Archive for June, 2011

Photo: Edwar Andiko

Lantus is a popular basal, or long acting, insulin used in the treatment of both type 1 and type 1 diabetes mellitus. The diabetes medication is suitable for both adult and pediatric patients with Type 1 diabetes, and for adults with Type 2 diabetes who require long-acting insulin injections to control hyperglycemia.

Lantus long acting insulin has some key benefits: it is used only once daily, it has no pronounced peak; it lowers basal glucose levels for a full 24 hours; and it can be used with oral diabetes medications and/or short-acting insulin for better diabetes control. One of the biggest advantages of Lantus is that, due to its lack of peak, it decreases the risk of nocturnal hypoglycemia. Read the full article

New discoveries in diabetes suggest novel ways to treat, delay the disease

ScienceDaily (2011-06-22) — A new signal pathway that renders the insulin-releasing beta cell more sensitive to high levels of blood glucose has been discovered by researchers in Sweden. A second new study reveals a possible way to delay the disease by inhibiting a lipoprotein.

A new joint study published in Nature Medicine and conducted by researchers at Karolinska Institutet’s Department of Molecular Medicine and Surgery and their American colleagues provides new insights into how beta cells react to raised concentrations of blood sugar, which occur, for example, after a meal.

> read full article

Photo: Sura Nualpradid

An inexpensive vaccine that’s been used for over 90 years to combat tuberculosis may have the ability to reverse type 1 diabetes. Although the early results were met with skepticism, seven studies in mice over the last ten years have established that the generic drug BCG (bacillus Calmette-Guerin) can prevent immune system T cells from destroying insulin-producing cells, allowing the pancreas to regenerate and once again produce insulin.

A research team from the Massachusetts General Hospital Immunobiology Laboratory led by Dr. Denise Faustman, PhD, successfully reproduced the results in a small group of human subjects, using very small doses of the vaccine. Those diabetics receiving the vaccine, all of whom had been Type 1 for an average 15 years, showed both a decrease in pancreas cell-destroying T cells, and an increase in the insulin precursor C-peptide – an indicator of insulin production. Read the full article

ScienceDaily (2011-06-25) — The life expectancy of people diagnosed with Type 1 diabetes between 1965 and 1980 dramatically increased, compared to people diagnosed with Type 1 diabetes between 1950 and 1964, according to a new study. … > http://www.sciencedaily.com/releases/2011/06/110624182309.htm read full article

Jack Russell terrier

Photo credit: Sparkieg

The Director of the Amputation Prevention Center at the Valley Presbyterian Hospital in Van Nuys, Dr. Lee C. Rogers, has a warning for diabetic pet owners who have suffered a loss of feeling due to nerve damage.

The warning stems from an incident in which a two-year-old Jack Russell terrier chewed off the infected big toe of its owner while she slept. The 48-year-old Des Moines woman woke in the morning to find part of her toe missing, and blood on her bed and her pet’s face.

“She didn’t feel it at all,” said Rogers, a podiatrist who treated the woman, “When she woke up, there was blood all over the place.”  Rogers eventually had to amputate the woman’s leg after she developed an infection – leaving her a double amputee. Read the full article

diabetic cookies

Photo: Paul Martin

1 1/2 cups unsweetened applesauce
3/4 cup margarine
2 eggs
1 tbsp. vanilla
1/3 cup brown sugar substitute, suitable for baking
2 cups oatmeal
1 tbsp. cinnamon
1/2 tsp. allspice
1 1/2 cup flour
1 1/2 tsp. soda
1/2 tsp. salt
1 cup raisins
1/4 cup nuts

Mix applesauce, margarine, eggs, vanilla and brown sugar substitute well; add the remaining ingredients. Drop by teaspoonfuls onto a cookie sheet and bake at 375 degrees for 15 minutes.

Healthy eating is crucial to diabetes control.  But being diabetic doesn’t mean you can never enjoy something sweet. The above  recipe is courtesy of Sugar-Free.org Diabetic Recipes. Visit the site for an entire library of diabetic recipes, along with helpful tips, news and advice for diabetics.

The Department of Chemistry at California State Polytechnic University has some important news about smoking and blood sugar levels, especially for diabetics:

  • Nicotine is now known to raise blood sugar levels.
  •  The more you smoke, the higher your blood sugar rises.
  • In laboratory testing, two days of nicotine dosing (the equivalent of one or two packs a day) increased HbA1c levels (average blood sugar readings over a period of time) in blood samples by up to 34.5 percent.
  • An increase in HbA1c levels of just 1 percent equals a 40 percent increase in the risk of diabetes complications.
  • Nicotine replacement products such as gum and patches have the same effect on blood sugar as smoking.

Increases in blood sugar and poor diabetes control have already been clearly linked to diabetes complications such as heart attack and stroke, eye and kidney disease and nerve damage, and it was known that diabetics who smoke have higher levels of complications than diabetics who don’t smoke.

What wasn’t clear was which of the thousands of chemicals in cigarettes were responsible. It’s now believed that nicotine may impact glucose metabolism by interfering with the way glucose attaches to proteins, possibly changing their structure and function.

The American Cancer Society has developed a useful guide to help both diabetics and non-diabetics quit smoking.  Download the PDF >HERE<.

American Idol runner-up singer/songwriter Crystal Bowersox has revealed that she was hospitalized for two days with diabetic ketoacidosis (DKA) during last year’s finals. Bowersox now admits to neglecting her disease, sometimes going an entire day without testing her blood sugar.

With her diabetes now under control, she currently checks her blood glucose levels at least 10 times a day. “When you know what your reading is, you know what to do,” says Bowersox, who now strives to be a good role model for fellow insulin dependent diabetics, “The only way you can live your life is by monitoring your diabetes.”

Bowersox, a type 1 diabetic since age 6, is now an advocate for the Juvenile Diabetes Research Foundation and the Diabetes Research Institute. Fellow Idol contestant Kevin Covais, also a type 1 diabetic, has joined Bowersox in her advocacy for both diabetes organizations.

DKA usually results from not monitoring and controlling blood sugar and insulin levels, especially around mealtimes. Insulin dependent diabetics also need to take into consideration their stress and activity levels when calculating the correct insulin dosage.

To read more about Bowersox’s and Covais’s experiences and their advice for fellow diabetics, visit Yahoo News

Photo: Julius Schorzman

Add your daily cup of java to the list of things that can make it more difficult to control your diabetes. A growing body of research indicates that caffeine disrupts glucose metabolism and increases insulin resistance, even in people that don’t have diabetes.

The findings raise concerns that caffeine’s tendency to increase insulin resistance could increase the risk of developing diabetes, or lead to poor control of the disease in those that already have it.

In people with type 2 diabetes, the expected rise in blood sugar after eating carbohydrates is exaggerated if they also drink a caffeinated beverage. This larger than anticipated rise in blood glucose could throw off diabetics’ calculations of the required dosage of diabetes medication, including insulin injections.

This is further complicated by the fact that people metabolize coffee at different speeds, and that both slow and fast metabolizers are common in the general population.

Caffeine is not only found in coffee, but also in tea, soft drinks and in energy drinks. Caffeine’s impact on glucose metabolism was reported on in the inaugural issue of the Journal of Caffeine Research: The International Multidisciplinary Journal of Caffeine Science.

“The links that have been revealed between diabetes and the consumption of caffeine beverages – especially coffee – are of monumental importance when it is acknowledged that more than 80 percent of the world’s population consumes caffeine daily,” says the new journal’s editor in chief, Jack E. James.

Photo Credit: Alton

Kim Vlasnik, an insulin dependent type 1 diabetic since the age of six, found welcome support through the online diabetes community. She has been writing the cheeky diabetes blog Texting My Pancreas (a name inspired by her insulin pump) since 2010. “Living with diabetes feels much more bearable when I think of it as a team sport,” she writes on her About Me page.

Now the ambitious Vlasnik has launched a companion video project to strengthen the online community and to lessen the isolation, depression, anxiety and frustration often caused by diabetes. The project, called You Can Do This, invites diabetics to create and share videos of their personal challenges to show others they can get through the tough times.

Vlasnik believes that everyone with diabetes struggles at one time or another, and that validation and community can lighten the emotional load. “Tell us your stories,” she invites her readers, “Show others what living with diabetes is really like – no sugar-coating.  Talk about the tough stuff. Show us how you’ve dealt with it. Let others see their own struggles and feeling through your words.”

Launched June 15th, 2010, the site had almost fifty videos uploaded in its first two days, and numerous positive comments posted by grateful fans.  Texting My Pancreas and the You Can Do This Project can be found at www.textingmypancreas.com.