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Tuesday, December 11th, 2012
ADA: December 10, 2012
OBJECTIVE Studies have shown that patients without a consistent primary care provider have inferior outcomes. However, little is known about the mechanisms for these effects. This study aims to determine whether primary care physicians (PCPs) provide more frequent medication intensification, lifestyle counseling, and patient encounters than other providers in the primary care setting.
RESEARCH DESIGN AND METHODS This retrospective cohort study included 584,587 encounters for 27,225 patients with diabetes and elevated A1C, blood pressure, and/or LDL cholesterol monitored for at least 2 years. Encounters occurred at primary care practices affiliated with two teaching hospitals in eastern Massachusetts. Read more
Posted by Staff
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Tuesday, December 11th, 2012
ADA: December 10, 2012
OBJECTIVE The extent to which abnormal glucose metabolism increases the risk of depression remains unclear. In this study, we investigated prospective associations of levels of fasting glucose and fasting insulin and indices of insulin resistance and secretion with subsequent new-onset depressive symptoms (DepS).
RESEARCH DESIGN AND METHODS In this prospective cohort study of 3,145 adults from the Whitehall II Study (23.5% women, age 60.6 ± 5.9 years), baseline examination included fasting glucose and insulin level, the homeostasis model assessment of insulin resistance (HOMA2-%IR), and the homeostasis model assessment of β-cell insulin secretion (HOMA2-%B). DepS (Center for Epidemiologic Studies Depression Scale ≥16 or use of antidepressive drugs) were assessed at baseline and at 5-year follow-up. Read more
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Tuesday, December 11th, 2012
ADA: 12/5/12
Findings from an ethnically diverse, nationally representative sample
OBJECTIVE The influence on diabetes of the timing and duration of obesity across the high-risk period of adolescence to young adulthood has not been investigated in a population-based, ethnically diverse sample.
RESEARCH DESIGN AND METHODS A cohort of 10,481 individuals aged 12–21 years enrolled in the U.S. National Longitudinal Study of Adolescent Health (1996) was followed over two visits during young adulthood (18–27 years, 2001–2002; 24–33 years, 2007–2009). Separate logistic regression models were used to examine the associations of diabetes (A1C ≥6.5% or diagnosis by a health care provider) in young adulthood with 1) obesity timing (never obese, onset <16 years, onset 16 to <18 years, onset ≥18 years) and 2) obesity duration over time (never obese, incident obesity, fluctuating obesity, and persistent obesity), testing differences by sex and race/ethnicity. Read More
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Tuesday, December 11th, 2012
PHARMA: 12/04/2012
Today we’ve got a guest post from Anne Whitaker, President, North America Pharmaceuticals of Sanofi.
This year, we are celebrating the commercialization of one of the first miracles of modern medicine: the use of insulin to treat diabetes. It was in 1922 – 90 years ago – that the first insulin injections were given, transforming one of the great killers of children into a chronic disease. In the decades that have passed we have learned much more about insulin, and continued innovations have made treatment better, smarter and more convenient for millions of patients. At Sanofi, we are proud to be a part of that enduring revolution in patient care.
As we acknowledge all of the progress made in diabetes, it is critically important to remember that preventing and treating this disease remains an enormous challenge for individuals. For people living with diabetes there are the myriad of factors that must be balanced on a daily basis, such as diet and exercise, therapy compliance, ongoing diagnostics and the human relationships that tie everything together. Read more
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Tuesday, December 11th, 2012
Science Daily: Dec. 4, 2012 — Drinking three to four cups of coffee per day may help to prevent type 2 diabetes according to research highlighted in a session report published by the Institute for Scientific Information on Coffee (ISIC), a not-for-profit organisation devoted to the study and disclosure of science related to coffee and health.
Recent scientific evidence has consistently linked regular, moderate coffee consumption with a possible reduced risk of developing type 2 diabetes. An update of this research and key findings presented during a session at the 2012 World Congress on Prevention of Diabetes and Its Complications (WCPD) is summarised in the report. Read More
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Minority Diabetes Reports
Tuesday, December 11th, 2012
Indian Country: December 11, 2012
Resilience: from the Latin meaning to jump back or recoil; an ability to recover from or adjust easily to misfortune or change. This concept is most often used to describe responses to emotional trauma, such as post-traumatic stress disorder, childhood neglect and abuse, or, in recent months, global economic conditions.
Researchers at Northern Arizona University in Flagstaff have won a $6 million grant from the National Institutes of Health to establish the Center for American Indian Resilience, which will look at resilience in another context. They will explore why some American Indians facing significant health challenges, such as chronic illnesses, seem to thrive despite less-than-ideal living conditions, while others do not. The university will work in partnership with the University of Arizona in Tucson and Diné College in Shiprock, New Mexico. Read more
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Minority Diabetes Reports
Tuesday, December 11th, 2012
Indian Country: December 06, 2012
Eagle Butte, South Dakota—The Cheyenne River Youth Project (CRYP) has just fielded a major diabetes awareness and prevention campaign. The project includes a 30-minute video called “Diabetes Is Not Our Way”; 10 short films featuring prominent community members, collectively referred to as “Indigenous Perspectives”; and three public service announcements for television and online use.
The media materials are suitable for any Native community, said CRYP executive director Julie Garreau: “We need to share information and learn from each other to fight this latest threat to our long-term health and well-being.”
In one of the short videos, elder Marcella LeBeau provides a vivid personal perspective on the events that precipitated the chronic diseases, including diabetes, that disproportionately afflict Native people today. A retired nurse who served in World War II, including at the Battle of the Bulge, she recalls onscreen that one of her grandfathers signed the Treaty of 1868. The agreement, which established the Great Sioux Reservation, meant he went overnight from hunting to support his family to lining up for rations of minimal nutritional value. “The world turned over,” said LeBeau in a separate interview. Read More
