Defeat Diabetes: October 2004 Articles

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	Visceral Fat Linked With Metabolic Syndrome (Oct. 21, 2004) Body fat distribution appears to be more important than obesity itself in determining risk for metabolic syndrome. Body composition and inflammation are also associated with the severity of the syndrome.
	Abnormal Fasting Plasma Glucose Linked With Ischemic Stroke (Oct. 21, 2004) Ischemic stroke risk increases by 2.82 times when the fasting blood glucose is greater than 140 mg/dL.
	Blood Glucose Spikes Impair Mental Function (Oct. 21, 2004) Among patients with type 2 diabetes, cognitive function is impaired and mood state deteriorates during acute hyperglycemia.
	Erectile Dysfunction Drugs Elevate Testosterone Levels (Oct. 21, 2004) Treatment with sildenafil (Viagra) or tadalafil (Cialis) results in increased levels of testosterone in men with erectile dysfunction (ED). However, increases are more marked with tadalafil.
	Insulin Pump Comparable to Injection Therapy in Pre-School Children (Oct. 21, 2004) At 3 months, children on pump therapy had a significantly lower HbA1c than those on injection therapy (8.4% versus 8.8%). However, by the 6-month visit, the groups were similar (8.5% and 8.7%, respectively).
	Hypertension Linked to Cognitive Decline at All Ages (Oct. 21, 2004) Young adults are as susceptible to longitudinal blood pressure-related decline in cognitive performance as are older adults.
	Diabetes Leads to Disability in Old Age (Oct. 21, 2004) "In analyses controlling for age, gender, and education, diabetes was associated with worsening manual dexterity and lower limb function." The risk of incident disability was 47% greater in diabetics than in nondiabetics.
	Elevated C-Reactive Protein Levels In the Development of Type 1 Diabetes (Oct. 21, 2004) Inflammation, as reflected by elevated CRP levels, can help predict development of islet autoimmunity or type 1 diabetes.
	COPD A Risk Factor for Type 2 Diabetes (Oct. 21, 2004) "Inflammation plays a key role in COPD and asthma." Chronic obstructive pulmonary disease (COPD), but not asthma, may be a risk factor for the development of type 2 diabetes.
	FDA Approves Chip Implant That Can Prevent Treatment Errors (Oct. 21, 2004) A computer chip that is implanted under the skin won U.S. approval for use in helping doctors quickly access a patient's medical history.
	What Keeps People From Going to Gyms? (Oct. 21, 2004) Many of us have good intentions of going to the gym on a regular basis, but why don’t we even get through the front doors? What is it we are avoiding by not going to the gym?
	UK Facing An Increase Of Diabetes From 1.8 to 3 million in 5 Years (Oct. 21, 2004) The report - Diabetes in the UK 2004 - revealed that 1.8 million people in the UK now had either Type 1 or Type 2 diabetes - three per cent of the population. Almost 250,000 were said to have Type 1 diabetes, while more than 1.5 million had Type 2. Experts also estimate that there are up to a million people who have Type 2 diabetes but have not yet been diagnosed.
	For Optimal Health, Cut Even More Body Fat (Oct. 21, 2004) Men with BMIs between 22.0 and 24.4 were significantly more likely to develop at least one of the weight-related illnesses than their leaner peers with BMIs between 18.5 and 21.9. Although BMIs below 25 are healthy, BMIs below 22 are healthier.
	Glycemic Control in US Adult Type 2 Diabetics Is Getting Worse? (Oct. 21, 2004) Current data is showing that there is a 20% decrease of patients in good glycemic control.
	Prevalence of Chronic Kidney Failure in US Doubled in Last Decade (Oct. 20, 2004) Between 1990 and 2001, the prevalence of chronic kidney failure in the US rose from 697 to 1424 cases per million population, an increase of 104%.
	Poor Sleep Increases Diabetes Risk (Oct. 20, 2004) Impaired sleep physiology can have serious long-term health effects and increase the risk of diabetes. Men who have a difficult time falling asleep or staying asleep may be at higher risk of developing diabetes as they get older.
	Effective Remedy for Blood Pressure Drop When Standing Up (Oct. 20, 2004) One-third were able to stop taking any other orthostatic hypotension medications, and others were able to lower the amount of other drugs needed.
	Diabetes And Heart Disease Are Closely Connected (Oct. 13, 2004) ''It's a chain from obesity to diabetes to heart disease," said Heber, now director of UCLA's Center for Human Nutrition. ''In the next 10 years, 80 percent of all heart disease will be due to type 2 diabetes."
	Islet Transplantation Faces Serious Challenges (Oct. 13, 2004) Very few patients remain insulin independent beyond 4 years after transplantation.
	InnoLet Injection Device Relieves Fears of Injection (Oct. 13, 2004) Use of a pre-filled, disposable insulin injection device -- Innolet -- reduces the fear of self-injection and brakes down barriers to effective diabetes management in elderly patients. The number of patients with signs of major distress related to the injections decreased by 53%.
	Insulin Therapy Linked to Colorectal Cancer (Oct. 06, 2004) The risk for people on more than five years of insulin therapy was four times higher than the no-insulin group. People with type 2 diabetes who require long-term insulin therapy may be at greater risk of colorectal cancer, a small study suggests.
	Conjugated Linoleic Acid (CLA) Supplementation Worsens Insulin Sensitivity And Fibrinogen Concentrations (Oct. 06, 2004) There is quite a bit of publicity on the use of CLA for weight loss. This is of interest to overweight or obese type 2 patients. CLA supplementation significantly increased fasting glucose concentrations (6.3%) and reduced insulin sensitivity.
	Skipping Diabetes Meds Ups Risk of Hospitalization (Oct. 06, 2004) Type 2 diabetic patients who take their oral medications only part of the time have an increased risk of being hospitalized within a one-year period.
	Extra Pay Motivates Physicians To Better Diabetes Outcomes (Oct. 06, 2004) Several big employers in Cincinnati and Louisville say they might have found a novel way to control the ever-rising costs of health care: paying doctors a bonus for providing high-quality care. Employers get lower costs and patients get better care.
	New Nasal Spray Hopes to Reduce Caloric Intake By 30 Percent (Oct. 06, 2004) That could relate to a loss of 50 pounds a year? The drug makes stomach feel full. PYY, whose full name is Peptide YY 3-36 Nasal Spray, is based on a hormone made by the intestines that travels through the bloodstream to the brain, telling it that the body is full about 30 to 45 minutes after a person starts eating.
	Aging: Sharper Minds With Bustling Feet (Oct. 06, 2004) Just going out regularly for an easy walk appears to help elderly people ward off a decline in their mental abilities, two new studies have found.
	Anger, Hostility And Depression Linked To Higher C-RP Levels (Oct. 06, 2004) C-reactive protein (CRP) is produced by the body in response to inflammation and elevated levels have already been associated with heart problems. Otherwise healthy people who are prone to anger, hostility and depressive symptoms tend to have higher levels of a substance that's been linked to heart disease and stroke.
	Diabetes Speeds Up The Progression Of Rigidity and Walking Disturbances (Oct. 06, 2004) Diabetes may be a previously unrecognized risk factor for the progression of parkinsonian-like signs in older persons.
	Intensive Insulin Therapy In Children And Adolescents With Type 1 Diabetes Reduces Lifetime Risk Of Retinopathy And Cataracts (Oct. 06, 2004) The prolongation of conventional insulin therapy over 3.5 years increases the risk of retinopathy twice and the risk of cataract 5 times in patients with type 1 diabetes.
	Diabetics Benefit From More Frequent Monitoring (Oct. 06, 2004) A team at Johns Hopkins University shows a link between elevated blood sugar of more than 150 milligrams per deciliter and complications. They look at previous evidence covering nearly 10,000 people with diabetes and learned that every one per cent rise in blood sugar was linked to an 18 per cent increase in heart disease complications.
	Affected Sibling Doubles Risk of Diabetic Nephropathy (Oct. 06, 2004) Among subjects with type 1 diabetes, having a sibling with diabetic nephropathy doubles the risk that an individual will also have this renal complication. Other risk factors for diabetic nephropathy included male gender, being diagnosed with diabetes during puberty, and having a parent with type 2 diabetes.