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Diabetes Management News
The latest news and research on Diabetes Mellitus
Curated by David Holloway
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ADA: First Meal of the Day Decreases Risk for Type 2 Diabetes

Nutritional guidelines have long recommended that people eat breakfast, but there has been little research on the relationship between morning eating habits and development of T2D.

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ADA: Old Anti-Inflammatory Drug Found to Lower Blood Glucose Levels in People with Type 2 Diabetes

The drug, which was first used by ancient Egyptians and Greeks to ease pain caused by inflammation, also has glucose-lowering properties and may be a treatment for people with type 2 diabetes. 

Salsalate, a pain medication used for decades as a treatment for rheumatoid arthritis, is notable for lacking many of the side effects of aspirin and is available as an inexpensive, generic prescription drug. Small, preliminary trials of salsalate indicated that it may be effective as a treatment for type 2 diabetes. 

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Diabetes and Depression Are Double Trouble for Heart - American Diabetes Association

People with type 2 diabetes and depression are more likely to die after a heart attack than those without these conditions, and the increased risk is more than would be expected from each illness separately.

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Opting for plain water might prevent diabetes: MedlinePlus

Opting for plain water might prevent diabetes...Women who chose plain water, instead of sweet drinks such as sodas or fruit juice, had a slightly lowered risk of developing diabetes in a large new study.

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Can Low-Carb Diets Cause Damage?

Are low-carb strategies OK for the kidneys of obese individuals without kidney disease?...

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Exercise Improves Vascular Reactivity for Pre-diabetic Patients

Pre-diabetic patients who engage in regular aerobic exercise improve their vascular reactivity to nearly normal levels, even if no weight loss is achieved.

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Changes in Physical Fitness Predict Improvements in Modifiable Cardiovascular Risk Factors Independently of Body Weight Loss in Subjects With Type 2 Diabetes Participating in the Italian Diabetes a...

Physical activity/exercise-induced increases in fitness, particularly muscular, predict improvements in cardiovascular risk factors in subjects with type 2 diabetes independently of weight loss, thus indicating the need for targeting fitness in these individuals, particularly in subjects who struggle to lose weight.

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Family Support, Medication Adherence, and Glycemic Control Among Adults With Type 2 Diabetes

Participant reports of family members’ nonsupportive behaviors were associated with being less adherent to one’s diabetes medication regimen. Participants emphasized the importance of instrumental help for diabetes self-care behaviors and reported that nonsupportive family behaviors sabotaged their efforts to perform these behaviors. Interventions should inform family members about diabetes and enhance their motivation and behavioral skills around not interfering with one's diabetes self-care efforts.

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Breaking Up Prolonged Sitting Reduces Postprandial Glucose and Insulin Responses

Interrupting sitting time with short bouts of light- or moderate-intensity walking lowers postprandial glucose and insulin levels in overweight/obese adults. This may improve glucose metabolism and potentially be an important public health and clinical intervention strategy for reducing cardiovascular risk.

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Role of Intensive Glucose Control in Development of Renal End Points in Type 2 Diabetes MellitusSystematic Review and Meta-analysisIntensive Glucose C...

Role of Intensive Glucose Control in Development of Renal End Points in Type 2 Diabetes MellitusSystematic Review and Meta-analysisIntensive Glucose C... | Diabetes Management News | Scoop.it

Intensive glucose control reduces the risk for microalbuminuria and macroalbuminuria, but evidence is lacking that intensive glycemic control reduces the risk for significant clinical renal outcomes, such as doubling of the serum creatinine level, ESRD, or death from renal disease during the years of follow-up of the trials.

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Diabetes, Overweight Linked to a 64-92% Higher Risk for Breast Cancer

A new study found an association between being diabetic and overweight, and increased risk of breast cancer....

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It’s the Variety of Fruit-and-Veggie That Lower Diabetes Risk

Regardless of the quantity they consume, the variety of fruits and vegetables people eat has an impact on their risk of developing type 2 diabetes....
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Glycemic Control Versus Brain Volume

Diabetes mellitus and a transition from impaired fasting glucose (IFG) to diabetes were associated with decreased brain volume, assessed with magnetic resonance imaging (MRI) over a 2-year period in community-dwelling elderly patients.

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The use of pioglitazone and the risk of bladder cancer in people with type 2 diabetes: nested case-control study | BMJ

The use of pioglitazone is associated with an increased risk of incident bladder cancer among people with type 2 diabetes.

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ADA: Aggressive Treatment with Insulin for Pre-Diabetes

It found that those who had impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and were randomized to receive daily insulin injections had a 28 percent lower chance of developing type 2 diabetes over more than 6 years even after the injections were stopped, compared to those who were not given insulin.

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High Blood Sugar May Make Pneumonia Deadlier: MedlinePlus

High Blood Sugar May Make Pneumonia Deadlier: MedlinePlus | Diabetes Management News | Scoop.it
High Blood Sugar May Make Pneumonia Deadlier..Elevated blood sugar levels may help predict death in pneumonia patients, researchers say.

The new study included nearly 6,900 patients, average age 60, with community-acquired pneumonia who were admitted to hospitals and private practices in Austria, Germany and Switzerland between 2003 and 2009.

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Diabetes Drug Actos May Increase Bladder Cancer Odds: MedlinePlus

Diabetes Drug Actos May Increase Bladder Cancer Odds: MedlinePlus | Diabetes Management News | Scoop.it

Diabetes Drug Actos May Increase Bladder Cancer Odds...People with type 2 diabetes taking Actos (pioglitazone) to control blood sugar may put themselves at risk for bladder cancer, according to a new Canadian study.

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Interim Gastric Band Results Show Remission of Diabetes

The remission rates of type 2 diabetes after laparoscopic adjustable gastric banding are influenced by the duration of disease, according to interim results from the APEX study.

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AACE: New Team Approach Improves Diabetes Outcomes and Lowers Medication Costs

An integrated wellness team approach to diabetes care is helping patients lower their prescription costs and improve their condition.

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A Prospective Study of the Association Between Quantity and Variety of Fruit and Vegetable Intake and Incident Type 2 Diabetes

These findings suggest that a diet characterized by a greater quantity of vegetables and a greater variety of both F&V intake is associated with a reduced risk of T2D.

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Exercise Therapy in Type 2 Diabetes

A short 30-min session of moderate-intensity endurance-type exercise substantially reduces the prevalence of hyperglycemia throughout the subsequent day in type 2 diabetic patients. When total work is being matched, daily exercise does not further improve daily glycemia compared with exercise performed every other day.

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Serum glucose levels for predicting death in patients admitted to hospital for community acquired pneumonia: prospective cohort study | BMJ

Serum glucose levels on admission to hospital can predict death in patients with community acquired pneumonia without pre-existing diabetes. Acute hyperglycaemia may therefore identify patients in need of intensified care to reduce the risk of death from community acquired pneumonia.

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Starting Insulin Still Contentious

TYPE 2 diabetes is one of the fastest growing epidemics in human history. It is not a single disorder in terms of causation and is characterisedby progressive pancreatic beta-cell failure.

 

While lifestyle measures, weight loss and exercise should always be considered as the first-line treatment, these succeed in a limited number of patients. Pharmacological intervention with blood glucose lowering agents is almost always needed.

 

The multiplicity of causal metabolic defects involved in type 2 diabetes makes it unrealistic to expect that most people with diabetes will, over time, achieve excellent blood glucose control with any single oral hypoglycaemic agent or any combination of agents.

 

As the progressive nature of type 2 diabetes requires ongoing assessment of metabolic control, intensification of therapy with increasing doses of oral hypoglycaemic agents then a requirement for insulin is not unusual.

 

Paradoxically, the main recommended plans (algorithms) for treatment, such as the one from the American Diabetes Association and European Association for The Study of Diabetes, may actually set us up for therapeutic failure. Each new recommendation suggested by these algorithms is a result of failure of the previous step.

 

The clinical pathway finally ends with the administration of insulin, often combined with one or more oral hypoglycaemic agents. A frequent outcome of insulin therapy is weight gain. Obviously, this is counterintuitive for the treatment of patients with type 2 diabetes.

 

A recent review and meta-analysis in the Canadian Medical Association Journal addressed the issue of initiating insulin in patients with type 2 diabetes. One of its key recommendations is that insulin should be considered early in the course of treatment.

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Doubts Over Long Term Effectiveness of Group Education for Diabetes Patients

A new study states that there are no long term benefits from type 2 diabetes group education programs....

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Nonsupportive Families Linked to Poor Adherance and Glycemic Control

Diabetes patients with nonsupportive family members are less adherent to their diabetes medication regimen and have worse glycemic control.... 

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