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Diabetes Developments - A blog on latest developments in diabetes by David Mendosa

Entries Tagged as 'Diabetes Medication'

Most People with Diabetes Should Stop Iron Supplements

February 16th, 2017 · Comments Off

When you have too much iron in your blood or stored elsewhere in your body might be why your blood glucose level is above normal. In fact, too much iron can even be why you got diabetes. Yet about one out of every five Americans regularly takes an iron supplement.

For years researchers have suspected that when your body accumulates too much iron you are at risk of a host of diseases, according to Berkeley Wellness. In addition to diabetes, iron overload is linked to colorectal cancer, high blood pressure, and hardening of the arteries, as well as to strokes, Alzheimer’s Disease, and Parkinson’s disease.

But only now do we have studies demonstrating the connection between excess iron and diabetes.

“Even mildly elevated body iron contributes to the prevalence and incidence of type 2 diabetes,” states the news release from the University of Eastern Finland announcing the publication of these studies.

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Posted in: Diabetes Medication

Manage with Magical Magnesium

January 26th, 2017 · Comments Off

The benefits of magnesium don’t get enough respect. Until now.

But researchers around over the world published their findings in three different professional journals during November and December 2016.

These three meta-analyses give us more confidence than we could have before that magnesium is important for our diabetes health. If people consumed more magnesium, fewer would have diabetes. Many people who already have diabetes would be better able to manage this condition if they consumed more magnesium. And researchers found additional benefits, including for our hearts.

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Posted in: Diabetes Medication

Marijuana Component May Help Manage Diabetes

November 21st, 2016 · Comments Off

Marijuana can get you high. But for people with diabetes the news is better.

One of its components might also help you manage your blood glucose. This is the startling conclusion of a study in the October 2016 issue of Diabetes Care.

British researchers studied 62 people with Type 2 diabetes with high lipid levels at four centers in the United Kingdom. The study met the high standards of being randomized, double-blind, and placebo-controlled.

Only the abstract of the study is free at the Diabetes Care website. But the full text of the study’s un-copyedited manuscript is online at the University of Westminster, where one of the researchers work.

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Posted in: Diabetes Medication

Correct Your Injection Technique

October 15th, 2016 · Comments Off

If you inject insulin or one of the GLP-1 agonists, the chances are that you are putting yourself at an unnecessary risk of a complication.

The needles you use are probably too long. Only 30 percent of the people who use insulin have adopted the much shorter 4 mm needle that became available in 2010. About half of the people who inject diabetes drugs reuse their needles, particularly those who inject with a pen. Only about 40 percent of needle users rotate their injection sites correctly.

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Posted in: Diabetes Medication

High-deductible Health Insurance Can Be Expensive

September 23rd, 2016 · Comments Off

Every day more people with diabetes sign up for high-deductible health insurance in hopes that they will save money. Because they have low monthly premiums, these plans are increasingly popular.

But instead of being less expensive, they are more costly for most people with diabetes. This is the conclusion of a study that Frank Wharam, an associate professor at Harvard Medical School, presented this June at the annual convention of the American Diabetes Association in New Orleans. This is the world’s largest scientific meeting focused on diabetes, and I was in the audience to represent HealthCentral.com.

The proportion of people who have high-deductible health insurance is skyrocketing, partly due to the Affordable Care Act. In 2006, only 10 percent of insured Americans had deductibles of $1,000 or more. But this proportion shot up to 46 percent last year, and Professor Wharam says that it is “likely to explode.”

The way that high-deductible health coverage works is by charging a lower monthly premium than what you would have to pay for a standard plan. But when you use your health care coverage, your out-of-pocket costs are higher.

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Posted in: Diabetes Basics, Diabetes Medication, Psychosocial

Reduce Your Risk of Weight Loss Surgery

August 26th, 2016 · Comments Off

Do you have diabetes and a BMI above 35? If you do and decide to get bariatric surgery to help you manage your diabetes, it could be an excellent idea.

But will you to go to your nearest hospital for the procedure? That might not be the safest thing to do.

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Posted in: Diabetes Complications, Diabetes Medication

Does Weight Loss Surgery Keep Working for Diabetes Management?

August 24th, 2016 · Comments Off

Does your weight makes it difficult for you to manage your diabetes? Check out bariatric surgery, because it’s likely to help you to lose many pounds.

But how well will it help you manage your diabetes over the long term?

Until now, nobody knew the answer to this question. That’s why researchers have been studying a group of 120 adults with Type 2 diabetes at three teaching hospitals in the U.S. and one in Taiwan. Half of them got bariatric surgery, and half got intensive lifestyle medical management.

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Posted in: Diabetes Medication

Metformin Pro and Con

August 5th, 2016 · Comments Off

Metformin, the most popular diabetes medicine, figured in about 200 of the presentations at the recent annual convention of the American Diabetes Association. Two of these presentations show good news for its likely role in degenerative nerve disease and in dispelling concerns about its possible role in neuropathy. One presentation, however, brought some disturbing results, and the rest are of less interest to most people with diabetes.

This convention, which the ADA calls its 76th Scientific Sessions, attracted more than 16,000 attendees, including more than 13,000 professionals who went to New Orleans to see and hear almost 3,000 presentations about diabetes. I represented HealthCentral there.

Dr. Liu presents her poster on metformin

(Photo by David Mendosa)

A team of researchers from Tulane University’s School of Public Health and Tropical Medicine presented one poster and one oral presentation about metformin. Shuqian Liu, MD, presented the poster and told me that she designed both of these studies. The poster 570-P reported a retrospective study that examined the effect of high doses of metformin on neuropathy, a complication for 60 to 70 percent of people with diabetes.

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Posted in: Diabetes Medication

Vitamin D May Help Prevent Diabetic Retinopathy

June 27th, 2016 · Comments Off

If you have a low level of vitamin D, taking this inexpensive supplement may help you prevent diabetic retinopathy, one of the most serious complications of diabetes. This is the most common reason why some people with diabetes lose their vision.

A meta-analysis just presented at the Annual Scientific and Clinical Congress of the American Association of Clinical Endocrinologists, in Orlando, Florida, from May 25 to 29, found “a statistically significant association between diabetic retinopathy and vitamin D deficiency.” Three researchers presented their findings in an abstract, “The Relationship Between Vitamin D Deficiency and Diabetic Retinopathy: A Systematic Review and Meta-Analysis.” The Canadian Journal of Ophthalmology is expected to publish the full report soon, one of the study’s authors told me.

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Posted in: Diabetes Complications, Diabetes Medication

Diabetes Drug Might Stop Beta Cell Loss

June 24th, 2016 · Comments Off

When you have diabetes, you don’t have enough functioning beta cells. People with Type 1 diabetes have quickly lost almost all of these cells that make insulin, and if you have Type 2, you will typically experience a progressive decline in the number and size of your beta cells.

One type of diabetes drugs has been shown in animal studies to stop this progression. It may do this for humans too, but because the drug is so new researchers don’t know yet if it will work the same way for us.

The technical name for this drug class is a mouthful:  glucagon-like peptide-1 receptor agonists. Researchers often shorten it to GLP-1 receptor agonist or even to GLP-1. The newest brand of these drugs is Trulicity. The others that are available in the United States are Tanzeum, Victoza, Bydureon, and Byetta, which was the first.

These drugs to help us manage Type 2 diabetes have only been available for just over 10 years. While they haven’t been approved for people with Type 1, some of these people apparently benefit from using them too, when their doctors prescribe them off-label.

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Posted in: Diabetes Medication

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