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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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Erectile Dysfunction | Vacuum Therapy Device Offers

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Halloween and Diabetes: Tips for Handling Treats

Children with diabetes don’t have to miss the Halloween fun if you plan ahead to adjust their diabetes management plan.

Children with diabetes can eat candy on Halloween, just like any child.  However, parents should plan ahead to work the candy into their child’s diabetes meal plan or ensure they get enough insulin to cover the carbohydrates in the candy.  The Child Life Team at Joslin Diabetes Center provides tips for Halloween planning and handling treats with diabetes.

Planning Ahead for Halloween with Diabetes

It’s best to discuss your plans for Halloween with your child with diabetes in advance, so they know what to expect.  You can even involve your child in figuring out what to do with extra candy.  Children are much more likely to be on board with a plan that they have helped create.

What To Do With Extra Candy

Some families save the extra candy and put a piece or two in their child with diabetes' lunch box each day (if candy is allowed by the school) or use it to treat low blood glucose reactions (be careful not to use candy with a lot of fat, such as chocolate bars, as hypoglycemia treatments).

Other families work

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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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