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¡°Beam Me Up,¡± and Into
21st-Century Medicine
It¡¯s like a scene from Star Trek - instead of going
to the doctor when you¡¯re sick, you sit at your
computer and discuss your symptoms with a
medical provider. For some Colorado communi-
ties, it isn¡¯t science fiction anymore - it¡¯s a real-
ity. Until now, access to specialized health care
in much of Colorado has been a challenge due to
geography and the widely scattered communi-
ties in parts of the state. However, the advances
of broadband and secure online networks are
changing that and taking Coloradans ¡°where no
man has gone before,¡± explains Vivek Wadhwa,
a fellow at Stanford University who specializes in
new technologies. ¡°Technology is taking us into
the ¡®Star Trek¡¯ future that we dreamed about
when we were children,¡± Wadhwa says. ¡°All of
those magical devices that we saw on TV, you
know - all those amazing things are now becom-
ing realities.¡± Telehealth - the use of telecom-
munications to provide long-distance clinical
care - and other 21st-century health topics were
discussed in late July at the Colorado Health
Symposium in Keystone.
The Colorado Telehealth Network (CTN) has been
working for six years to create secure networks
for the state¡¯s medical facilities to share images
and information, and helping patients use tech-
nology to take advantage of telehealth services,
according to its executive director, Ed Bostick.
¡°These patients have to have broadband in their
community - and so, not only are we doing
broadband for the telehealth piece, but we¡¯re
also working with a number of agencies to try
to deploy broadband throughout Colorado,¡± says
Bostick. ¡°And obviously, the place where it needs
to be done is in rural communities.¡± The Colorado
Telehealth Network has been recognized as a na-
tional leader in developing long-distance medical
technology. Wadhwa says that¡¯s partly because
the state¡¯s residents have a lot to gain from it.
¡°Colorado will benefit in a big way,¡± says Wad-
hwa. ¡°And people who are outside the cities can
be left out of the technology landscape. But with
these advances, anyone anywhere will have
ranean eating plan
- without restricting
calories - showed a
greater improvement
in glycemic control and
insulin sensitivity than
participants who ate
other popular diets. In
addition, overweight
patients with newly
diagnosed type 2
diabetes who followed
the Mediterranean
diet had less need
for antihyperglycemic
medications compared
with participants on a
low-fat diet.
Overall, a variety of
eating plans, includ-
ing the Mediterranean,
low-carbohydrate/low
glycemic index and
access to the same knowledge, the same tools.¡±
CTN provides services in all but three Colorado
counties and at least 200 medical facilities.
(Stephanie Carson, Public News Service, CO)
2014 September
Pg 6 - The Sunshine Express
Health & Nurturing
CO Telehealth Network
Daddy¡¯s Fear of Failure
Bounia was convinced that education was the
road to success in America. All four of her chil-
dren, first generation Americans, graduated high
school. All her children learned a musical instru-
ment and learned to dance, not only Ukrainian
Folk Dance and Polka, but the way Americans
dance. My grandfather was a classical violin-
ist and played for weddings, funerals, church
services and recorded music for RCA Victor. He
taught Dad and my two uncles to play. I don¡¯t
know how Dad¡¯s sister was excused from music
lessons, but dance she did.
Fast forward to my high school years. I was my
father¡¯s daughter and excelled academically, as
well as playing the accordion and dancing both
Ukrainian Folk Dance and Ballroom Dance. I
remember only one compliment from Daddy. He
raised Boxer Dogs and a litter had been born. I
Vitality
by Sandy Lauzon
Good nutrition can help prevent & control
type 2 diabetes
In a comprehensive review of recent randomized
clinical trials and observational studies of diabetes
and nutrition, Joslin Diabetes Center and Harvard
School of Public Health investigators have identi-
fied specific foods and dietary patterns that are
beneficial in preventing and controlling diabetes.
The findings were published June 7, in Lancet.
¡°We undertook this review because we believe
that most of the current dietary guidelines for
patients with diabetes do not reflect recent evi-
dence. Nutrition can be used as a medicine to pre-
vent and control diabetes in a very effective way,¡±
says Osama Hamdy, M.D., Ph.D., Medical Director
of Joslin¡¯s Obesity Clinical Program and Asst Pro-
fessor of Medicine at Harvard Medical School.
¡°With the global epidemic of type 2 diabetes, it¡¯s
critical to invest in effective diabetes prevention
and management,¡± says Frank B. Hu, M.D., Ph.D.,
M.P.H., senior author of the study and Professor,
Departments of Nutrition and Epidemiology, Har-
vard School of Public Health and Director, Boston
Obesity Nutrition Research Center, Epidemiol-
ogy and Genetics Core. ¡°An unhealthy diet has
long been considered a major contributor to the
development of diabetes but only in the past two
decades has this role been confirmed by prospec-
tive observational studies and clinical trials.¡±
One major finding was that certain foods and
dietary patterns can help prevent type 2 diabetes
even without weight loss. ¡°People who eat a Medi-
terranean diet, with foods such as olive oil, whole
grains and leafy vegetables and fruits, have a
lower risk of developing diabetes even when they
don¡¯t lose weight,¡± Dr. Hamdy says.
Foods such as oat cereal, yogurt and dairy prod-
ucts, green leafy vegetables, grapes, apples, blue-
berries and walnuts were associated with reduced
diabetes risk. Drinking coffee and even decaffein-
ated coffee were also associated with lower type 2
diabetes risk. Participants who followed a Mediter-
Foods That Prevent Diabetes
high-protein diets, improved glycemic con-
trol and cardiovascular disease risk factors in
patients with diabetes compared with control
diets. This offers patients a range of options for
diabetes management.
Foods associated with a higher risk of diabetes
include red and processed meat, sugar-sweet-
ened beverages, alcohol in excess quantities
and refined grains, such as white flour.
Recent studies of fat intake and diabetes inci-
dence support the notion that eating the right
kind of fats is beneficial to health. This goes
against years of advocacy of a low-fat/high-
carbohydrate diet. ¡°When people started eat-
ing less fat, they compensated by eating more
refined carbohydrates, which stimulate insulin
secretion and increase fat deposition. A major
problem with the American diet is too much
refined grains and added sugar, which are asso-
ciated with the rise in obesity and type 2 diabe-
tes,¡± Dr. Hamdy says.
Current evidence shows that some fats, such
as those from red and processed meats, are
associated with higher cardiovascular risk while
other fats such as those from vegetable oils and
nuts are associated with lower risk. The Joslin
nutritional guidelines for diabetes recommend
a diet with relatively high amounts of healthy
fats and protein but moderately low amounts of
carbohydrates.
¡°We know now that the quality of fat and carbo-
hydrates is more important than the quantity of
fat and carbohydrates,¡± Dr. Hamdy says.
Since 2005, participants in the Joslin ¡®Why
WAIT¡¯ (Weight Achievement and Intensive Treat-
ment) program who have followed these guide-
lines and exercised regularly, have lost weight
and maintained it for five years and significantly
reduced their diabetes medications by more
than 50 percent.
¡°Now that we have clear evidence, we are striv-
ing to educate the American public about what
foods to eat to prevent diabetes and improve
overall health,¡± he says.
(Joslin Diabetes Center. ¡°Good nutrition can help
prevent, control type 2 diabetes.¡± ScienceDaily.
ScienceDaily, 28 August 2014. www.sciencedai-
ly.com/releases/2014/08/140828135300.htm)