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Diabetes Update 168: Bariatric or Bydureon

July 1, 2012

By David Mendosa


A Burrowing Owl Flies

This Burrowing Owl Hovered and
Looked for Prey on June 19, 2012 

  • My New Diabetes Articles for HealthCentral:

    Last month HealthCentral published four more of my diabetes articles about all aspects of the condition:

    Low-carb Travel Food
    If you’re planning a road trip this summer, you’ve got a problem: What you put in your body. The problem only gets worse when you leave the road and your car behind and head off into the wilderness, the shore, or any trail away from civilization. Any hike will give us the activity and experience of nature that we all need. But it makes eating right all the harder. Staying with a very low-carb diet is a special challenge. We face three obstacles, but here is how to deal with them.

    When you keep your blood sugar level as low as the levels of people who don’t have diabetes, your have little risk of having a heart attack. But when you let your sugar level rise just a little, that risk goes up a lot. We now have no room for argument that an A1C level above 5.4 is bad for our hearts. So the way to reduce our risk is clearly in keeping our blood sugar as low as possible.

    Some people have had wonderful results from bariatric surgery. But not everybody benefits. A new study shows that this surgery results in remission from diabetes much more often with people who weren’t using insulin and whose pancreatic beta cells were working better.

    When people with type 2 diabetes take Bydureon to control their blood sugar levels, they usually are also taking another diabetes drug. Those people who are taking one particular drug are the ones who lose the most weight on Bydureon.
  • Fitness and Photograph for Fun:
    Last month I published 10 more of my articles on staying fit by getting the activity we need. Photography gets me to hike, and hiking keeps me fit:

    My camera and I have seen and appreciated many Killdeer, but never before did we see the behavior that we captured at Walden Ponds. A Killdeer feigned injury to distract me from its nests or young that the adult bird was protecting by employing a “broken-wing display.”

    The trail through the preserve took me along the river on the outbound leg of my trip and along an irrigation canal known as the Marshall Roberts Ditch on my return. Here I found stunning landscape and water, birds and wildlife.

    My two visits to the Nature Conservancy's Carpenter Ranch preserve about 20 miles west of Steamboat Springs showed me lots of birdlife and wildlife. But best was finding the nesting areas of two different species of birds.

    One of my favorite shots from Steamboat Lake State Park shows the scene from the 1.1 mile Tombstone Nature Trail along the south side of the lake. It shows Sand Mountain, one of the most beautiful mountains in the Elkhead Mountain range. The mountain rises 10,847 feet to the southwest of Steamboat Lake.

    Fish Creek Falls has to be one of the top natural attractions for anyone visiting Steamboat Springs, Colorado. I took both still and motion pictures of this spectacular 283-foot waterfall.

    My friend Marveen has a cabin in the mountains above Steamboat Springs. When we visited it we saw more than we bargained for -- a pair of Dusky Grouse.

    Marveen quickly stopped the car when she spotted a Sandhill Crane next to the highway. When we got out to look and photograph, we saw that the crane had a chick with her -- the first one I ever saw.

    As much as I loved my visit to Steamboat Springs, the journey back home could not have been better. Driving over Trail Ridge Road in Rocky Mountain National Park I got up close to all three kinds of moose -- male, female, and immature.

    When my best friend John visited me just before the summer solstice, we hiked the the four mile loop over Goshawk Ridge. This time was saw the wildflowers of late spring.

    Seeing Burrowing Owls is always special. But this time I saw and photographed two fascinating behaviors that I had never seen before.

  • New Flickr Site
    I keep added some of my favorites nature photographs on In the past month I have added several more. You can find them the easiest way by clicking here

  • Dr. Bernstein's Webcast

    The 78th birthday photo of Dr. Richard K. Bernstein, on June 17, 2012, records his 66 years with type 1 diabetes
    If you have any interest in controlling your diabetes by low-carb eating, one of the best resources is Dr. Richard K. Bernstein's monthly webcast. It's an hour of excellent diabetes education available free either on the Internet or by phone. You can click here to register

    Dr. Bernstein's next live webcast will be on Wednesday, July 25, 2012, at 7 p.m. CST, 8 p.m. EST, 6 p.m. MST, and 5 p.m. PST. He designed it to answer your most important questions concerning diabetes and to offer his thoughts on the latest developments in this area. Dr. Bernstein's special topic this month is mistreatment of intermittent claudication.

  • Diabetes U
    My friend Steve Freed, the publisher of  Diabetes in Control and the sponsor of Dr. Richard K. Bernstein’s monthly webcast, has applied for a $250,000 grant for his passion to develop a educational program that will use much of Dr. Bernstein’s philosophy.  It is called Diabetes U.

    You can help if you go to Mission: Small Business, log in, and in “Business name” enter “Diabetes U” to vote for this great proposal. Sorry for the short notice, but we need your vote by June 30.  

  • Searching for My Articles
    Whenever you want to find anything that I have written about diabetes -- whether on my website or on HealthCentral Network -- the easiest way is to use the search tool on my site. You can search for all of the articles on my site or for the "Diabetes Developments" blog or the "Fitness and Photography for Fun" blog or what I have written at HealthCentral, which is now a part of Remedy Health Media.

    Just go to and check which one of the four sites you want to search and enter what you want to find in the search block.


  • Health Central
    The Health Central Network will now notify you by email of new articles (SharePosts) by me or anyone who posts at Just click on "Subscribe" at the top of each of my articles or on my "Profile" page.

    Each month I describe and link my new Health Central articles here. But you can also use a blog reader to keep up with my articles more quickly. I use Bloglines, as I describe in my article, “Reading Health Blogs.

  • This Newsletter:
    1. Is and will remain free.
    2. Will never include advertising (except targeted Google ads at the bottom of the web page and not in the email newsletter).
    3. Nor will I ever sell, rent, or trade your email address to anyone.
    4. I will link sources of information.
    5. I will disclose any conflict of interest.
    6. If and when I learn of any errors of fact, I will correct them.
  • Archives: I now send out Diabetes Update once a month.

  • Previous issues are online at Older Issues.
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