Note: The contents of this blog are for informational purposes only and should not be construed as medical advice or substitute for professional care. For medical emergencies, dial 911!
We could all benefit from added fiber in our diets. However, it seems the type of fiber consumed is important too. A new study concludes that vegetable fiber is a good defence against type 2 diabetes. The study comes courtesy of researchers at the University of Sydney, Australia, who found that adults eating five grams of vegetable fiber daily were 24 percent less likely than other adults to develop the disease. People over the age of seventy enjoyed a thirty-one percent risk reduction.
The study tracked the eating habits of more than two thousand people over a ten year period. Wow. The researchers also reported that those whose diets contained fiber from mainly cereal or fruit sources did not fare so well - they had a higher risk for type 2 diabetes than those getting lots of fiber from veggie sources. The reason could be that foods high in vegetable fiber produce smaller fluctuations in blood glucose and insulin levels than would cereal or fruits. Lead researcher, Alan Barclay, says legumes are the best fiber source of all.
The results have been published in the latest Diabetes Care.
The American Association of Diabetes Educators has spent big bucks this year ensuring its point of view gets across to our representatives in the federal government. The AADE spent $375,000 on lobbying in just the first half of 2007, according to a Senate disclosure form that has been picked up by the media. The law requires that such disclosures be made public. Members of the organization include big Pharma names like Eli Lilly, Novartis and Merck.
The AADE is, obviously, a member organization for diabetes educators, with advocacy in Washington - for professionals and patients - coming as an additional service. The government-run site Healthfinder lists more about the AADE if you're interested. Given the amount of money involved, I'm surprised how little attention this has attracted on the Web. Many news services have featured the disclosure, but only in brief. What I'd like to know is: what issues were the AADE lobbying for and against?
In the interest of balance, here's the opposing argument courtesy of the ABA's website. "There is absolutely no unique link between soft drinks sweetened with high fructose corn syrup (HFCS) and diabetes, in children or adults. In fact, it is a stretch of the imagination to link the laboratory findings of this unpublished in vitro study with the occurrence of diabetes in humans." Ooh, "unpublished." Ouch. Nice veiled barb, there.
The statement goes on in some detail, basically saying if the harmful reactive carbonyls occur naturally in a number of foods, why single out HFCS?
Well, you can't blame them for defending themselves. But I laughed at the following: "Singling out any one food, beverage or ingredient as a unique cause or contributor to diabetes is simply not supported by science." I dunno. A study led by a professor of food science at Rutgers. Sure sounds like science to me...
Ever heard of MedCo Health Solutions? It's not a household name like the big pharmaceutical companies Novo, Glaxo etc. However, MedCo, which happens to be in the prescription benefit management business, is a large and powerful company. Now it's about to become even larger: the company is poised to pay $1.5 billion for PolyMedica Corporation, the nation's biggest supplier of diabetes-related products.
According to a Forbes report on the deal, PolyMedica has nearly one million patients using its products. Its product line includes Liberty Healthcare brand, blood glucose test kits and meters, lancet kits, insulin and the like. The Forbes article says the move is basically a smart one on the part of MedCo: it can cash in on the growing demand(14.5 % growth, annually!) for diabetes supplies. MedCo's chief exec, David Snow, told Forbes he anticipates the purchase could make his company (indirectly) the supplier of diabetes treatment products to half of all insured Americans with diabetes.
Factoid: ads for PolyMedica star "Cocoon" and "Seinfeld" actor Wilford Brimley.
Interesting, that. I mean, there are tons of resources out there about raising children with diabetes and keeping them healthy. This book addresses the needs of parents with diabetes who want to raise healthy happy children, but also have special health needs of their own to remember.
Top 100 Amazon reviewer Manny Hernandez has posted a review to the site and also this site, praising the book. Manny's a good authority, by the way: he has type 1 diabetes and has his own sites including, TuDiabetes and a blog AskManny. Busy!! According to Hernandez, Palmer is informative but never condescending, guiding parents through anecdotes on her own and others' experiences. Palmer covers the gamut from pregnancy to raising teens, adoption, and dealing with depression, diabetes complications, and communicating with your kids about your condition. Sounds like a good resource.
What's small, green and cute? Nah, not Kermit the Frog. It's the Renew Lancing System. I was just checking out Amy T's review of this and other cool/interesting new diabetes-related gadgetry on her site, Diabetes Mine.
The Renew Advanced Lancing System: it's sleek, small, and in cool colors - retro lime green and silver. But the name! "Renew Advanced Lancing System" - jeepers, couldn't they have thought of something a little catchier?? Anyway, it's a handy little self-contained, disposable lancing unit that contains twenty needles. Don't bother checking out the website, 'cause there's no info on there yet. Hmm...
Amy gives the thumbs-down to another newie: the DUO-CARE, a combined blood glucose and blood pressure monitor. The idea is okay, but the design: ugh. It takes the form of a huge and clunky wrist bracelet. Remember how guys in the 80s wore those enormous, square digital watches. It looks like that - times twenty! Interesting idea, but a loser, design-wise. (Mind you, if people will use the Exubera mega-inhaler, who's to say they won't buy this, too?)
We applaud Amy's view that diabetes gadgets need to lose the hospital-bed-pan-look. Keep searching for the coolest new stuff, Amy! And here's hoping your terrific letter makes it into the hands of Steve Jobs.
Pharmaceutical giant GlaxoSmithKline has announced an initiative designed to improve the health of employees with diabetes. Yes, the company's head honchos decided they would take the bull by the horns: if employees have difficulty taking care of their health, they determined to find out why and correct the problem. Result: an internal analysis of healthcare spending within GSK.
Turns out diabetes was one of the biggest problems for Glaxo employees. Glaxo's number-crunchers found the company spends more on diabetes medications, but less on medical care, than the national average. GSK's report states the company spent a total of $26.2 million on diabetes treatment for employees in 2005. Glaxo has now launched what it describes as a multilateral plan to address the needs of employees with diabetes. Leading the charge: a patient education campaign ("Know Your Numbers") and a physician intervention program.
Says Glaxo's US benefits chief, Michael Killian, "As a nation, we are seeing our healthcare costs soar and patients' health decline due to chronic diseases such as diabetes. GSK faces these same challenges and is prepared to meet them." Translation: prevention, prevention, prevention.
Glaxo figures there is nothing to lose, but lots to gain. Healthcare plans for employees already cost a bundle. By targeting the health issues that are hurting employees the most, the company can give those employees a better life and save a lotta money. In addition to making the results of its internal analysis available to the general public, Glaxo has invited other employers to utilize this same approach.
Yes, you read correctly. Low-speed car chase. Not something you see in the news too often, right?
Jacob Kells (30) is from Santa Rosa, CA. He has diabetes. Last Thursday, Kells got behind the wheel of a rented U-Haul truck. Oh, what a bad idea. He was obviously having low blood sugar issues because he caused several minor hit-and-run crashes that morning. Kells would not respond to police calls for him to pull over. Result: the cops had to tail him all, slowly, all the way from Redwood City to Gilroy.
When the police finally caught up with him, Kells was reportedly sweating and incoherent. The officers, obviously aware his state was diabetes-related, gave him glucose paste then got him to hospital, pronto. He was later arrested and taken in for psychological assessment - which I guess means there may be something else going on here other than low blood sugar.
Hats off to the officers of the Redwood City California Highway Patrol for recognizing the signs of low blood sugar and reacting accordingly. That is, for understanding the medical basis for Kells' behavior - not assuming the guy was just drunk or high.
You've heard about the sports stars and the rock stars who succeed in life despite suffering from diabetes. Now, here's something a little more unusual: a circus acrobat! Dolly Jacobs is Circus Sarasota's "Queen of the Air." She recently gave an interview to the Bradenton Herald about her life in the circus.
Trim and petite like a dancer, Jacobs was diagnosed ten years ago. How did it happen? She had the warning signs most type 1s experience: weight loss and a killer thirst she just could not quench. Her mom already had type 1, so during a routine office visit, Jacobs asked the doc to check her blood sugar too. Whoa. It was 260 - way, way above normal. Jacobs was diagnosed not with type 1, but with a rarer form sometimes dubbed "type 1.5" or Latent Autoimmune Diabetes of the Adult (LADA). LADA is basically the same as type 1 diabetes, but develops later in life.
So how does one deal with diabetes when your job involves flying through the air with the greatest of ease? Low blood sugar is easy, says Jacobs. Correct it with a soda or juice. High blood sugar is tougher. She says she can go as high as 500 or 600 just from adrenaline. So, just like any other athlete, she depends on testing several times daily and she wears an insulin pump - but not when she's performing. Eating healthy - lean meats, fruits and veg - are important too, she says.
Click here to read more. Kudos, by the way, to the journalist who wrote this article, Roberta C. Nelson, for taking time out to identify the different forms of diabetes and to explain the dangers associated with high vs. low blood sugar. Great!
A lot of people I know avoid foods that list high fructose corn syrup (HFCS) as an ingredient. Apart from the calories they add to foods, there's a growing belief that lab-devised products like HFCS are simply unnatural and may be harmful. Wikipedia has an interesting article on the origins and controversy surrounding HFCS, if you want to learn more.
Not surprisingly, the food industry has always defended HFCS against claims that it is harmful. But here's the latest contradiction of that claim: a recent study found that HFCS is "astonishingly" high in reactive carbonyls, which are thought to contribute to the development of diabetes. The study was led by Dr. Chi-tang Ho, head of Rutgers University's Department of Food Science, and colleagues. They concluded that one can of HFCS-sweetened soda contains five times the reactive carbonyls that are normally found in the blood of a person with diabetes.
A news release by the American Chemical Society, announcing Dr. Ho's findings, notes that previous studies have already linked HFCS to cell and tissue damage. They suggest that HFCS consumption may raise the risk of diabetes, not to mention obesity. Say's Dr. Ho: "People consume too much high-fructose corn syrup in this country. It's in way too many food and drink products and there's growing evidence that it's bad for you."
The Rusing family of Tucson, Arizona, run a remarkably successful lemonade stand. The stand began as a way to keep the kids occupied, but turned into a bit of a money maker. It's been so successful, in fact, that it's now in the running for the title of Best Lemonade Stand in America. Yes! There is such a thing. Cute, huh?
The Rusings donate the proceeds from the stand to diabetes research. The stand is named "The Mighty Quinns" for Quinn Rusing. Quinn, who is four-years-old, was diagnosed with type 1 diabetes at age three. He helps run the lemonade stand, along with mom, Carolyn, and six-year-old twin sisters, Cali and Olivia. The secret to their success appears to be the free cookies. That's right. Free Famous Amos cookies with each 25-cent glass of lemonade purchased.
Spot anything odd about this story? Lemonade stand with free cookies as a diabetes fundraiser?? Um, what about all that sugar?! I spotted this story about the Rusings on the Tucson Citizen website. Another reader has posted this comment: "With 60 grams of sugars in a 12 ounce glass, the shareholders of Bristol-Myers-Squibb and Merck are gonna be in real good shape."
Scientists from all over the world will meet up in Seattle October 22-23 to attend the Warren G. Magnuson Congress for a Global Diabetes Alliance. The initiative is intended to help fight the rapid rise of type 2 diabetes worldwide. International Diabetes Federation past president Pierre Lefebvre, who will be a speaker at the conference, says the need for such an alliance to fight the T2 global epidemic "could not be more urgent."
More than one hundred diabetes experts hailing from over twenty countries will attend the congress. There's one main goal: the discussion of how to help under-served populations, such as indigenous peoples. However, the more general problems - prevention, treatment and the possibility of a cure - will also be on the table. It is also hoped that the alliance can help change public perception of type 2 diabetes as a disease associated with affluence, when in fact it is spreading faster in poor, developing countries where people frequently lack access to medical care.
Organizers say this is the first global alliance on diabetes. Speaking of organizers: who's behind this anyway? Well, it's being convened by the Pacific Northwest Research Institute (PNRI). Incoming president of the American Diabetes Association, Dr. Paul Robertson, is president and scientific director of the PNRI. Warren G. Magnuson, for whom the conference is named, was a US senator and supporter of the sciences who died from diabetes complications in 1989.
The ADA and PNRI's Dr. Robertson is optimistic the organization can effect change: "The response from top experts from around the world to develop a global, multidisciplinary, collaborative endeavor focused on clinical research on diabetes has been overwhelming."
Drug War '07: drug giants Novo Nordisk and Sanofi-Aventis have been sparring recently over their insulin pen designs. Novo alleges Sanofi has stolen its design ideas, basically. Check out Bev's post on this to learn more.
The reason it's such a big deal to them is money. The insulin pen could be super-lucrative for investors. Meanwhile, here's some news that's bound to get big pharma even more excited: a new study reports that insulin pens are cheaper and more effective than insulin shots.
Why so good? Fewer trips to the emergency room and fewer visits to the doctor. Insulin pens boast a pre-measured dosing system, with each dose of insulin contained in a single, disposable cartridge. This eliminates the risk of over- or under-dosing, says senior author of the study, Dr. Rajesh Balkrishnan of Ohio State University in Columbus. The researchers say that study participants who used an insulin pen instead of a regular syringe ended up reducing their annual healthcare costs by nearly $17,000. Wow.
What I'm not clear on here is whether or not they factored in the added expense of upgrading from syringes to insulin pens.
Want to know more? The study has been published in the latest issue of Clinical Therapeutics, but you can click here to read a summary.
Medical gadget manufacturer Medtronic has teamed up with LifeScan, maker of blood glucose meters. The powers-that-be at those companies say they want to introduce a fab new blood glucose meter to the US market. The meters will be developed by LifeScan for Medtronic and should be reasonably high-tech, with wireless transmission of test results to Medtronic's MiniMed Paradigm pumps or the Guardian REAL-Time continuous monitoring system. Tying it all together: Medtronic's CareLink diabetes management software. The plan is to get the meters on the market by early 2008.
The press release announcing the deal made me laugh. It stresses that, in addition to their alliance, Medtronic and LifeScan "will also educate people about the importance of insulin pump therapy and proactive diabetes management." Oh, ha ha. Translation: "buy our stuff. Please!" It's okay Medtronic and LifeScan. Just be yourselves. You exist to make money. We understand that. Just be honest about it and spare us the whole "education" angle.
I few days ago I touched on the subject of NY-area drug store chain, Duane Reade. The company established a free diabetes program a while back, offering advice, education and support groups. Duane Reade says it's expanding the program because of customer demand.
Is this part of a larger trend? Looks like it. According to yesterday's New York Times, more and more people are turning to drug stores for medical services. We're talking non-urgent things like sprains and minor infections...and diabetes care. Some are frustrated by lack of access to their regular physician. Others are having budget issues going the traditional route. It's super-convenient because you can be seen without an appointment, then get your prescription filled right there.
Drug store chains - Duane Reade, Wal-Mart, CVS and Walgreens included - are stepping up to the plate to fill the void. "Urgent Care Lite," is the tag it's been given. According to the Times, the number of these clinics has exploded in the past two years. And many feel that's a big problem because these clinics are not tightly regulated.
We could all benefit from added fiber in our diets. However, it seems the type of fiber consumed is important too. A new study concludes that vegetable fiber is a good defence against type 2 diabetes. The study comes courtesy of researchers at the University of Sydney, Australia, who found that adults eating five grams of vegetable fiber daily were 24 percent less likely than other adults to develop the disease. People over the age of seventy enjoyed a thirty-one percent risk reduction.
