, then it would be a great discovery that will help thousands of people with type 2 diabetes! And perhaps you or someone you know can help.

You are eligible to participate in the study if you:

  • Are between the ages of 18–70

  • Are not currently taking the following diabetes medications; Byetta, Lantus, Victoza, Onglyza, Januvia, or Janumet

  • Have an A1c level between 7.0% and 10.0%

  • Have mild to moderate peripheral neuropathy (nerve damage)

During the study, participants are seen at the University of Michigan Metabolism, Endocrinology and Diabetes (MEND) Clinic, located at Dominos Farms, and at the University Hospital for neurology testing.

All study participants will go through several tests, including an examination by a neurologist (a doctor who specializes in the nervous system), nerve conduction studies (tests to see how well your peripheral nerves are working), lab work, and physical examinations. The study takes 18 months to complete and the visits are every three months.

Medication will be provided at no cost for the entire duration of the study.
There is no cost for the medical examination, the laboratory tests, or study-related materials. Patients will also receive a small payment for each completed visit, after their study eligibility has been confirmed.

Make a difference in diabetes research! If you are interested in learning more about this study, please contact Cathy Martin, MS, APRN, CDE, Clinical Study Coordinator, at 734-936-6465 or via email at martinc@umich.edu.


Upcoming diabetes-related events

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, fabulous food, amazing entertainment, prizes, and silent auction add up to fun for a great cause

Saturday, November 10, 2012
9:00 a.m.–1:00 p.m.
U-M World Diabetes Day Health Fair
Sheraton Ann Arbor Hotel
3200 Boardwalk
Ann Arbor, MI 48108
Free health screenings, three lectures, giveaways, door prizes, and tons of diabetes information from UM Health System experts and diabetes medical supply and pharmaceutical companies

Sunday, November 11, 2012
9:00 a.m.–12:00 p.m.
JDRF-Medtronic Type 1 Children's Event
Ann Arbor Hands-On Museum
220 E. Ann Street
Ann Arbor, MI
$5 per person; advance registration required by Nov. 9. Network with other families of children with type 1 diabetes, explore the museum, hear from special guest speakers, enjoy refreshments, and have fun! Attendance is limited. The museum is closed to the public, only open for this special event only to registered attendees. More info [PDF flyer]

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

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