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Thursday, September 12, 2013 – Daily News 3B FEATURES Diet, exercise gold standard for diabetes trol diabetes. DEAR DOCAfter almost TOR K: I just 10 years, the rates heard on the of heart attacks, radio that some strokes and heartstudy says that related deaths intensive diet were essentially and exercise the same in both don't decrease groups. For many heart disease risk in diabetics. Is Dr. K of us, that result was a real downthis true? If so, by Anthony L. I've made a lot Komaroff, M.D. er. That is, until you read the of hard changes study in detail. in my life for nothing. For example, the peoDEAR READER: I assume you're referring ple in the intensiveto results from the change group lost only recently publicized Look slightly more weight AHEAD (Action for than the control group: 4 Health in Diabetes) trial. percent versus 2.5 perThe results of this study cent. So though the were reported in June of research team called it this year. Several of my "intensive diet and exerpatients have already cise," it did not do a lot asked me about it, and to achieve the goal of what I've told them is: weight loss. A second important Take these results with difference between the several grains of salt. Here's what we know: intensive-change group Type 2 diabetes increas- and the control group is es the risk of stroke and that the latter group was more heartheart disease, and stroke taking and heart disease are the healthy medicines. So leading causes of death any real benefits from and disability among the slightly better weight loss in the intensivepeople with diabetes. We also have strong change group might have evidence from many been canceled out by studies that people who this difference in mediachieve a healthy weight cines. Lifestyle changes did and exercise regularly have a lower risk of have some health benestroke and heart disease. fits in this study. People So you'd think that over- in the intensive-change weight people with Type group improved their 2 diabetes also would blood sugar with fewer benefit from a program drugs, and they lowered of intensive diet and their risk for other diabetes complications such exercise. The Look AHEAD as chronic kidney distrial explored how ease and vision probchanges in diet and exer- lems. Some patients with cise affected heart dis- Type 2 diabetes who ease risk in this popula- achieve a healthy weight tion. The results weren't and exercise regularly what most people — can control their blood myself included — sugar without needing medicines any longer. expected. So I've told my The study was a large, randomized trial — the patients that I don't strongest type of study. think this study means Researchers recruited that any of us should more than 5,000 over- stop seeking a healthy weight men and women weight and exercising with Type 2 diabetes. regularly! Half were assigned at Dr. Komaroff is a random to lose weight and maintain their physician and professor weight loss through at Harvard Medical To send intensive diet and exer- School. questions, go to cise. The other group — or called a "control group" AskDoctorK.com, — met three times a year write: Ask Doctor K, 10 for group counseling Shattuck St., Second Boston, MA sessions to discuss Floor, lifestyle changes to con- 02115. Doc in family dispensing meds, advice haven't heard back. — Don't Stick a Broadway Baby in a Corner Dear Baby: Most theaters have at least one horrible seat, but it's hard to know that when you purchase at the last minute, especially when those tickets are discounted. There's a reason those are the seats that are left. Good for you for speaking up and finding a kind usher willing (and able) to seat you elsewhere. Dear Annie: "Still Waiting" complained that few people reciprocate dinner invitations anymore. Since moving to an active senior community two years ago, my husband and I have hosted about 18 dinners in our home, everything from casual suppers to large parties. Reciprocation in these friends' homes has been rare, but we don't care. We've enjoyed every one of the meals. We don't have special cooking skills, and hosting a dinner takes time and effort, but it's fun and has the added advantage of cozy chats that don't happen in a noisy restaurant. — W. John happens to have handy. Dear Annie: My dad's The real issue is that your cousin, "John," is an family is eager to take internist from another state. advantage of John's ability During my younger sister's to provide such medication wedding weekend, Dr. John for free and without needing stayed with us. Two days to see their regular physibefore the wedding, my siscian. They have the option ter was stressed and couldnot to follow his advice or n't sleep. John offered her Ambien. The pill was blue Annie's take what he offers, but they prefer the convenience. and in a blister pack. He Dear Annie: You've gave her two, even though the label states you should- by Kathy Mitchell printed letters about theater n't take them unless you and Marcy Sugar and concert patrons who stand up or squash you in can get six hours of sleep. My sister absolutely didn't have your seat. I have a better one. I sat in the worst seat on Broadway. I time for that. I have a prescription for Ambien, understand "obstructed view." This and it's white. I have no idea what was no view. I was in the front row. All I could John gave my sister. At the hairdresser's the next day, she was total- see was a staircase and the backs of ly zoned out. Isn't it wrong for actors who were seated in chairs on physicians to dispense such medica- stage. I was brokenhearted. I found an usher at intermission and tions without a prescription? There have been several inci- demanded to be seated elsewhere. dents in the past where John has She told me this is what happens given prescription medications to when you buy discount tickets at the my family members without seeing last minute. But she took me to the them. He once sent my dad expired last row of the theater and said, ointments for a rash that turned out "This way you can see the terrific to be shingles. When my mother part with the mirror." I gasped, had pneumonia, he told her to take "There's a mirror?!" The second act was great, flu medication. He didn't examine them, nor did he write a prescrip- although I had to ask the people tion. What do you think I should next to me to stop texting during the performance. Afterward, I found do? — Furious and Concerned Dear Furious: First of all, the usher and thanked her. Then I Ambien can come in different col- wrote the box office manager and ors, depending on the dosage. We the theater owners and asked that assume these are sample drugs that they please stop selling this seat. I Mailbox Annie's Mailbox is written by Kathy Mitchell and Marcy Sugar, longtime editors of the Ann Landers column. Please email your questions to anniesmailbox@comcast.net, or write to: Annie's Mailbox, c/o Creators Syndicate, 737 3rd Street, Hermosa Beach, CA 90254. Class offered to help you quit smoking Six community members quit smoking at the completion of July's Quit for Good class. If you're a smoker, make this your time to quit for good. You may already know that smoking causes lung cancer, emphysema, heart disease and many more health related illnesses, but have you considered the additional benefits of quitting? A few days after the last cigarette, the chances of having a heart attack decreases, pulse rate slows to normal, the ability to smell and taste improve and breathing becomes easier. 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