Compounds in Cocoa Could Help Ward Off Heart Complications, Study Shows

Cocoa for Diabetes?

May 27, 2008 -- A cup of hot cocoa may seem like a no-no for people with diabetes, but the beverage may actually serve up a healthy dose of prevention and ward off heart disease, the leading cause of diabetes-related death.

New research published in the Journal of the American College of Cardiology provides substantial evidence that compounds in cocoa called flavonols improve the function and overall health of blood vessels. Unhealthy blood vessels are a leading cause of cardiovascular complications in people with diabetes.

Flavonols are naturally occurring plant compounds found in chocolate, red wine, and certain fruits and vegetables. A growing body of evidence suggests that cocoa flavonols have circulatory health benefits.

For the study, Malte Kelm, MD, a professor and chairman of cardiology, pulmonology and vascular medicine at the University Hospital Aachen and the Technical University Aachen, in Aachen, Germany, and colleagues examined the effect of a specially made flavonol-rich cocoa on patients with stable, treated type 2 diabetes.

The study participants randomly received cocoa containing either 25 milligrams or 321 milligrams of flavonol per serving. They drank the cocoa three times a day for 30 days. Researchers calculated each patient's blood vessel function before and after cocoa consumption at the start of the study and on days 8 and 30, using a combination of ultrasound images and blood pressure measurements.

Patients who drank the high-flavonol cocoa for one month had their blood vessel function improve from severely impaired to normal. Drinking the low-dose flavanol cocoa did not result in any significant changes in blood vessel function.

Researchers caution that the high-dose flavonol cocoa used in their study greatly exceeds the typical U.S. dietary intake of 20 to 100 milligrams daily, and you can't buy the extra-strength version in stores. Rather, they are optimistic that flavonol-containing diets offer an innovative approach to preventing heart disease.

"This research focuses on what's at the true heart of the discussion on 'healthy chocolate' -- it's about cocoa flavonols, the naturally occurring compounds in cocoa," Kelm writes. "While more research is needed, our results demonstrate that dietary flavonols might have an important impact as part of a healthy diet in the prevention of cardiovascular complications in diabetic patients."

In an accompanying editorial, Umberto Campia, MD, calls the study "important and thought-provoking," adding that "this is the foundation we need for doing a much larger prospective study that looks at the effect of cocoa flavonols not just on endothelial function, but also on the risk of heart attack, stroke, and other serious forms of cardiovascular disease."

Answer:

Your level is currently NormalHigh (hyperglycemia).Low (hypoglycemia).

If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

Your blood sugar level is slightly high. You should call your health care provider and ask if laboratory tests to check for diabetes are needed. If you are pregnant always consult with your health care provider.

Congratulations on taking steps to manage your health.

However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

Your level is currently normal. However, if you are concerned about diabetes speak with your physician. There may be other risk factors that increase your risk for diabetes.

Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

Your blood sugar level may be high, depending on when you last ate. If you have not eaten for at least 8 hours, your blood sugar should be less than 100. If you've eaten within the last 2 hours, your blood sugar should be less than 140. You should call your health care provider and ask if you need laboratory tests to check for diabetes. If you are pregnant always consult with your health care provider.

Blood sugars consistently above 180 warrant prompt medical attention.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

Your blood sugar level is high. You should call your health care provider and ask if laboratory tests to check for diabetes are needed. If you are pregnant always consult with your health care provider.

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