Three New Programs Improve Diabetes Care in Low-Income Areas
In Los Angeles and Chicago, programs designed to improve the management of diabetes in underserved populations appear to be working....
Vitamin D Not Linked to Insulin Sensitivity
Plasma 25(OH)D concentration not tied to glucose homeostasis, insulin sensitivity, beta-cell function....
Pollution Tied to Diabetes and Hypertension Risk
In a study of more than 4,000 black women in Los Angeles, those who lived in areas with higher levels of traffic-related air pollution were at increased risk of diabetes and hypertension....
Vitamin D: Too Much May Erase Heart Benefit
Low levels of vitamin D may confer a cardiovascular benefit, but too much vitamin D may have the opposite effect....
Diabetes Disaster Averted #65: Language Interpretations
I was a CDE in a small community hospital and served many women with gestational diabetes who were Hispanic. I saw a woman who I had followed during a previous pregnancy where she required insulin. She had received education about starting on...
Why African Americans on Dialysis Live Longer than Whites
In the general population, African Americans die at earlier ages than whites, but among patients on dialysis, African Americans live longer than whites....
Racial Disparities in Weight Due to Socioeconomics?
The rate of obesity and chronic diseases varies substantially across different racial and ethnic groups, but the underlying causes of those disparities remain obscure. In a new study, low socioeconomic status (SES) appears to account for...
Research Finds Obesity Negatively Impacts Income, Especially for Women
A new report uncovered an overall wage differential between those of normal weight and those who are obese, especially when it comes to women. The research, demonstrates the impact obesity may have on a person's paycheck....
Letter from the Editor: Shrink and Move Video, Telehealth
This week finishes off National Diabetes Month, and over the past few weeks I have received countless videos, emails and tweets about diabetes. I have also noticed that more and more of my patients are watching You Tube, Netflix, sports or TV on...
Lower BMI Cutpoints Predict Diabetes and Hypertension in Asians
Asians may need lower body mass index (BMI) cutpoints for overweight and obesity....
Diabetes Death 50 Percent Higher among Hispanics
According to the latest findings from a landmark San Antonio-led study, diabetes seems to be deadlier for Mexican Americans than for Anglos, and much deadlier for diabetes patients living in Mexico....
Cultural Competency Is Key to Counseling Patients with Diabetes
Eliminating health care disparities for black patients with diabetes begins with gaining cultural insight and tailoring educational efforts to individual patients....
New and Unique Strategies Proposed for Older Americans with Diabetes
The need to establish diabetes management programs that are more accessible to the elderly is gaining greater urgency amid unprecedented growth of older minority populations who are most at risk, particularly older African-Americans,...
Nearly Half of African Americans Have Masked Hypertension
Data presented this week confirm the high prevalence of masked hypertension in African Americans, with investigators reporting that masked hypertension is prevalent in 45% of African Americans during any single office...
Declining Coronary Heart Disease Risk among Diabetes Patients
The estimated 10-year risk for coronary heart disease (CHD) among adults with diabetes has declined significantly in the past decade, U.S. data show....
Lowering Fat Intake Might Stave off Diabetes Even without Weight Loss
Small differences in diet -- even without weight loss -- can significantly affect risk for diabetes....
Potassium Levels Possible Key to Racial Disparity in Type 2 Diabetes
Lower potassium levels in the blood may help explain why African-Americans are twice as likely to be diagnosed with Type 2 diabetes as whites....
A Healthy Waist Bigger for Black Women
The definition of a healthy waistline may have a bit more room for African-American women than for white women....
Diabetes Patients Not Benefiting from Advances in Kidney Care
Despite significant advances in kidney care over the past 20 years, efforts to improve therapy for Type 1 diabetes patients with kidney dysfunction remain unsuccessful....
Risk of Type 2 Associated with Gene Variations
For individuals of white European descent, certain variations of the gene HMGA1 are associated with Type 2 diabetes....
Researchers Uncover New Gene for Heart Failure in Caucasians
Nearly five million Americans live with heart failure, with as many as 700,000 new cases diagnosed each year. In addition to lifestyle factors, scientists have shown that heart failure has a strong heritable component, but identifying the...
Diabetes Drug Perks Up Weight Loss in Obese Kids
In severely obese, insulin-resistant children, metformin treatment improves weight loss and raises insulin sensitivity compared with placebo....
Only 7% of the 60 Million with Prediabetes Are Aware
Measuring glycated hemoglobin levels may be an appropriate means of catching patients with prediabetes....
Race/Ethnicity Plays A Role in the Efficacy of Insulin Regimens
Latino/Hispanic, Asian, and African-descent patients with Type 2 diabetes show different metabolic responses to insulin therapy, dependent in part on insulin type and regimen intensity....
Can Demographics Determine the Quality of Diabetes Care?
Patient demographics such as ethnicity and age may play a large role in determining whether or not they receive appropriate Type 2 diabetes care....
Air Pollution Raises Risk of Diabetes in Kids
While poor diet and lack of exercise are thought to be the leading causes of diabetes, exposure to polluted air early in life can also lead to the disease....
Fish Can Contribute to Increased Stroke Risk
Americans living in the southern "stroke belt" states consume more fried fish, which may contribute to the region's high stroke mortality rate....
New Study Reveals Low Sex Drive in Women with Diabetes
Almost half of women in the US who suffer from Type 1 or 2 diabetes report that it has a negative impact on their sex lives....
Depression, Diabetes Linked in Women
The link between diabetes and depression in women runs both ways....
Poverty a Leading Cause of Type 2 Diabetes, Studies Say
New research has shown that it's not just about the lack of physical activity and a family history of diabetes that are the top risks. Earning less than $15,000 per year doubles the risk of developing Type 2 diabetes....
Vitamin Deficit Doubles Risk of Stroke in Whites, but Not in Blacks
Evidence from earlier work at Johns Hopkins has linked vitamin D deficiency to higher rates of death, heart disease and peripheral artery disease in adults....
Patients Having Heart Attacks Still Wait More than Two Hours to Go to Hospital
Long delays between developing symptoms and going to the hospital are common among patients with a certain type of heart attack, according to a report in JAMA....
Barbershops Used to Control Blood Pressure
Barbers in Texas showed that they can participate in healthcare by helping to screen and reduce blood pressure. A cadre of barbers, true to their healthcare-provider heritage, participated in a hypertension-screening outreach experiment...
Diabetes Epidemic in California
Obesity among California adolescents is more than twice as high as the national target of 5.0 percent, while the rate of diabetes among California adults is more than three times the federal goal of 2.5 percent of the...
Childhood Factors May Predict Diabetes Later in Life
Common office-based measures in childhood appear to predict the chances of having Type 2 diabetes later in life, researchers found…
Disparities in Cardiovascular Risk Based More on Socioeconomic Status than Race, Ethnicity
A new study suggests that disparities in cardiovascular disease risk in the US are due less to race or ethnicity than to socioeconomic status…
Dialysis More Likely than Death in Blacks with ESRD
African Americans with hypertension-associated kidney disease were more likely to develop end-stage renal disease (ESRD) than to die, researchers conducting a long-term cohort study said....
Substantial Differences in the Treatment for End-Stage Kidney Disease in Older Adults
There is substantial regional variation in treatment practices for care of older adults with end-stage renal disease (ESRD), including receipt of hospice care and discontinuation of dialysis before death, according to a...
HbA1c Variation by Race Weakens Its Exclusive Diabetes Diagnostic Power
African Americans have higher levels of glycated hemoglobin (HbA1c) than whites given the same blood glucose concentrations, and the difference is greater as glucose levels go up. Findings could affect the way physicians ...
Race and Income Combine to Make Perfect Storm for Kidney Disease
African Americans with incomes below the poverty line have a significantly higher risk of chronic kidney disease (CKD) than higher-income African-Americans or whites of any socioeconomic status....
Leisure-Time Physical Activity Benefits Some More than Others
It may seem intuitive that greater amounts of exercise lead to less obesity, but an Indiana University study has found that this conventional wisdom applies primarily to white women....
Diabetes Indicator Higher in African-Americans
Racial disparities could result in life-threatening hypoglycemia and increased complications....
Women with Asian and Hispanic Partners Have Increased Risk of Gestational Diabetes
Researchers found that, among nearly 140,000 women, Asian women had the highest rate of gestational diabetes, at nearly 7 percent. They were followed by Native American women, at 5.6 percent, and Latina women, at 5...
Medicare Part D: A Boon for Industry and Insurers Alike
Issak Smith
Half of US Adults Have Diabetes, Hypertension, or Hypercholesterolemia
Nearly half of all adults in the US have one chronic condition associated with an increased risk of cardiovascular disease, according to data from the National Health and Nutrition Examination Survey (NHANES).......
Americans Losing the Diabetes Battle
Type 2 diabetes can be prevented or delayed with moderate weight loss and exercise but only about one in three Americans have taken action to reduce their risk....
Canadians Have Better Health than Americans
Canadians live longer and in better health than do their American counterparts, researchers said....
U.S. Hispanics Have High Rates of Blindness
Latinos have higher rates of developing visual impairment, blindness, diabetic eye disease, and cataracts than non-Hispanic whites, researchers found....
Death from Diabetes will Change from 5th Leading Cause of Death to __?
More than 70,000 Americans a year die from complications of diabetes, making it the country's fifth-largest medical killer. While that sounds dire, Novo Nordisk says the real picture is much worse....
IOM Recommends FDA Set New Standards for Salt in Foods
As widely expected, the US Institute of Medicine (IOM) is advising the FDA that it should set stricter federal standards for the amount of salt that food manufacturers, restaurants, and food-service companies can add to their...
Four Unhealthy Behaviors Combine to Increase Death Risk
Four unhealthy behaviors -- smoking, lack of physical activity, poor diet and alcohol consumption -- appear to be associated with a substantially increased risk of death when combined, according to a report in JAMA....
Parents' Fear of Hypos Impacts Children's Diabetes Management
Parents who live in fear of their children having hypoglycemic episodes might have a negative effect on their child's diabetes control, says a new study. Good provision of psychological support for parents and their children with diabetes...
High-Carb Diet Raises Heart Risk for Women
Women who eat a high-carbohydrate diet -- especially a lot of bread, pizza, jam, and similar products -- are at an increased risk of coronary heart disease, researchers said....
Diabetes Therapy Individualized Using Genetics
Advances in the genetics of Type 2 diabetes have provided a foundation for individual treatment strategies, which should be a continuing goal of research, according to a consensus statement from diabetes specialists....
The Relative Satiety Value of Candy Bars in American Children
Hirsch, AR, Soto, MO, Hirsch, JA,
Smell & Taste Treatment and Research Foundation
Amylin, Lilly's Byetta May Have Cancer Risk, FDA Says
Amylin Pharmaceuticals, Inc., and Eli Lilly & Co.'s long-acting Byetta may be tied to increased cancer risk, a top U.S. regulator said, raising concerns that the experimental diabetes drug may need strict warnings....
Using Genotypes to Individualize Diabetes Treatment
A panel of diabetes experts is encouraging efforts to increase understanding of the heterogeneity of Type 2 diabetes to achieve individualized treatments and improve treatment responses....
High Glycemic Foods Can Increase Risk for Heart Disease in Women
Consuming carbohydrates with high glycemic index -- an indicator of how quickly a food affects blood glucose levels -- appears to be associated with the risk of coronary heart disease in women but not men, according to a...
Diabetic Women Fall Fast Into Medicare 'Doughnut Hole'
Among elderly Americans, women and those with diabetes and dementia are most likely to find themselves in the Medicare Part D drug plan "doughnut hole"....
Parental Monitoring Crucial in Childrens Adherence to Diabetes Treatment
Preteens and teenagers with Type 1 diabetes have more trouble sticking to their treatment plan -- thus raising their risk of blindness, kidney failure and heart disease -- if their parents...
Identifying Dysglycemia in Children Could Avoid Diabetes
Fasting plasma glucose levels within the normoglycemic range in childhood can be a predictor of prediabetes and Type 2 diabetes in adulthood, according to the results of a new study....
Screening for Diabetes Cost-Effective
Screening for Type 2 diabetes is cost-effective when it's initiated between ages 30 and 45 and continued every three to five years, researchers say....
Score Card Predicts Survival after Kidney Transplant
An index developed by Canadian researchers appears to accurately predict which end-stage renal disease patients are most likely to achieve maximum survival benefit with a kidney transplant....
Women Who Breastfeed Have Lower Diabetes Risk
Mothers who do not breastfeed have a 50 percent increased risk of developing Type 2 diabetes later in life compared with childless women, Australian research has found....
No Health Benefit Seen from Small Soda Taxes
Taxes of a few percent on sugary drinks are unlikely to reduce consumption or improve children's health noticeably, researchers found....
Health Care Reform: How Does it Affect People with Diabetes?
The health care reform bill "doesn't fix everything that's wrong with our health care system, but it moves us decisively forward," President Obama said....
Study Explains How Weight-loss Surgery Reverses Type 2 Diabetes
A team of researchers, led by a University of California Davis (UC Davis) veterinary endocrinologist, has shown for the first time that a surgical procedure in rats that is similar to bariatric surgery in humans....
New Risk Score Tool More Accurately Predicts Patients' Risk for Cardiac Disease, Death
Researchers have devised a better way to determine an individual's risk for problems, such as myocardial infarction (MI) and heart failure, according to new research....
China Overtakes India as the Global Epicenter of the Diabetes Epidemic
China has overtaken India as the global epicenter of the diabetes epidemic after a study showed twice as many Chinese are afflicted with the disease as previously estimated....
No Benefit in Adding Fenofibrate to Statin for Preventing Cardiovascular Events
In the Action to Control Cardiovascular Risk in Diabetes (ACCORD)-Lipid trial, the combination of fenofibrate and simvastatin, compared with simvastatin alone, failed to reduce cardiovascular events in the majority of patients with Type 2...
FDA Approves Combined Diabetes Management System
The FDA approved Medtronic's MiniMed Paradigm REAL-Time Revel System, a diabetes management system that combines an insulin pump with a glucose monitoring system. The system may represent the next step toward an artificial...
Salsalate Shows Promise in Treating Type 2 Diabetes
Treatment with salsalate lowers levels of hemoglobin A1c (HbA1c) and improves markers of glycemic control and coronary risk in people with Type 2 diabetes, according to a new study.
Tight Blood Pressure Control Not Supported in Patients with Diabetes and Coronary Artery Disease
Current blood pressure (BP) guidelines for individuals with diabetes (systolic BP [SBP]
Insulin Glargine Safety in Pregnancy
Insulin glargine (Lantus) is an extended-action insulin analog with greater stability and duration of action than regular human insulin. The long duration of action and decreased incidence of hypoglycemia provide potential advantages for...
Urinary Albumin Excretion Predicts Future Cardiovascular Disease, Hypertension, and Kidney Disease
Overall, physical activity was inversely and independently associated with albuminuria. This association held for both walking and strenuous activity....
Diabetes Patients' Lives May Be Shorter if They Have Difficulty Trusting and Reaching Out to Others
Mistrust can exact a high toll. Being overly cautious or dismissive in relating to people, researchers are learning, may shorten the lives of people with diabetes.
Vitamin D Levels Have Different Effects on Atherosclerosis in Blacks and Whites
Vitamin D is quickly becoming the "go-to" remedy for treating a wide range of illnesses, from osteoporosis to atherosclerosis. However, new evidence from a Wake Forest University School of Medicine, Winston-Salem, NC, study suggests that...
Testosterone Gel Improves Diabetes in Men with Low Levels
News from the British Endocrine Society meeting
MANCHESTER, England -- Topical testosterone replacement reduced insulin resistance and glycated hemoglobin in men who were deficient in the hormone and at ...
Senate Delays Medicare Pay Cut until October 1
The Senate delayed the effective date of a 21.2% Medicare pay cut for physicians until October 1, 2010....
A1c Outperforms Fasting Glucose for Diabetes Risk Prediction
Measurements of hemoglobin A1c (HbA1c) more accurately identify persons at risk for clinical outcomes than the commonly used measurement of fasting glucose, according to a new published study.
Components of Metabolic Syndrome Linked to Plaque Progression
A new intravascular ultrasonography (IVUS) study has found that the metabolic syndrome is associated with accelerated plaque progression, but this is attributed to the individual component risk factors rather than the presence of the...
High Cholesterol, Diabetes Lead Drug Spending for the Elderly
Purchases of cholesterol and diabetes prescription drugs by elderly Medicare beneficiaries reached nearly $19 billion in 2007 -- about one-fourth of the approximately $82 billion spent for medications for the elderly, according to the...
Lunchtime Coffee Break Best for Fighting Diabetes
Drinking coffee cuts diabetes risk, new research confirms, but you may need to enjoy your java with lunch if you want to get any benefit.
Barriers to Care for At-Risk Patients with Diabetes
A new published study shows that primary care physicians believe the barriers that put patients with uncontrolled diabetes at risk for cardiovascular disease as being patient-related or system-related....
Helping Patients Track their "Kidney Number" Could Save Lives
It's a silent epidemic that affects millions of Americans. Chronic Kidney Disease (CKD) is a life-threatening illness that can often be treated successfully if found early, and can be detected at an early stage using simple, inexpensive...
Stinky Diabetes Drug May Result in Poor Adherence
An immediate-release form of the antidiabetic agent metformin has a dead fish odor that may cause patients to stop taking the drug, clinicians warned....
Moderate Drinking Women Gain Less Weight than Non-Drinkers
Normal-weight women who drink a light to moderate amount of alcohol appear to gain less weight and have a lower risk of becoming overweight and obese than non-drinkers, according to a new report.
Panel Calls for Lower Gestational Diabetes Cutoffs
Lower glucose thresholds for gestational diabetes called for by an international consensus panel may double and possibly even triple the number of women diagnosed.
Increased Fat Related to Lack of Sleep
Not getting enough sleep does more damage than just leaving you with puffy eyes. It can cause fat to accumulate around your organs – more dangerous, researchers say, than those pesky love handles and jiggly thighs....
Diabetes Diagnosis to Soar with A1c Switch for Diagnosis
European authorities are considering changing the diabetes diagnostic criteria (using the A1c test) in a move that could almost double the number of people classed as having the disease....
Birthplace Weighs Heavily on Immigrant Weight and Risk for Diabetes
Where a US immigrant was born could play a significant role in how many pounds they pack on after arriving in America, according to a new study....
Diabetes and the Risk of Dementia
Diabetes increases the risk of Alzheimer's disease and vascular dementia and the risk is stronger when diabetes occurs at mid-life than in late life according to university researchers in Sweden....
Increasing Vitamin D Can Reduce Type 2 Diabetes by 55 Percent
People who get plenty of vitamin D can cut their chance of developing Type 2 diabetes by 55 percent, according to the review of over 100,000 people in 28 studies....
New Gestational Diabetes Guidelines Find More Women at Risk
New blood sugar measurements used to determine gestational diabetes will mean that lower levels may pose risks for mother and baby....
Blacks Much Less Likely to Know They Have a Heart Condition Or to Use Treatment
A large nationwide study that includes neurologists from Mayo Clinic has found that blacks are substantially less likely than whites to know that they have atrial fibrillation or to use warfarin, the most common treatment for the...
TZD Patients Are 50% More Likely to Develop Bone Fractures
A Henry Ford Hospital study finds women with Type 2 diabetes who take a commonly prescribed class of medications called TZD's to treat insulin resistance may be at a higher risk for developing bone fractures within 1 year of taking the...
Celiac and Diabetes Are Related Through Genetics
Data increasingly supports an association between rs6822844 at the IL2-IL21 region and multiple autoimmune diseases in individuals of European descent. A number of autoimmune diseases share susceptibility genes, pointing to similar...
Different Oral Antidiabetics Associated with Different Adverse Outcomes?
Risk of cardiovascular disease and all-cause mortality among patients with Type 2 diabetes prescribed oral antidiabetes drugs: retrospective cohort study using UK general practice research database....
Early Pregnancy Weight Gain Linked to Diabetes
Pregnant women who gain weight rapidly during the early stages of pregnancy are at higher risk for gestational diabetes, a new study found....
Oprah's Outpouring: A Bittersweet Commentary on Responses to Her Diabetes Show
Theresa Garnero, APRN, BC-ADM, MSN,...
Prevalence of Childhood Chronic Health Conditions Increases
The rate of chronic health conditions among children in the U.S. increased from 12.8 percent in 1994 to 26.6 percent in 2006, for conditions such as obesity, asthma and behavior/learning problems, according to a study....
America's Silent Killer: Oprah and Dr. Oz Want to Save Your Life
By...
What You Eat after Exercise Shapes You
The benefits of exercise can be greatly affected by the food we eat after it....
Low-Carb Diet Reduces Blood Pressure
Researchers have found a low-carbohydrate diet helps people lose weight as effectively as a popular weight loss drug, and trumps the drug at lowering blood pressure....
Diabetes Linked to Improved Survival in Critically Ill Patients
Consistent with prior reports, but still surprising, diabetes does not worsen hospital mortality in critically ill patients, researchers say. In fact, diabetes is often associated with improved survival....
Preventing Diabetes with Lifestyle Changes Can Persist for at Least 10 Years
Ten-Year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study shows positive results....
Insulin Treatment as Safe and as Effective as Triple Oral Therapy
A study has compared two intensive therapies to lower blood glucose levels in patients with newly diagnosed Type 2 diabetes. The findings reveal the efficacy and safety of both insulin and triple oral therapy.
MRI Reveals Risk for Kidney Failure in Diabetic Patients
So-called silent strokes, visible on cerebral MRI scans, predict kidney failure in patients with Type 2 diabetes, researchers said.
New Oral Victoza May End Daily Insulin Injections
An oral drug being developed by Novo Nordisk shows that it can boost the body's own insulin production and may banish daily insulin injections for millions of people with diabetes....
New First in Class Treatment Shows Significant Improvements in Glucose Lowering
The study showed positive results from a recently completed Phase 2 study of LX4211 in patients with Type 2 diabetes....
Vinegar Decreases Postprandial Hyperglycemia in Patients with Type 1 Diabetes
Two tablespoons of vinegar could be easily used as a complementary food (e.g., in a salad dressing) to reduce hyperglycemia....
A Few Extra Pounds Can Benefit Older People
A little excess weight after age 70 could do the body some good, according to results of a study involving 9,000 older patients....
Family Fat Explains Some of Family Diabetes Risk
Having Type 2 diabetes in the family more than doubles a woman's own risk of developing the disease, new research shows....
It's as Easy as 1-2-3 Injections a Day -- Or Is It?
Dave Joffe, BSPharm, ...
Why We Need to Attack the Diabetes Problem with Lifestyle Changes -- and Why We Need to Do It Now
By Sheri Colberg, Ph.D., FACSM
Five Things Every Person with Diabetes Should Know About Exercise
by
Helping Your Patient Overcome Barriers to Obtaining Good Diabetes Care
Ironically, at the very time medicine has recognized that simple measures can prevent the chronic complications of diabetes, the health care "revolution" has turned the financial incentive for caring for the chronically ill upside down. In fact,...
The 30 Day Challenge
Combination Therapy:
Oral medications during the day and Lantus at night
Seniors in 'Gap' cut back Medicines
Pharmacists are always telling me that patients don’t fill prescriptions when they hit the doughnut hole in Medicare Part D coverage. This week Yuting Zhang, Assistant Professor Of Health Economics at Pitt's Graduate School of Public Health,...
Preteens, teens doubled use of diabetes drugs
A recent article in Pediatrics, discussed how preteens and teens have doubled use of diabetes drugs in the past 4 years and that the prevalence is dramatically higher among young girls vs. boys. Why is this occurring? Why is it higher in girls?...
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