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Waist size signals diabetes

Having a large waist is an important early warning sign for diabetes, one that in some cases may be just as significant as body mass index (BMI), if not more so, a new study has found. Waist size, which provides a rough measure of a person's body type, may be especially useful for identifying high-risk people who are overweight but not obese, the study suggests. Obesity is a clear-cut risk factor for diabetes, but doctors generally have a harder time determining which overweight people are most vulnerable to the condition. "Waist circumference is very helpful in people who are obese, but exceptionally helpful in people who are overweight," says Dr. Abraham Thomas, M.D., head of endocrinology and diabetes at Henry Ford Hospital, in Detroit. Thomas was not involved in the study.

Researchers at Addenbrooke's Hospital, in the UK, measured the waist size and BMI of about 30,000 middle-aged Europeans and followed them for up to 17 years. People who at the start of the study were merely overweight but also had a large waist - defined as 40 inches for a man and 35 inches for a woman - were more likely than obese people with normal or moderately large waists to develop type 2 diabetes, the researchers found. At the 10-year mark, 7% and 4.4% of overweight men and women with large waists had developed diabetes, respectively. By contrast, the corresponding figures among obese men and women with moderately large waists were just 4.9% and 2.7%. Among women, in fact, waist size appeared to be even more useful than BMI for predicting diabetes. When the researchers analyzed the three-way links between diabetes, waist size, and BMI, they found that diabetes risk was more closely associated with waist size than with BMI.

The Tribe

John Telic Fox 8- Indians starter Ubaldo Jimenez looked like a completely different man on Tuesday night. Not too many pitchers struggle on the road as much as Jimenez, but on Tuesday night in Detroit he pitched a solid 6 and 2/3 innings with 4 strikeouts and allowed only one earned run. Jimenez received his sixth win of the year and the Indians defeated the Tigers 4-2. Four different Indians scored and three different Indians batted in runs off of triples. Asdrubal Cabrera tripled in the third to bring in Shin-Soo Choo, which tied the game at 1-1. Catcher Lou Marson tripled to bring in third baseman Lonnie Chisenhall, giving the Indians the 2-1 lead in the fifth. Marson went 2-4 with one run and one RBI. Vinnie Pestano blanked the Tigers with two strikeouts in the eighth inning and Chris Perez cleaned up the ninth to get his 18th save. Perez gave up 2 hits and one run in the inning and has to give a lot of thanks to his supporting cast on defense, especially from Cabrera, who barehanded a grounder and forced out a runner at second by a millimeter. The Indians road series continues Wednesday at 7:05 p.m where Jeanmar Gomez will start for the Tribe against the Tigers.