Healthy Living/Viviendo Mejor Program Makes a Difference in Diabetes Prevention

Laredosun.us: September 22, 2012

Healthy Living/Viviendo Mejor (HLVM) is a disease self management and family support program of the City of Laredo Health Department (CLHD) that has made a difference in diabetes disease self management by focusing on diabetes prevention.

Saturday, September 22, 2012
By: Special to The Laredo Sun

LAREDO, TEXAS — “We have conducted four cycles with a series of 10 sessions each and over 200 persons have participated.

We have seen very positive outcomes such as decreased glucose, hemoglobin A1C, cholesterol and triglycerides levels, which are a sign of a decreased risk of diabetes,” said Dr. Hector F. Gonzalez, Director of Health.

Participating in disease self management and family support makes a difference to those that are diabetic or at risk of diabetes. The HLVM program targets persons at risk of diabetes, diabetics and their families and teaches how to improve life styles and make healthier choices to avoid serious complications like kidney and heart disease.

The HLVM Program’s goal is to prevent and control diabetes by encouraging changes such as healthy eating and exercising. HLVM is an exciting interactive program that educates participants about their health and their family’s health. Read more

The 40-Year-Old Startup

Huffingtonpost.com: 09/20/2012
On July 16th, 2012, n4a Diabetes Care Center received $100,000 as the winner of the 2012 Data Design Diabetes™ Innovation Challenge. The challenge, in its second year and sponsored by Sanofi US, encourages innovation in addressing diabetes. Several dozen startups applied for the challenge with five finalists, including n4a, receiving $20,000 each.

n4a Diabetes Care Center is the most unusual startup among the applicants because it has been 40 years in the making. The startup is actually a two-way partnership between n4a the National Association of Area Agencies on Aging (seriously) and the National Health Index (NHI). Together, they have real feet on the ground in the form of the n4a’s nationwide field offices with workers that call on the elderly, including a large number of diabetics, and real big data from the NHIs more than decade old database on diabetics and their characteristics. In other words they have real potential to mitigate the progression of diabetes for thousands of people. Read more

Unwalkable Neighborhoods, Poverty, and the Risk of Diabetes Among Recent Immigrants to Canada Compared With Long-Term Residents

Diabetes Care: September 17, 2012

This study was designed to examine whether residents living in neighborhoods that are less conducive to walking or other physical activities are more likely to develop diabetes and, if so, whether recent immigrants are particularly susceptible to such effects.

METHODS We conducted a population-based, retrospective cohort study to assess the impact of neighborhood walkability on diabetes incidence among recent immigrants (n = 214,882) relative to long-term residents (n = 1,024,380). Adults aged 30–64 years who were free of diabetes and living in Toronto, Canada, on 31 March 2005 were identified from administrative health databases and followed until 31 March 2010 for the development of diabetes, using a validated algorithm. Neighborhood characteristics, including walkability and income, were derived from the Canadian Census and other sources. Read more

Hip circumference, height and risk of type 2 diabetes: systematic review and meta-analysis

Onlinelibrary.wiley.com: SEP 3, 2012

Although several epidemiological studies have investigated the relationship between type 2 diabetes mellitus (T2DM) and hip circumference or height, the results are inconsistent. The present systematic review and meta-analysis of published observational studies was conducted to assess the effects of hip circumference and height on diabetes risk. Online databases were searched through January 2012, and the reference lists of pertinent articles reporting observational studies in humans were examined. Pooled relative risks (RR) and 95% confidence intervals (CI) were calculated with a random-effects model. Eighteen studies (nine cross-sectional and nine cohort) were included, with 250,497 participants and 7,765 cases of T2DM. Hip circumference was inversely associated with an increased risk of T2DM in men (summary RR [95% CI] 0.60 [0.45, 0.80]) and women (0.54 [0.42, 0.70]).  Read more

Joint Effects of Obesity and Vitamin D Insufficiency on Insulin Resistance and Type 2 Diabetes

Results from the NHANES 2001–2006

Diabetes Care: October 26, 2012

OBJECTIVE The possible interaction of serum 25-hydroxyvitamin D [25(OH)D] and obesity in regard to type 2 diabetes and insulin resistance has not been well studied. To explore the effect modification of obesity on the association between 25(OH)D and insulin resistance/type 2 diabetes, data were examined from a nationally representative sample.

RESEARCH DESIGN AND METHODS The analytic sample for the type 2 diabetes analysis (n = 12,900) was limited to participants from the National Health and Nutrition Examination Survey (NHANES) 2001–2006 over 20 years of age. Participants >20 years of age assigned to the morning session and free of diabetes were limited to the insulin resistance analysis (n = 5,806). Multiplicative interaction was assessed through a cross-product interaction term in a multiple logistic regression model. The presence of additive interaction between insufficient 25(OH)D and obesity (indicated by BMI or waist circumference) was evaluated by calculation of the relative excess risk due to interaction (RERI) and attributable proportion due to interaction (AP). Read more

Genetic Mutation May Have Allowed Early Humans to Migrate Throughout Africa, Research Says

Wakehealth.edu: 9/19/12

WINSTON-SALEM, N.C. – Sept. 19, 2012  A genetic mutation that occurred thousands of years ago might be the answer to how early humans were able to move from central Africa and across the continent in what has been called “the great expansion,” according to new research from Wake Forest Baptist Medical Center.

By analyzing genetic sequence variation patterns in different populations around the world, three teams of scientists from Wake Forest Baptist, Johns Hopkins University School of Medicine and the University of Washington School of Medicine, Seattle, demonstrated that a critical genetic variant arose in a key gene cluster on chromosome 11, known as the fatty acid desaturase cluster or FADS, more than 85,000 years ago. This variation would have allowed early humans to convert plant-based polyunsaturated fatty acids (PUFAs) to brain PUFAs necessary for increased brain size, complexity and function. The FADS cluster plays a critical role in determining how effectively medium-chain PUFAs found in plants are converted to the long-chain PUFAs found in the brain. Read More

Reframing Diabetes in American Indian Communities: A Social Determinants of Health Perspective

Oxford Journals: August 28, 2012

American Indians and Alaska Natives (AI/ANs) experience some of the greatest health inequities of any group within the United States. AI/ANs are diagnosed with diabetes more than twice as often as non-Hispanic white Americans. Diabetes is a chronic preventable disease often associated with individual risk factors and behaviors that indicate what interventions are needed to prevent or manage the disease. Individual ameliorative strategies in diabetes prevention and management do not fully address the fundamental causes and complexity of diabetes in American Indian communities. Through the application of a social determinants of health paradigm, social work has the opportunity to reframe diabetes and begin to understand it as a product of and a response to unjust conditions and environments, rather than as a disease rooted solely in individual pathology and responsibility. Read more

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