Arts & Entertainment

Reviewed by Jeffrey Sanzel

Christopher McKittrick’s Can’t Give It Away on Seventh Avenue, subtitled The Rolling Stones and New York City, is an engaging exploration of the connection between the iconic rock band and the city that embraced it like no other.

Author Christopher McKittrick

McKittrick wisely begins by putting into historical context the decaying New York City of the early 1960s to give a clear backdrop of the world into which the band entered. In the early part of the decade, English rock ‘n’ roll bands were rarely globe spanning. The Rolling Stones, the Beatles and a small handful of others would change this.

Any chronicle of the Rolling Stones touches upon a comparison with the Beatles both in style and popularity. McKittrick gives an insightful perspective of the more wholesome and instantly popular Beatles with the rawness of the Rolling Stones, whose first journey to America, while successful, was by no means the lighting bolt of the rival group.  

In a short time, the Rolling Stones would become synonymous with some of the most infamous stories of decadence. They would continue to reinvent themselves over the coming decades, become symbols of both extreme behavior and the power of marketing. The band will forever be connected to the “bad boy” image. “If your parents didn’t like the Beatles, they really wouldn’t like the Rolling Stones.”

The book describes raucous early performances, including borderline rioting at Carnegie Hall, heralding the insanity that would follow them. There is a detailed account of the Oct. 25, 1964, appearance on “The Ed Sullivan Show.” The word “pandemonium” could easily have been invented to describe the wake that followed the Stones.

McKittrick wends his way through the band’s tours across the country, providing a wealth of details that chronicle its meteoric rise. The book has been meticulous researched: Concerts are dissected, comparing set lists even within the same tour; albums scrutinized; venues described and contrasted; recording sessions reported. Fans will be fascinated by the depth that the author provides in his look at “The World’s Greatest Rock ‘n’ Roll Band.”

The book picks up with the band when it is first establishing itself. We are treated to the intrigue, the late night clubs, the relationships and marriages, the celebrities (everyone from Andy Warhol to Bill Clinton), hotel destructions and, of course, the drugs. The Rolling Stones are almost a history of the changing drug use and drug culture in the 20th century. Wild parties, addictions, police raids and arrests, stints in rehab and recovery were a never-ending cycle.  

At the heart is the conflict between Mick Jagger and Keith Richards, a connection that constantly imploded and exploded for 50 years. These two megastars (with equally mega-egos) would battle and make up endlessly over five decades.  

Throughout the book, McKittrick continually returns to New York City. He mines the Rolling Stones’ lyrics, finding dozens of direct references to New York. There are thumbnail histories of Shea Stadium, Carnegie Hall and other stages where the band played as well as multiple appearances on “Saturday Night Live,” the most New York of New York television shows.  

As New York changes, so does the band. The dark and dangerous “Fun City” of the 1970s gives way to the superficial and capitalist ’80s, turning finally into the sanitized, Disney-fied 1990s and beyond. NYC’s fiscal struggles and strikes, its pop culture events, and its shining moments are all presented in the context of the Rolling Stones’ history.

Eventually, like New York City, the band transitioned to survive — they chose a “corporate face-lift.” The Steel Wheels Tour of 1989-90 represented the band as “a cultural product. The rock ‘n’ roll hell raisers had become an institution. Much like the Some Girls song anticipated, the Stones had become ‘Respectable.’”  

After half a century, the long-standing appeal of the Rolling Stones is summed up by Jim Farber in the Daily News: “However corporate the Stones’ sponsorship, domesticated their fans, and predictable their repertoire, the essence of the band still thrives whenever Keith Richard flicks his riffs, Charlie Watts slaps the snare drum, and Mick Jagger swaggers through the blues.”

McKittrick’s book is not so much a dual history but a striking investigation of a cultural phenomenon reflected in one of the greatest cities in the world.

Published through Post Hill Press, Can’t Give It Away is available at www.posthillpress.com, www.amazon.com and www.barnesandnoble.com.

Abner

MEET ABNER!

This week’s shelter pet is Abner, a 1-year-old Basenji mix rescued from the meat trade in Thailand and now safe at Kent Animal Shelter. 

Abner is a mellow guy. He absolutely loves people, is housebroken and looks forward to going on his walks with the volunteers. Why not come on down and take Abner for a walk?

This sweet boy comes neutered, microchipped and is up to date on all his vaccines.

Kent Animal Shelter is located at 2259 River Road in Calverton. The adoption center is open seven days a week from 10 a.m. to 4 p.m. For more information on Abner and other adoptable pets at Kent, call 631-727-5731 or visit www.kentanimalshelter.com.

Photo from Kent Animal Shelter

Above, Maria Palmar cuts the ribbon to her new venture. Photo from PJCC

The Greater Port Jefferson Chamber of Commerce hosted a ribbon cutting for Maria Palmar Properties at 202 East Main St. in the village on July 11. Chamber members, partners, colleagues and friends including chamber president Joy Pipe and Port Jefferson village trustee Bruce D’Abramo, joined in with the celebration.  

A licensed broker in New York for 19 years and in the state of Florida for 30, Maria Palmar represents residential, mixed-use office, retail, professional-use apartment rentals and land property management. In the past years she has successfully placed over 50 retailers in the Port Jefferson area and other local communities.  

For more information, call 631-774-2264 or visit www.palmarproperties.com.

Back row, from left, Anthony M. Panarello, Angelina Mercurio (understudy for Veronica Fox) and Brody Hampson; front row, from left, Luke Hampson and Ryan Cavanagh. Photo by Tommy Ranieri

By Heidi Sutton

Fresh off the massive children’s theater production of Hans Christian Andersen’s “The Little Mermaid Jr.,” the Smithtown Center for the Performing Arts scales things down with a musical retelling of Andersen’s “The Emperor’s New Clothes.” The show opened last weekend and runs through Aug. 18.

Written and composed by the award-winning duo of Lynn Ahrens and Stephen Flaherty (“Seussical”), the “fractured fairytale” takes the 19th-century Danish author’s best known story and adds song and dance to create a delightfully charming treat.

At only 14 years old, Emperor Marcus the Third is nervous to take the throne. After all, he’s only finished Chapter 1 of “How to Be an Effective Emperor”! To make matters worse, the kingdom’s river is starting to overflow and a hole in the road is getting wider. The villagers come to Marcus for help, but the newbie has difficulty making decisions. When the palace’s mop boy Arno suggests he dress the part, Marcus becomes obsessed with his royal attire.

Outfit after outfit produced by Deena the Royal Clothesmaker is rejected. Seizing an opportunity, a swindler named Maurice weasels his way inside the palace and offers to make magic clothes that are “invisible to fools and liars.” Ignoring the counsel of his Royal Advisor William, the emperor gives Maurice the green light and begins plans to hold a parade to show off his new wardrobe. Will someone get Marcus out of this royal mess, or will he reveal more than he bargains for?

Tommy Ranieri directs and choreographs a talented quintet of actors that grab this comedic masterpiece by its royal coattails and run with it, effectively producing something very special.

Luke Hampson is exceptional as the clueless new ruler; Veronica Fox and Anthony M. Panarello do an excellent job portraying worrywarts Deena and William who fear they will lose their jobs because they can’t see the magic clothing; and Brody Hampson plays the role of con artist perfectly.

But it is Ryan Cavanagh in the role of Arno who steals every scene he is in and quickly becomes an audience favorite. In the end, it is he who teaches Marcus the important lesson of “it’s not what’s on the outside but what’s on the inside that counts.”

The wonderful songs tie the show together, with special mention to “The Ancestor Song,” “Only a Guy Like You,” “How Am I Ever Gonna Get To Sleep?” and “Invisible.”

The show offers no special effects or fancy sets, just good old-fashioned live theater the way it was meant to be. The actors are funny and entertaining and are as devoted to making the audience reflect as to making them laugh. Hans Christian Andersen would be proud.

The Smithtown Center for the Performing Arts, 2 E. Main St., Smithtown presents “The Emperor’s New Clothes” through Aug. 18. Children’s theater continues with “Madagascar: A Musical Adventure Jr.” from Sept. 14 to Oct. 27 and “Shrek the Musical Jr.” from Feb. 1 to March 1. All seats are $18. For more information or to order, call 631-724-3700 or visit www.smithtownpac.org.

A scene from 'The Lion King.' Photo courtesy of Walt Disney Pictures

By Jeffrey Sanzel

Disney has reached into its vault to create live-action versions of 101 Dalmatians, Beauty and the Beast, Cinderella, The Jungle Book and, most recently, the disappointing Dumbo and the mediocre Aladdin. Its newest release is the The Lion King, a remake of the 1994 animated classic, presented as a photorealistic computer-animated feature. The end result is stunning but unsettling.  

The original Lion King was a revelation. It dealt with difficult subjects and never pandered; it was wholly entertaining, truly sincere, and played to all ages. With loose shades of Hamlet, there was humor and humanity. It spawned the highly theatrical Tony Award-winning musical that has run for over two decades.

A scene from ‘The Lion King.’ Photo courtesy of Walt Disney Pictures

With few script embellishments from the original, the latest offering is just a new approach to animation. It is visually glorious, with every shot and every frame a breathtaking work of art. It is as realistic as if they were filming wildlife in its natural habitat. 

And therein is heart of the problem. In creating creatures that truly appear real — and they do — there is little to no expression. As animals do not communicate with their faces, it often feels static and detached in the dialogue sections. Much of the film seems like a nature documentary with voice-overs. The flip side is that the violence is brutally convincing with moments that are genuinely frightening. The hyenas are particularly alarming — and when they attempt to alleviate this with comic lines, they come across as psychotic.  

Directed by Jon Favreau, the film follows the original very closely (though clocks in a full 20 minutes longer). The opening is as beautiful and powerful as the original with the assemblage of animals coming to the presentation of young Simba, crown prince of the lions. The death of the patriarch is every bit as heart-wrenching if not more. The lion cubs could not be cuter. There are one or two very funny surprises; an amusing nod to Beauty and the Beast is welcome in one of the darker stretches.

In addition to the brilliant cinematography, the vocal artistry is first rate. J.D. McCrary and Donald Glover as the young and grown Simbas, respectively, bring honesty to their shared role. 

Billy Eichner is hilarious as the meerkat Timon, with a nice assist from an underplaying Seth Rogen as the warthog Pumbaa. 

John Oliver is comically uptight as the bird Zazu while John Kani brings genuine gravitas to the shaman-like Rafiki. Alfre Woodard is appropriately warm and strong as matriarch Sarabi and the great James Earl Jones, the only hold-over from 1994, returns as Mufasa and delivers a performance equal to his original. 

Especially strong, finding both danger and dimension, is Chiwetel Ejiofor as the treasonous Scar; what is interesting is that of all the characters, his face somehow manages to communicate the most expression.

The delightful music of the first film is here: It once again features the Oscar-winning work of Hans Zimmer, Tim Rice and Sir Elton John.

Because of the realistic and often savage violence, it seems that it might be too frightening for young audiences. So while engaging and inventive, ultimately, Disney’s The Lion King leaves the viewer with a certain disconnect and questioning not so much as why it was made but for whom.

Rated PG, The Lion King is now playing in local theaters.

Model Jean Patchett wears a Hulitar gown in 1952 for fashion magazine Vogue. Photo by Francesco Scavullo.

By Melissa Arnold

Before Ralph Lauren and Michael Kors became icons in the fashion world and a fixture of department stores everywhere, there was designer Philip Hulitar.

Throughout the 1950s and early 1960s, Hulitar was designing distinctively tailored and elegantly decorated cocktail dresses that were worn by the likes of Jane Fonda, Rosemary Clooney and Patty Duke. In 1949, a journalist wrote of him, “The star of a gifted designer has risen recently on the fashion horizon.”

Hulitar developed a passionate following on Long Island, where he lived and gave generously in support of his local community. So it was only fitting to host the first exhibit dedicated exclusively to his work and legacy at the Long Island Museum in Stony Brook. Titled Gracefully Chic: The Fashions of Philip Hulitar, the show opens in the museum’s Art Museum on the hill on July 27 and runs through Oct. 20.

Curated by LIM’s Deputy Director and Director of Collections & Interpretation Chief Joshua Ruff, the exhibit has been years in the making, beginning with a single dress. The yellow silk chiffon gown with a green sash and floral accents was purchased at Henri Bendel in New York circa 1955 and was worn by Carolyn Fell of Nissequogue during her teen years. It was donated to the Long Island Museum in 1998. 

Ruff has included the dress in a few other exhibits over the years and always wanted to know more about the man who designed it. 

“This exhibit is unique in its dedication to a single designer. He’s never truly gotten his due in a museum project before, especially on this scale,” he said. “There are a lot of museums that have one or two Hulitar pieces in their collections, but to have the opportunity to gather so many pieces in one room is really special.”

Born in 1905 to a Hungarian diplomat and an Italian noble, Hulitar immigrated to the United States during the Great Depression. For 18 years, he worked as chief designer for the Bergdorf Goodman department store before launching his own brand in 1949.

Philip Hulitar dress, Museum of the City of New York

“Philip Hulitar’s work really evokes mid-20th century America. He was tremendously successful during that specific time in history,” Ruff said. “All major cities carried his label, from large department stores to small boutiques. In postwar society, parties and social events were hugely popular, so having several elegant dresses was a priority. Hulitar’s pieces were accessible to people in middle and upper middle class who needed fine evening wear at prices they could afford.”

Hulitar gained a reputation for his creative use of different materials, complex and elegant textures, and mixing synthetics with traditional fabrics like silk and satin. While he liked to employ a variety of cuts and silhouettes, Ruff said that Hulitar was very conscious of how a particular look would fit each person. 

“At his core, Hulitar was about making the feminine form even more beautiful,” Ruff said.

Gracefully Chic will include original drawings from Hulitar, along with apparel and dresses borrowed from the collections of the Metropolitan Museum of Art, the Philadelphia Museum of Art, the Museum of the City of New York, the Museum of Fine Arts in Houston and a variety of other public and private sources. 

In all, the exhibit will display 45 garments and more than 100 objects and images. 

The Long Island Museum also benefits directly from the generosity of the Hulitar family. In 2016, the museum received a large monetary donation from the Hulitar Family Foundation, and the museum has since named its textile collection after them. The Mary and Philip Hulitar Textile Collection houses more than 10,000 objects, from a 1790s wedding dress to a pair of Jordache jeans.

Visitors to the exhibit will also have the unique opportunity to visit the “interactive dressing room,” an area designed to resemble an early 1960s department store. There, they can try on a Hulitar replica in various sizes. Velcro panels make it easy for the dress to fit over regular clothes, and visitors are encouraged to take pictures and show off their style. 

Those looking to explore fashion at a deeper level will want to join the Long Island Museum on Sept. 26, when they host Behind the Runway. This special dinner will celebrate the 80th anniversary of the museum and will feature guest speaker Madelyn Shaw, textile curator at the Smithsonian American History Museum. Shaw will speak on the development of American fashion in Hulitar’s era.

“I think people love to see fashion exhibitions, especially with such an interest in retro fashion today,” Ruff said. “It’s an exciting opportunity for people out here on Long Island to come and see these pieces in their backyard, without having to go to New York City.”

Gracefully Chic will be on view at the Long Island Museum, 1200 Route 25A, Stony Brook from July 27 through Aug. 25. Regular museum hours are Thursday through Saturday from 10 a.m. to 5 p.m. and Sunday from noon to 5 p.m. Admission is $10 for adults, $7 for seniors and $5 for students 6 to 17 and college students with ID. Children under 6 are admitted for free. For further information, call 631-751-0066 or visit www.longislandmuseum.org.

Stock photo

By Nancy Burner, Esq.

Nancy Burner, Esq.

Commonly, clients will create a trust to protect certain assets in case they need to apply for government benefits as they get older and require assistance with their daily activities. While certain provisions of this type of trust will be consistent from client to client, not all trusts are the same. Understanding your trust is the first step to successfully achieving your estate planning goals. 

The drafting process of the trust document is vital because it outlines the rules of the trust. Without understanding these rules, the creator of the trust or the trustee may be in jeopardy of making the trust assets available when they are assessed for Medicaid eligibility.  

The irrevocable trust for Medicaid purposes will state who the creator of the trust is and who is appointed by that person to serve as trustee of the trust. The document should also include a provision stating that the creator of the trust will not have access to any trust principal. 

Beyond that, multiple decisions need to be made by the client, in consultation with their attorney. These decisions will include whether or not the creator will have access to income generated from the trust, who will be able to remove a trustee or appoint a successor trustee, if the creator can change the beneficiaries of the trust and other critical points for the operations of the trust during the creator’s lifetime and after death.  

Part of the rules of the trust will include the distribution at the death of the creator. The trust says who will receive the assets at that time and how they will receive those assets. The distributions may be outright or in a further trust to protect the beneficiary from creditors or from losing government benefits they are receiving.  

If there is real property owned by the trust, the document could also direct who may live there before and after death, who is responsible for the costs associated with the property and whether it should be sold upon the death of the creator.  

Once the document is signed by the creator and the trustee(s), the next important step is to fund the trust. This means changing the ownership or title of certain assets to the name of the trust. It will make sense for a financial adviser and accountant, if you have either, to be aware of your trust and which assets you have placed into it. These advisers can work with you and your attorney to determine which assets to transfer into the trust and which to keep in your individual name. 

Trusts are often funded with real property, bank accounts, investment accounts and savings bonds. All assets that are transferred into the trust are then managed by the named trustee. This trustee can sell the assets in the trust, collect rents or any other income and reinvest the assets in alternative ways. The precise powers that the trustee holds are dictated by the trust document.  

A trust is a live entity that owns property and assets. It should be reviewed regularly, at least every five years, to make sure the trust rules are being followed and the trust continues to achieve your estate planning goals. Your trusted estate planning and elder law adviser should review these documents with you.  

Nancy Burner, Esq. practices elder law and estate planning from her East Setauket office.

Emma S. Clark Memorial Library in Setauket hosted a Star Wars Carnival on July 13. The afternoon featured Star Wars-themed games and included a visit from Darth Vader and a Stormtrooper who played with the children, checked out books and posed for photos and selfies. Over 140 members of the community attended the galactic event.

Photos from Emma Clark Library

Dr. Richard Elinson
Researchers, tour guides, gardeners, curatorial interns

The Suffolk County Vanderbilt Museum, like most museums, would find it difficult to operate without volunteers.

According to the American Alliance of Museums, the majority of people who work in museums are volunteers. Overall, U.S. museums have six volunteers for every paid staff member. And even in the largest museums, volunteers generally outnumber paid full-time staff two to one.

 At the Vanderbilt, volunteers enthusiastically assist the staff by conducting tours, greeting visitors, beautifying the grounds and undertaking curatorial and conservation projects. They also work as interns or staff aides in various departments, examine marketing and branding, decorate the Mansion for the holidays, and perform music on the 1,476-pipe Aeolian organ. Approximately 100 volunteers generously donate countless hours each year.

“Volunteers love this estate, work hard, and make invaluable contributions,” said Lance Reinheimer, executive director. “Their work saves the museum a lot of money each year and helps us to support Mr. Vanderbilt’s original educational mission. We’re very grateful to them.”

Mary Schlotter

Mary Schlotter

Mary Schlotter and her daughter, Krishtia McCord, have volunteered their talents for years to create holiday magic in the Mansion, as have members of local garden clubs. The mother-daughter design team owns and operates Harbor Homestead & Co., based in Centerport.

“My love of design, history and flowers is what drives me to volunteer,” Schlotter said. “I find myself brainstorming in June for the holiday designs. Volunteering is so important if we are to keep Long Island treasures like the Vanderbilt looking their best. I often refer to it as a jewel in my backyard!”

“One cold November night, I had just finished my design and I looked back at the Mansion. The lights were on and the Christmas lights were glistening. I wondered if William and Rosamond would like what we had done,” she added.

Matthew Titchiner

Matthew Titchiner

Before moving to New York, Matthew Titchiner managed Harewood House, one of England’s premier historic estates. His responsibilities included staff, operations, visitor experience, marketing and branding. 

“My wife is a pediatric resident at Stony Brook University Hospital, and I wanted to familiarize myself with the American museum world before starting full-time work,” he said. “So, I reached out to the Vanderbilt.”

Titchiner first researched and cataloged the Vanderbilt collection of ancient weapons, then undertook an in-depth project that examines the museum’s branding. This 66-page report analyzed signage, the website, communications and the application of audience data and feedback.

“Matthew brought his deep museum experience and discerning eye to his analysis of how the Vanderbilt presents itself to the world,” Reinheimer said. “His keen insights will be valuable as we continue to improve how the museum reaches out to and communicates with its diverse and growing audience.”

“The Vanderbilt’s interesting mix of historic mansion, park and planetarium is a unique selling point,” said Titchiner. “It’s a museum of a museum, a snapshot in time.”

Bill Caputi

Bill Caputi

Bill Caputi plays beautiful classical music on the Mansion’s grand Aeolian pipe organ. The retired electrical engineer has played for more than 20 years for guided tours and during the museum’s annual holiday and Valentine’s Day banquets.

 “I studied piano as a boy,” he said. “I took lessons from a music teacher on the school’s huge pipe organ and played occasionally in a nearby church. And I was the pianist for my college glee club. When we moved to Centerport, I learned that the Vanderbilt pipe organ had just been renovated so I volunteered to play.” 

Founded in 1887 by William Tremaine, the Aeolian Company grew to be the largest musical instrument manufacturer in America by 1920. Pipe organs were installed in most elite mansions in the early 1900s. The Vanderbilt organ was installed in 1926. 

“I’m glad visitors and staff enjoy the music,” Caputi said. “I often play Grieg, Rachmaninoff and Broadway tunes. At Halloween, I like to play scary music.”

Dr. Richard Elinson

Dr. Richard Elinson

Wearing protective curator’s gloves, Dr. Richard Elinson has inspected nearly 1,400 vintage books in the Vanderbilt Mansion Library. “The books had been cataloged, but needed to be examined closely,” said Elinson. “I’ve been doing condition reports. I make note of damaged bindings, water damage or just interesting things I notice.” 

A retired professor of biology at the University of Toronto and Duquesne University, Elinson has worked with the Curatorial Department for the three years. The collection includes volumes that reflect Vanderbilt’s interests — the chronicles of 18th- and 19th-century naturalists and explorers and the women’s suffrage movement championed by his mother, Alva.

“It’s an enjoyable three hours once a week,” he said. “It’s a real thrill to sit in that old library. You feel like you’re in a different world.”

Gloria Hall

Gloria Hall

A retired Northport elementary school teacher, Gloria Hall leads the volunteer gardeners program she created in 2002 with her late husband, Bill. Both graduated from the Cornell University Master Gardeners Program. Today, an average of 20 gardeners work from May to October.

“I was brought up ‘playing in the dirt,’ exploring seed catalogs, trading plants with friends, and just enjoying a calmness that being in the garden brings,” Hall said. “To share my knowledge and enhance the Vanderbilt grounds gives me great pleasure.”

 

 

 

Ellen Mason

Ellen Mason

Ellen Mason began volunteering in 2006, after retiring as a high school English teacher. She was invited by a colleague and friend, Gretchen Oldrin Mones, first vice president of the Vanderbilt board of trustees. Mason began as a greeter in the Hall of Fishes.

“I was asked to do a walk-on part during Living History Tours,” she said. “I played Olympic skating champion Sonja Henie, a close friend of the Vanderbilts. I spoke just two lines.” She has played many historic roles since.

 “I am very fortunate to be part of the museum and have a strong appreciation for its physical beauty,” Mason said. “For 13 years, I have repeated the same mantra when I arrive here: ‘Thank you, Willie, for giving us this.’ I constantly learn and laugh with the staff. We are all so protective of this magical place.”

Photos courtesy of Vanderbilt Museum

 

Walking for a five-minute duration every 30 minutes can reduce the risk of diabetes. Stock photo
Screening guidelines still miss 15 to 20 percent of cases

By David Dunaief, M.D.

Dr. David Dunaief

Finally, there is good news on the diabetes front. According to the Centers for Disease Control and Prevention, the incidence, or the rate of increase in new cases, has begun to slow for the first time in 25 years (1). There was a 20 percent reduction in the rate of new cases in the six-year period ending in 2014. This should help to brighten your day. However, your optimism should be cautious; it does not mean the disease has stopped growing. It means it has potentially turned a corner in terms of the growth rate, or at least we hope. This may relate in part to the fact that we have reduced our consumption of sugary drinks like soda and orange juice.

Get up, stand up!

It may be easier than you think to reduce the risk of developing diabetes. Standing and walking may be equivalent in certain circumstances for diabetes prevention. In a small, randomized control trial, the gold standard of studies, results showed that when sitting, those who either stood or walked for a five-minute duration every 30 minutes, had a substantial reduction in the risk of diabetes, compared to those who sat for long uninterrupted periods (2).

There was a postprandial, or postmeal, reduction in the rise of glucose of 34 percent in those who stood and 28 percent reduction in those who walked, both compared to those who sat for long periods continuously in the first day. The effects remained significant on the second day. A controlled diet was given to the patients. In this study, the difference in results for the standers and walkers was not statistically significant.

The participants were overweight, postmenopausal women who had prediabetes, HbA1C between 5.7 and 6.4 percent. The HbA1C gives an average glucose or sugar reading over three months. The researchers hypothesize that this effect of standing or walking may have to do with favorably changing the muscle physiology. So, in other words, a large effect can come from a very small but conscientious effort. This is a preliminary study, but the results are impressive.

Do prediabetes and diabetes have similar complications?

Diabetes is much more significant than prediabetes, or is it? It turns out that both stages of the disease can have substantial complications. In a study of those presenting in the emergency room with acute coronary syndrome (ACS), those who have either prediabetes or diabetes have a much poorer outcome. ACS is defined as a sudden reduction in blood flow to the heart, resulting in potentially severe events, such as heart attack or unstable angina (chest pain).

In the patients with diabetes or prediabetes, there was an increased risk of death with ACS as compared to those with normal sugars. The diabetes patients experienced an increased risk of greater than 100 percent, while those who had prediabetes had an almost 50 percent increased risk of mortality over and above the general population with ACS. Thus, both diabetes and prediabetes need to be taken seriously. Sadly, most diabetes drugs do not reduce the risk of cardiac events. And bariatric surgery, which may reduce or put diabetes in remission for five years, did not have an impact on increasing survival (3).

What do the prevention guidelines tell us?

The United States Preventive Services Task Force (USPSTF) renders recommendations on screening for diseases. In 2015, the committee drafted new guidelines suggesting that everyone more than 45 years old should be screened, but the final guidelines settled on screening a target population of those between the ages of 40 and 70 who are overweight or obese (4). They recommend that those with abnormal glucose levels pursue intensive lifestyle modification as a first step.

This is a great improvement, as most diabetes patients are overweight or obese; however, 15 to 20 percent of diabetes patients are within the normal range for body mass index (5). So, this screening still misses a significant number of people.

Potassium’s effect

When we think of potassium, the first things that comes to mind is bananas, which do contain a significant amount of potassium, as do other plant-based foods. Those with rich amounts of potassium include dark green, leafy vegetables; almonds; avocado; beans; and raisins. We know potassium is critical for blood pressure control, but why is this important to diabetes?

In an observational study, results showed that the greater the exertion of potassium through the kidneys, the lower the risk of cardiovascular disease and kidney dysfunction in those with diabetes (6). There were 623 Japanese participants with normal kidney function at the start of the trial. The duration was substantial, with a mean of 11 years of follow-up. Those who had the highest quartile of urinary potassium excretion were 67 percent less likely to experience a cardiovascular event or kidney event than those in the lowest quartile. The researchers suggested that higher urinary excretion of potassium is associated with higher intake of foods rich in potassium.

Where does this leave us for the prevention of diabetes and its complications? You guessed it: lifestyle modifications, the tried and true! Lifestyle should be the cornerstone, including diet and at least mild to moderate physical activity.

References:

(1) cdc.gov. (2) Diabetes Care. online Dec. 1, 2015. (3) JAMA Surg. online Sept. 16, 2015. (4) Ann Intern Med. 2015;163(11):861-868. (5) JAMA. 2012;308(6):581-590. (6) Clin J Am Soc Nephrol. online Nov 12, 2015.