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Use a Hunger Scale to Deal with That "I'm Still Hungry" Feeling

A common complaint among people who are watching their weight is, “I always feel hungry!” Yet many people think they are hungry when actually, they may be feeling bored, sad, stressed, excited or scared.  It’s normal to occasionally eat when we aren’t really hungry.  

But some people have a harder time controlling their eating, especially when they eat to try and feel better after getting upset or being nervous.  People who eat in response to feelings or emotions may have a hard time stopping, and end up overeating.  Some people eat in response to physical cues, such as seeing an ad on television for a juicy fast-food burger or driving past a bakery and smelling freshly baked bread. 

And if you have diabetes, you may have been told to eat your meals at about the same time every day, whether you want to or not.  It’s not surprising, then, that a lot of people don’t even know what physical hunger feels like because they’re used to eating for other reasons.

To help you gain better control of your eating and to lessen the chances of what is

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Longitudinal study of parechovirus infection in infancy and risk of repeated positivity for multiple islet autoantibodies: the MIDIA study

How to Cite

Tapia, G., Cinek, O., Rasmussen, T., Grinde, B., Stene, L. C. and Rønningen, K. S. , Longitudinal study of parechovirus infection in infancy and risk of repeated positivity for multiple islet autoantibodies: the MIDIA study. Pediatric Diabetes, no. doi: 10.1111/j.1399-5448.2010.00658.x

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Effects of Metformin on Body Weight and Body Composition in Obese Insulin-Resistant Children: A Randomized Clinical Trial

RESULTS Eighty-five percent completed the 6-month randomized phase. Children prescribed metformin had significantly greater decreases in BMI (difference −1.09 kg/m2, CI −1.87 to −0.31, P = 0.006), body weight (difference −3.38 kg, CI −5.2 to −1.57, P < 0.001), BMI Z score (difference between metformin and placebo groups −0.07, CI −0.12 to −0.01, P = 0.02), and fat mass (difference −1.40 kg, CI −2.74 to −0.06, P = 0.04). Fasting plasma glucose (P = 0.007) and homeostasis model assessment (HOMA) insulin resistance index (P = 0.006) also improved more in metformin-treated children than in placebo-treated children. Gastrointestinal symptoms were significantly more prevalent in metformin-treated children, which limited maximal tolerated dosage in 17%. During the 6-month open-label phase, children treated previously with placebo decreased their BMI Z score; those treated continuously with metformin did not significantly change BMI Z score further.

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Steps to Take Before Your First Medical Visit When Pregnant

It’s extremely important for women who have diabetes and become pregnant to begin addressing the diabetes aspects of their pregnancy as soon as possible. Here are two steps that the Joslin-Beth Israel Pregnancy Program recommends taking before the first medical visit.

First, you should collect detailed records on your blood glucose levels, including fasting levels, and specific amounts of carbohydrates and insulin for meals. With that information, the medical team can start making adjustments during the first visit.

Second, you should review your current medications. If you are taking ACE inhibitors for kidney conditions or statins for cholesterol control, these will be discontinued during the pregnancy. If you are on diabetes pills, continue until the visit.


For more information about the Joslin-Beth Israel Pregnancy Program, or to make an appointment, please call 617-732-2496.

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    Erectile Dysfunction | Vacuum Therapy Device Offers

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    Normal Postprandial Nonesterified Fatty Acid Uptake in Muscles Despite Increased Circulating Fatty Acids in Type 2 Diabetes

    RESULTS In the postprandial state, plasma NEFA level was higher in type 2 diabetic subjects versus CON (P < 0.01), whereas plasma glucose was at the same level in both groups. Muscle NEFA fractional extraction and blood flow index levels were 56% (P < 0.05) and 24% (P = 0.27) lower in type 2 diabetes, respectively. However, muscle NEFA uptake was similar to that of CON (quadriceps femoris [QF] 1.47 ± 0.23 vs. 1.37 ± 0.24 nmol ⋅ g−1 ⋅ min−1, P = 0.77; biceps femoris [BF] 1.54 ± 0.26 vs. 1.46 ± 0.28 nmol ⋅ g−1 ⋅ min−1, P = 0.85). Muscle oxidative metabolism was similar in both groups. Muscle NEFA fractional extraction and blood flow index were strongly and positively correlated (r = 0.79, P < 0.005).

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