December 2012                                                                                                                    View previous issues


Please note: Our administrative offices will be closed from December 24 until January 2, 2013. The clinic has limited open hours during that week. For more information, contact our Call Center toll-free at 866-266-5221. Happy Holidays!

A holiday message from the U-M Diabetes Center Director, Dr. Peter Arvan

peter arvan md phdAll of us at the University of Michigan Comprehensive Diabetes Center would like to take this opportunity to wish you an enjoyable holiday season and a happy 2013. May it be filled with family, friends, fun, and food — not necessarily in that order!

At this time of the year, we often reflect back on the year behind us, as well as look forward to the future. We at the U-M Diabetes Center are very grateful for your partnership during the year. Some of you are our patients. Others have volunteered for our clinical studies. Many of you attend the outreach events that we participate in.

Many of you have also supported us financially, by including us on your list for charitable contributions. We are deeply grateful for your support. Any gift, large or small, is important to us.

If you — or someone you know — would like to make a year-end, tax-deductible donation to help us advance diabetes research, treatment, and education, you may contribute online at this secure web server:

Make a gift online

(If your email program cannot open this web link, you may also go to our main webpage at and click on "Make a Donation" at the bottom of the page.)

Thank you for your interest in helping to fight diabetes! We look forward to serving you in the new year.

Peter Arvan, M.D., Ph.D.
William and Delores Brehm Professor of Diabetes Research
Chief, Division of Metabolism, Endocrinology & Diabetes
Director, U-M Comprehensive Diabetes Center


Diabetic footwear study includes FREE prescription shoes and innersoles!

jim wrobelJames Wrobel, DPM, MS
Associate Professor of Internal Medicine
Podiatry Services, U-M Comprehensive Diabetes Center

PLEASE NOTE: As of January 4, we have met our quota of participants for this study. In case we do need for more people for this or similar studies in the future, feel free to give us your name, phone number, and email address (if you have one) by emailing or calling 734-647-4940. To find other diabetes studies for which you may be eligible, please go to: or email us at Thank you for your interest in volunteering for diabetes research!

Would you like to participate in a diabetic footwear study that tests a novel, new innersole? Persons with diabetes who have lost some feeling in their feet and who have calluses or history of prior foot ulcers may participate in this research study. The study will test whether a new shear-reducing innersole reduces the temperature of your feet, changes your walking style, or changes your balance over your prescribed footwear.

The research visit will take approximately one to one-and-a-half hours. During this visit:

  • You will be measured and fitted for diabetic shoes, prescription innersoles, and the
    intervention innersoles.
  • A thermal image will be taken of the bottoms of your feet. Small sensors will be discretely
    attached to your lower back, thighs, and leg using Velcro-fastened straps. The sensors are
    used to measure your walking strategy and balance.
  • We will trim any calluses on the bottoms of your feet.
  • You will be asked to walk approximately 500 steps at your regular pace in one type of innersole and diabetic shoes.
  • After your foot temperatures have returned to normal, you will be asked to repeat the same tests using the study innersoles in your diabetic shoes and while performing a mental task at the same time.
  • We will call you in a few days after receiving your footwear to see how you are doing.

You are not eligible to participate if you are unable to walk at least 100 feet without assistance, use a
lower-extremity prosthesis, or if you have an active infection, foot ulcer, or Charcot foot (rocker-bottom foot).

Office visits, prescription shoes, prescription innersoles, and all study-related procedures are free. In addition, subjects will receive compensation for completing the research visit after confirming eligibility.

For more information or to find out if you are eligible for this study, please call:
Dr. James Wrobel, DPM, MS
Division of Metabolism, Endocrinology and Diabetes
Phone: 734-647-4940

Please note: Our offices will be closed for the holidays on December 24. We will be happy to speak with you beginning January 2, 2013!


Our free support groups resume in January

The University of Michigan Comprehensive Diabetes Center runs several free support groups for people with diabetes. Most of them skipped their December meeting, due to the hectic holidays. We look forward to seeing you in January! See below for the group that is appropriate for you:


Type 2 Diabetes Support Group

Free support group for all adults living with type 2 diabetes, facilitated by Adult Diabetes Education Program staff member Mary Lou Gillard, MS, RN, CDE. You may bring a support person!

When: 2nd Saturday of the month (next meeting is January 12, 2013)
Time: 9:3011:00 am
Location: East Ann Arbor Health Center (4260 Plymouth Rd., Ann Arbor)
East of US 23, corner of Earhart Rd.
Main entrance - lower level conference room
Directions: Map and directions

Questions: Call (734) 998-2475 or send email to


Type 1 Diabetes Adult Support Group

Free support group for all adults living with type 1 diabetes, facilitated by Adult Diabetes Education Program staff and the UMHS Social Work Department.

When: 3rd Tuesday of each month (next meeting is January 15, 2013)
Time: 6:157:30 p.m.
Location: Meets in the lobby of the U-M Metabolism, Endocrinology & Diabetes (MEND) Clinic
Domino's Farms, Lobby C, Suite 1300
4000 Ave Maria Drive [use for map programs and GPS]
Ann Arbor, MI 48105
(entrance is on the west side of the Domino's complex, off Ave Maria Drive)
Directions: From Plymouth Road, turn onto Frank Lloyd Wright Drive.
BEFORE you reach the Domino's complex, turn LEFT on Ave Maria Drive
(the first street on the left).
Follow the signs to Lobby C.
Map and directions

Questions: Call (734) 998-2475 or send email to


Diabetes Support Group for Seniors

This free support group offers information and support for people 60 years of age or older who have diabetes. Facilitated by Adult Diabetes Education Program staff member Mary Lou Gillard, MS, RN, CDE.

When: 1st Tuesday of the month (next meeting is January 8, 2013, the second Tuesday, since the first Tuesday in January is New Year's Day)
Time: 1:303:00 p.m.

U-M Turner Senior Resource Center
2401 Plymouth Rd., Suite C
Ann Arbor, MI, 48105
Map [PDF]

To be added to the mailing list, call the Geriatrics Clinic Social Work office at (734) 764-2556.


Cooking substitutions for healthy holiday (and everyday) eating

The holidays are here, and with them comes the temptation to overeat and derail our healthy eating regimen. Our dietitians in the U-M Adult Outpatient Diaebtes Education Program have put together some hints for reducing carbs, fat, calories, and sodium — while increasing fiber, fullness, and satisfaction! You'll be amazed at how much these little "tweaks" can have such a huge effect on the healthiness of a dish, without sacrificing flavor. Give these a try. You may also want to print the PDF version and tack it up in your kitchen, too!


How to REDUCE CARBOHYDRATES in Your Favorite Recipes

        • Most recipes will still be tasty with less sugar
        • Try decreasing the amount of sugar in a recipe by 30-50%

Recipe calls for this portion:

Try this instead:

1/2 cup
1 cup
1-1/2 cup
2 cups
2-1/2 cups
3 cups
4 cups

1/4 or 1/3 cup
1/3 or 1/2 cup
3/4 or 1 cup
1 or 1-1/2 cup
1-1/4 or 1-3/4 cup
1-1/2 or 2 cups
2 or 2-1/2 cups

If you're using:

Lower the carbs this way:

  • Stuffing

Add carrots, celery, shredded zucchini, etc. and use less bread

  • Pasta

Add vegetables (mushrooms, zucchini, tomatoes, spinach, etc.) so you can use less noodles and still feel satisfied

  • Hash browns

Use grated summer squash (zucchini) instead

  • Mashed potatoes

Use cauliflower for some or all of the potatoes

  • Spaghetti

Use spaghetti squash instead: cut in half, remove seeds, place on microwave-safe plate cut-side down for 10 minutes or until soft. Cool for a few minutes and then scrape out the spaghetti-like squash, add sauce, and serve!

  • Regular jam or jelly

Try sugar-free or reduced-sugar jams and jellies


How to INCREASE FIBER in Recipes

Recipe calls for this:

Use this instead:

All-Purpose Flour

Whole wheat flour or whole wheat pastry flour either for the entire amount or half and half with white flour

Any Type of Pasta

Whole wheat pasta with 4g or more of dietary fiber

White Rice

Brown rice, bulgur, quinoa, pearled barley, whole wheat couscous, or lentils

Bread Crumbs

Whole oats or crushed whole wheat or bran cereal

White Bread

Whole wheat bread

Pancake Mix

Replace mix with almond meal in equal proportions

Ground Beef

Replace half of ground beef with legumes such as pinto beans, kidney beans, cannelini beans, or black beans



Recipe calls for:

Try using instead:

Butter, shortening, oil

Replace half with applesauce

Butter or oil

Olive oil or canola oil spray

Sour Cream

Low fat or reduced fat sour cream, fat-free Greek style or regular yogurt

Cream Cheese

Low fat, fat free, or neufchatel cream cheese; low fat/fat free cottage cheese, blended smooth; fat-free ricotta cheese
( Laughing Cow cheese can also be a good substitute)


Canadian bacon, lean prociutto, smoked turkey or turkey bacon

Ground Beef

Extra-lean or lean ground beef (ground sirloin), ground buffalo, lean ground chicken or turkey (but make sure the skin is not included)

Heavy Cream

Evaporated skim milk


Use less and try stronger cheeses, so a little bit goes a longer way.

Whole Eggs

Egg substitute, or egg whites with only half the yolks included

2% or Whole Milk

Fat-free, 1/2%, or 1% milk

1 oz. Unsweetened baking chocolate

3 Tbsp. dry cocoa + 2 tsp sugar + 1 Tbsp oil

1 Cup Chocolate Chips

1/2 cup mini chocolate chips


Light mayonnaise


How to REDUCE SODIUM in Recipes

  • Use less salt in recipes: Cut salt portion in half; add other spices to inject some flavor, such as pepper, onion powder, garlic powder, Mrs. Dash, Trader Joe's 21 Seasoning Salute, or any other spices you like.
  • For vegetables and other cooking: Add some freshly squeezed lemon or a little bit of any type of vinegar: this will trick your palette into thinking there is salt.
  • Experiment with spices and spice mixtures. Find a good spice store and inquire about the sodium content of their rubs and mixes; often there will be pre-made spice mixtures for poultry, beef, pork, etc.
  • Remember that salt is addictive: The more you use, the more you want — but as you reduce it in your food and cooking, you will adjust to the new variety of tastes and flavors.¬†Give it time; it might take a couple of weeks for your tastebuds to adjust.


Disclaimer: This document is for informational purposes only and is not intended to take the place of the care and
attention of your personal physician or other professional medical services. Talk with your doctor
if you have questions about individual health concerns or specific treatment options.


Upcoming diabetes-related events

Saturday, January 19, 2013
9:00 a.m.–3:00 p.m. (tentative)
Asian American Health Fair
Sponsored by the United Asian American Medical Student Association (UAAMSA)
University of Michigan Medical School
1135 E. Catherine St., Medical Science Building II
Ann Arbor, MI 48109
Free health screenings, physician consultation, and educational workshops to promote preventative medicine and healthy living for Asian Americans.

Friday, March 15, 2013
10:00 a.m.–2:00 p.m.
U-M World Kidney Day Health Fair
U-M Hospital, Dow Auditorium Lobby
(Taubman Center, 2nd Floor, near Cafeteria)
Ann Arbor, MI 48108
Free health screenings, educational materials, and more.

Saturday, April 13, 2013
8:30 a.m.–1:00 p.m.
ADA Diabetes Alert Mini Health Expo
Southfield Center Pavilion
26000 Evergreen Rd.
Southfield, MI 48076
Free admission and parking.
Pre-register online. The first 450 registrants will receive a goody bag when entering.
Free health screenings; cooking demonstrations; exhibitors with product demos; exercise demonstrations; free workshops; product samples and goody bags; interactive Kidz Zone; Shop to Stop Diabetes

Adult Diabetes Education  ~  Pediatric (Child) Diabetes Education
Adult Diabetes Support Groups

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