Diabetes In Control. A free weekly diabetes newsletter for Medical Professionals. News and information for Medical Professionals.
- ADA Issues New Recommendations on Physical Activity
- Moderate Walking May Be All You Need to Prevent Type 2 Diabetes
- Low or High Vitamin D and Cardiovascular Autonomic Neuropathy
- Exercise vs. Diabetes: New Information Shows a 40% Drop in Diabetes Progression
- Weight Control With Every Minute of Brisk Exercise
- How To Drop Blood Sugars By 12%
Letter from the Editor
Before you even begin reading this week’s edition, you need to get out a pair of running shoes, walking shoes, stretchy bands, weights and a sweatband. Well, not really, but your patients may want to at least try to use a couple of those based on the information we have put together this week. If you just took the time to print out one article from this newsletter and sent it to your patients each month for the next half year, I can almost guarantee that they will all have better A1c’s, weight, and blood pressure. Between reviewing the new ADA guidelines, a new column from Dr. Sheri Colberg, and the data showing what physical activity can do for cardiovascular risk, you should read every item at least a couple of times.
When you are ready to print the items to share with your patients we make it easy to get a PDF from the website and you can share it with anyone!
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We can make a difference!
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Dave Joffe, Editor-in-chief
This Week's Survey
Do you follow the ADA Guidelines and exercise at least 150 minutes a week or 75 minutes of vigorous activity per week? Follow the link to see how you and your colleagues compare!
Newsflash: ADA Issues New Physical Activity Recommendations
New Product: ChocZero
While cocoa offers several wonderful health benefits, most of us know that sugar does not. Because of this, one company set out to make a sinfully healthy indulgence that is not only suitable for people with diabetes, but won’t hurt your waistline either. After spending several years perfecting their recipe, they are finally ready to bring ChocZero to the world: a natural, artisan-style, sugar-free chocolate. Rather than replacing sugar with sugar alcohols or artificial sweeteners, ChocZero uses a natural, soluble vegetable fiber and monk fruit extract to craft a guilt-free chocolate confection that tastes just as good as the next artisan chocolate…if not better. If you’d like to request a free sample of ChocZero, just give us your email address here.
Test Your Knowledge
This drug class is infrequently used in the U.S. and Europe. Studies suggest this class may modulate FXR- and TGR5-mediated pathways involved in glucose homeostasis. This drug class has the disadvantage that it may decrease the absorption of other medications.
1. DPP-4 inhibitors
2. Bile Acid sequestrants
3. Dopamine-2 Agonists
4. Alpha-glucosidase inhibitors
Did you get the right answer? Follow the link to find out!
Did You Know: U.S. Blood Sugars Are Going Up
According to a new study, the number of people with diabetes in the United States who maintain healthy blood sugar levels has dropped in recent years. However, other research has shown an overall improvement in blood sugar control over the past couple of decades. The question is WHY. For about 40-50% of those with diabetes, blood sugars are going up. From 1950 to 1995 we only had one oral drug. Then in 1995 metformin was approved and today we have over 11,000 possible combinations of drugs and insulins. Most of the new medications like DPP-IV, GLP-1 and SGLT-2 drugs are more effective with less complications, yet blood sugars continue to rise.
Researchers analyzed blood sugar test results from 1.6 million people with diabetes from 2006 to 2013 and found that HbA1c levels below 7 decreased from 56 to 54 percent and HbA1c levels at or above 9 percent increased from 10 to 12 percent. They also analyzed information about diabetes medications. During the study period, the use of some diabetes drugs—thiazolidinediones and sulfonylureas, for example—decreased, while use of other medicines—like DPP-4 inhibitors, GLP-1, SGLT-2 and metformin—increased.
It might be due to an increase in those with diabetes, many of whom are not being properly educated as to the benefits of a healthy nutrition and physical activity. If a person with diabetes is not educated as to what a carbohydrate is, they will be doomed for failure no matter what drug is prescribed. A person diagnosed with type 2 diabetes has to change lifestyles if they are going to reduce their risk for complications. They cannot continue to eat and exercise the way they were doing that caused the diagnosis of diabetes. And without the education to show them how to change, they will have little success in preventing the complications of diabetes. — Diabetes Care 2016 Sep; dc160985. https://dx.doi.org/10.2337/dc16-0985
Updated guidelines suggest short periods of movement every 30 minutes.
A study published in Diabetologia in October 2016 discussed whether exercise training is more important than other lifestyle changes in preventing type 2 diabetes (and possibly reversing prediabetes). Honestly, I was very heartened by its findings.
New study finds adults with diabetes who have either high or low vitamin D levels could have an increased risk of cardiovascular autonomic neuropathy (CAN).
Using data from more than 1 million participants across four continents, researchers measured the precise benefits of exercise.
Every minute of high intensity physical activity counts in the war against weight gain.
Regular physical activity is a cornerstone of diabetes management and can drop blood sugars by 12% if done after dinner.
Quote of the Week!
“Take care of your body. It’s the only place you have to live.”
…Jim Rohn
Your Friends in Diabetes Care
Steve and Dave
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