This weeks Items

DIABETES IN CONTROL

Kristina Sandstedt, MS

Kristina Sandstedt, MS, Clinical Exercise Physiologist, Diabetes Educator

“The Role of Exercise in the Treatment of Arthritis”, Why this information is important for Diabetes Educators

Evan D. Rosen, M.D., Ph.D

Dr. Evan Rosen

 

Evan D. Rosen, M.D., Ph.D.Winning the Battle, but Losing the War

The trials of trying to get your patients to achieve ADA and AACE goals.  Click Here

Shafer Monthly Feature

“ANTIOXIDANTS”

Antioxidants have received a lot of attention in recent years, in relation to wellness and disease prevention. More studies are needed to better understand how antioxidants may affect diabetes management and treatment. Click Here

By Sherri Shafer, R.D., CDE,

View Sherri's Archives

NOMINATE YOUR CHOICE 

Best Diabetes Product or Service of the New Millennium

Medical Professionals

CHOICE AWARD

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Dr. Eric S. Freedland

 

Dr. Eric Freedland continues his series Why Focusing On Intensive Glucose Control With Drugs Alone Is Counterproductive with Part 10 Manipulating Macronutrient Ratios 

Eric S. Freedland, MD



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Dr. Thomas Burke Ph.D

Dr Thomas Burke brings us a wound care case study by Alan Kochman, PT, MS and Diane Pogmore, RN, CWOCN  

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Item #20 

Advanced Glycation End Products Associated with Endothelial Dysfunction in Type 2 Diabetes

Can treating AGEs lead to a reduction of endothelial dysfunction? 

Data from experimental studies have suggested that the increased formation of advanced glycation end products (AGEs) is one of the causes of endothelial dysfunction in diabetes.  

This study was performed to investigate whether changes in endothelium-dependent vasodilation, a marker of endothelial function, were related to serum AGEs concentrations in patients with type 2 diabetes.  

For this study, 170 patients with type 2 diabetes and 83 healthy nondiabetic control subjects of similar age were recruited. Serum AGEs were assayed by competitive enzyme-linked immunosorbent assay. Endothelium-dependent and -independent vasodilation of the brachial artery was measured by high-resolution vascular ultrasound. RESULTS—Serum AGEs were increased in diabetic patients compared with control subjects (4.6 ± 0.7 vs. 3.1 ± 0.8 unit/ml; P < 0.01), and both endothelium-dependent (5.1 ± 2.5 vs. 9.1 ± 4.1%; P < 0.01) and endothelium-independent vasodilation (13.2 ± 4.6 vs. 16.4 ± 5.5%; P < 0.01) were impaired. On univariate analysis of all subjects, serum AGEs correlated with endothelium-dependent vasodilation (r = -0.51, P < 0.01); a weaker association was found with endothelium-independent vasodilation (r = -0.24, P < 0.01).

On multiple regression analyses including age, sex, smoking status, and plasma lipids, only serum AGEs remained a significant independent determinant of endothelium-dependent vasodilation (r2 = 0.34, P < 0.01).  

In conclusion, it was shown that Increased serum concentrations of AGEs in patients with type 2 diabetes is associated with endothelial dysfunction, independent of other cardiovascular risk factors. Further studies to determine whether treatment targeting AGEs will lead to an amelioration of endothelial dysfunction are warranted.  Diabetes Care, 2002 25/6 (1055-1059)

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DIABETES NEWS FLASH

Dr. Jennifer Larson Feature

Dr Jennifer Larson, MD, University of Nebraska Medical Center, gave a very informative overview of Pancreas, Islet, and Kidney Transplantation: Metabolic and Endocrine Consequences, at the Endo2002 conference. We have an overview of her presentation, click here

 

TOP DIABETES STORIES

  New Drug Restores Eyesight*

Click Here

  Diabetes Management Market Predicted to Explode*

Click Here 

  Night-Light May Prevent Diabetic Eye Damage*

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  New Test Predicts Which Type 2’s Will Become Type 1’s Within 5 Years*

Click Here



FREE WEBSITE!!!

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Dr Richard K. Bernstein

This Months Corner:  

 

Dr. Richard BernsteinDr. Bernstein's Feature:  

Will eating a low-fat diet help you live longer?



INSIDE DIABETES

David Kliff 

The Pump Market - A Market in Turmoil
ADA Highlights

David Kliff, Publisher 

The Diabetic Investor

In 2 Nutrition

Generate Individualized meal plans for your patients!

See how your patients can receive over 250 personalized recipes that are ideal for individuals with diabetes, high cholesterol, heart disease and weight management problems.



NEWS FLASH !!!

Over One million US adults can't afford their drugs

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FREE CME!

Free CME

The Hyperactive Platelet in Type 2 Diabetes- sponsored by Baylor College of Medicine, Houston, Texas, offers 2 hours of AMA PRA category 1 credit   To access this free on-line activity, visit Click Here

 


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