Daily Digest

Everyday, we sort through more than 200 newly released journal articles and choose one to highlight for you.

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Lifestyle

Does yoga really help diabetes?

Yoga is increasingly popular in all age groups, and with this popularity have come a number of health and wellness claims. I feel that anything that moves your body, takes you away from the stresses o...

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Meds

Discontinuing insulin

Insulin remains a common treatment for people with type 2 diabetes, as everyone with type 2 diabetes slowly loses their insulin producing beta cells over time. Despite insulin's utility and common us...

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Genes-physiology

Making new beta cells

At its most basic level, diabetes results from the lack of insulin producing beta cells. Beta cell loss of over 90% occurs before the onset of type 1 diabetes, and type 2 diabetes only becomes difficu...

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Healthcare

Better numbers, lower costs

The clinical trial data is clear; lower blood pressure, LDL cholesterol, and A1C numbers reduce future diabetes-related complications such as cardiovascular disease (CVD), retinopathy and neuropathy. ...

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Genes-physiology

Measurement at the edge

The ability to measure something accurately, reproducibly, and by a number of different laboratories is one of the most important steps to new knowledge. The story of irisin is an excellent example to...

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Food-Weight

Bariatric surgery moves forward

The use of bariatric surgery continues to rise, and its use in people with diabetes has expanded to the point where it is now called metabolic surgery, since it does not always involve people who are ...

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Healthcare

Fatty → Fibrotic → Cirrhotic

NAFLD (Non-alcoholic fatty liver disease) is increasing prevalent, and usually associated with insulin resistance and metabolic syndrome. While NAFLD itself is of interest, it is those individuals wit...

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Health Policy

The curious pricing of insulin

Human insulin remains one of the few medications, along with thyroid hormone, where we can use the exact same molecule that is naturally produced in our bodies. Costs for human insulin should be, and...

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Lifestyle

Measuring health, tweet by tweet

This report, just released on PLoS One, is one of the most effective uses of social media, Twitter in this instance, to analyze health characteristics that I have seen. They produce a 'Lexicocalorime...

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Meds

Low B12 missed in metformin users

At present there are no guidelines recommending routine testing of vitamin B12 in metformin users, despite the very consistent data that B12 deficiency accompanies longer-term use of metformin. This s...

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Food-Weight

Getting our timing right

Our modern day life often seems controlled by the clock, but it is clear that we are also controlling, or changing our own clocks; our circadian clocks, that is. Circadian clocks have developed across...

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Environment

Be careful where you breathe

The impact of small (less then 2.5 µg) particulate matter, termed PM2.5 found in smog is increasingly being recognized as a significant factor in chronic diseases, and not just asthma and COPD. The e...

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Technology-Internet

There are changes ahead

One of my favorite quotes is by Bill Gates: "We always overestimate the change that will occur in the next two years and underestimate the change that will occur in the next ten. Don't let yourself be...

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Health Policy

Selling cessation

Smoking prevalence has decreased in the United States and in England, but still runs at around 15% in the U.S. and a little higher in England. There are a number of smoking programs available which co...

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Outcomes

Seeing improvement

Loss of sight is one of the biggest concerns for everyone with diabetes, with lower income groups having bigger fears than others. These feelings exist despite solid data that the risk of vision loss ...

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Health Policy

Diabetes guidelines lag

Today's JAMA commentary points out that current diabetes treatment recommendations should be guided by more than just A1C, as recent studies on glucose lowering medications have shown that some now h...

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Environment

Too fine to escape

We often talk about changes in food intake and physical activity as the main environmental factors behind the increasing incidence of diabetes in developing countries. However, pollution is an underap...

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Global Health

Diabetes troubles in China

Diabetes is increasing faster in developing countries than it is in the U.S. and Western Europe, and this well-documented report released today details the huge impact that this is having on morbidity...

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Healthcare

Picking a blood pressure target

Blood pressure (BP) control in people with diabetes is more important and has more impact than glycemic control. About 80% of people with type 2 diabetes have hypertension, and over 50% have a BP abo...

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Health Policy

Paying for steps

Financial incentives for health behavior changes is a popular approach, and in 2014 the Affordable Care Act began to allow up to 50% of medical insurance premiums to be rewarded for smoking cessation....

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Meds

Metformin – Hard to Swallow?

Metformin is not only the most useful medication for people with type 2 diabetes, but also one of the most useful and cost-effective medications in all of healthcare. Really the only problem with metf...

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Meds

We don’t seem to like insulin.

Many studies have documented the delay in starting insulin, while this isn’t the major point 0f  this study, it does provide a nice demonstration . The authors identified 15 studies in which basal ...

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Meds

Too much of a good thing?

Blockade of the renin-angiotensin-aldosterone system (RAAS) has been the cornerstone medication approach (along with controlling blood pressure) to prevent progression of renal disease. However, studi...

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Psychosocial

Believing in yourself

Self-efficacy is commonly described as the confidence that you have in performing goal-directed behaviors, and many studies link it to the behaviors needed to achieve good control of your diabetes. A ...

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Lifestyle

Mindful walking

Walking is a common and generally accepted form of physical activity that has shown benefits for reducing cardiovascular risk and improving diabetes control. There is less data available for the healt...

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Lifestyle

What’s in an app?

Apps are an attractive item in healthcare these days, especially in chronic disease. They are inexpensive, amazingly scalable, available 24/7, and can also be visually appealing. However, many people ...

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Lifestyle

The benefits of sleep

When we talk about modifiable risk factors for developing or controlling type 2 diabetes, we usually focus on food and fitness, and their effect on weight. Smoking is also an important modifiable risk...

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Healthcare

Don’t walk if you can dance

Dancing can not only improve your mood and social health, but also can also make you live longer! Any type of physical activity has a big impact on diabetes, and also on improving your heart health. W...

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Lifestyle

Weighing in on weight

I think that part of the confusion behind discussions of weight and health is semantic. If someone is 5 feet 9 inches tall and weighs over 250 pounds they are overweight and unhealthy, right? Wrong; t...

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Healthcare

Welcome to the United States

One of the best examples of the major impact of environment on diabetes incidence is the increase in diabetes seen when immigrants enter the United States. This is especially true for non-Caucasian et...

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Healthcare

The allure of group visits

Group medical visits have been around for a long time, have a number of attractive features, yet the implementation is quite low. Although there are various flavors, the most common are a group of peo...

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Healthcare

Vegetarians live longer, right?

The thought that vegetarian diets are more healthy is common, but most well-done clinical studies have failed to show a benefit. This report is one of the largest, and shows no decrease in mortality i...

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Healthcare

Brown fat and the microbiome

Wow! Two of the trendiest topics in metabolism, brown fat and the microbiome, meet up in this fascinating article. This report studies 2 groups of mice with no microbiome, that is, no bacteria in thei...

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Lifestyle

Fitness trumps fatness

In one of his earliest diabetes manuals, Elliott Joslin (who founded the Joslin Diabetes Center in 1898) said that “It is better to discuss how far you have walked than how little you have eaten”....

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Healthcare

When does it all start?

Longitudinal childhood studies tell us that children’s obesity, fitness and insulin resistance are good predictors of their adult status, and good predictors of adulthood obesity and type 2 diabetes...

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Food-Weight

Autonomic neuropathy of the gut

A trio of articles in Diabetologia review the troubling current status of neuropathy affecting the gastrointestinal system, one of the most debilitating and frustrating complications of diabetes. The ...

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Food-Weight

Easing resistant blood pressure

Hypertension, present in 80% of people with type 2 diabetes, is a rising problem worldwide. Although there at least eleven different classes of blood pressure lowering medications, around 25% of peopl...

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