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

Take Metformin If You Have Prediabetes

February 15th, 2016 · 4 Comments

Do you have prediabetes? You might be able to ward it off with the help of one of the diabetes drugs.

metformin

Metformin might stop you from getting diabetes and could also help you in other ways. But persuading your doctor to prescribe it could be a challenge.

The biggest and perhaps the best study of people who have prediabetes showed that taking metformin cuts the risk of diabetes by 31 percent. While this was less than the reduction of 58 percent that the “lifestyle intervention” provided, in real life we usually aren’t able to get that much guidance from our medical team.

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Prediabetes Can Be Your Wake-up Call

February 14th, 2016 · 2 Comments

Even if you have prediabetes you have a good chance of preventing type 2 diabetes. That’s the good news from five big research studies from around the world. But the studies also show that perhaps up to 70 percent of the people who have prediabetes will get type 2 diabetes, which no one can cure.

CDCPCredit: Centers for Disease Control and Prevention

If you know that you have prediabetes, you can think of yourself as being especially lucky. You can take your diagnosis as a wake-up call. Or, as the Certified Diabetes Educator Susan Semb calls it in the subtitle of her book Prediabetes, it is “an opportunity.”

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The Good News About Diabetes in 2015

January 22nd, 2016 · Comments Off

The year 2015 brought more good news to people with diabetes than any year since a doctor told me 22 years ago that my A1C level of 14.4 meant that I had diabetes. At that time I weighed more than 300 pounds and didn’t get any exercise.

But because I have been a journalist for most of my life, I decided to learn everything I could about diabetes. For the past two decades I have written about diabetes here, and for the past 10 years I have shared what I know about managing it in my posts and slideshows at HealthCentral.com.

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Phyllisa Deroze

I know that diabetes isn’t a progressive disease, in spite of what some people think. I also know that well-managed diabetes causes nothing. From my personal experience I know that you can be healthier than you ever were — if you get more active, lose weight, take your medicine, and cut your stress.

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Comments OffPosted in: Diabetes Developments, Psychosocial

Did You Set Your Diabetes Goals?

January 18th, 2016 · 1 Comment

I celebrated the new year on December 21, when it started. Like me, you can celebrate it with good intentions for diabetes health.

stone

Most people celebrate ten days later on what our calendar says is New Year’s Eve. After a night of partying, it’s typical to respond with good intentions to turn over a new leaf in the next 365 or 366 days. These resolutions are made to be broken because we not only aim too late but we also aim too high.

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→ 1 CommentPosted in: Psychosocial

Diabetes Educators Can Help Us Manage Blood Glucose

January 13th, 2016 · Comments Off

Diabetes self-management education, which is known as DSME,  leads to a statistically significant decrease in A1C levels. That’s the conclusion of a systematic review of 118 studies. But this review doesn’t support the recommendation of the American Diabetes Association that the best time for this education is right after diagnosis.

The Worse Your Level the More This Helps

The review shows that this diabetes education typically improves blood glucose control by about 0.6 percent more than the usual care that we get. While this may not sound like a lot, it is. For example, if your A1C is 9.0 you can expect that it will drop to 8.4 after you get educated in this way.

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Comments OffPosted in: Psychosocial

The Best Time to Walk

January 12th, 2016 · 1 Comment

The surprising news is that taking a walk before eating is a great way to keep our blood glucose levels low. But whether we take a walk before or after eating — or both — we will bring down our blood glucose level at the point where it goes highest.

walk

Taking a little walk after dinner used to be a tradition in this country. Few people do that any more, and now is the time for those of us who have diabetes to bring it back. While we are at it, we can start a new tradition of even shorter walks before dinner.

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→ 1 CommentPosted in: Exercise For Diabetes

Taking Standing Breaks Helps Your Health

January 11th, 2016 · 5 Comments

Just standing up is the easiest exercise. But we need to schedule it.

Standing up might be one of the smartest things that you do today. So, push that chair away from your desk. Pause that long meal to rise from the table. Pull your butt up from that easy chair.

stand

Sitting for more than half an hour at a stretch is hazardous for your health. It’s particularly bad for anyone who has diabetes or prediabetes.

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Use Insulin as a FIRST Resort

January 10th, 2016 · 12 Comments

You can get the best control over your diabetes by taking insulin until you are ready to go on a very low-carb diet. But if you have type 2 diabetes, you may have always thought that taking insulin was something you used when everything else failed to manage your blood glucose level.

insulin

“If you don’t shape up, I’m going to make you inject insulin,” is a threat we may hear from our doctors. How about turning the table on your doctor and ask for it yourself?

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→ 12 CommentsPosted in: Diabetes Medication

Victoza Can Reverse Fatty Liver Disease

January 9th, 2016 · 12 Comments

The diabetes drug called liraglutide, marketed as Victoza, can reverse a common and serious complication of diabetes, according to a new study. This is good news for anyone who is already taking it or Byetta or Bydureon to manage blood glucose.

victoza

This complication goes by the mouthful of a name “non-alcoholic steatohepatitis,” or NASH, which is inflammation of the liver, which a buildup of fat in the liver causes. Non-alcoholic fatty liver disease, or NAFLD, which half to 70 percent of all people with type 2 diabetes have, can lead to NASH.

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The Best Sources of Potassium

December 24th, 2015 · 10 Comments

You always knew that you should be eating more fresh veggies and fruit. But after reading this now, you will know why you need to and where you can get the potassium you need in your diet.

A study that the American Society of Nephrology published online November 12 in advance of print in its Clinical Journal, discovered that when we get more potassium in our diet, we have fewer kidney and heart problems. While only the abstract is free online, the lead author, Shin-ichi Araki, M.D., Ph.D., from the Shiga University of Medical Science in Otsu, Japan, kindly sent me the full-text of the study.

It found that among more than 600 people with type 2 diabetes that they followed for an average of 11 years the more potassium they pee (technically “urinary potassium excretion”) the fewer of these problems they had. What goes in must come out.

Now, the Dr. Araki and his colleagues recommend interventional trials to see if increasing our the amount of potassium we get in our diet will help us. We don’t need to wait years for these studies to be set up, analyzed, and reported. We can increase the amount of potassium we get from our food now.

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