A hot bread basket is a tasty way to start off dinner. But all those carbs before the main fare can amp up appetite and spike blood sugar. Saving the carbs for the end of the meal can help avert that.
Expanding diabetes screening in adults to catch the disease early does not appear to keep people from dying of cardiovascular causes, according to a report designed to help shape U.S. treatment guidelines.
Earlier detection did seem to slow the progression of so-called prediabetes to full-blown diabetes, but it had no impact on the risk of death from heart or blood vessel disease 10 years later, researchers found when they analyzed studies conducted from 2007 to 2014.
There are many options available allowing patients with diabetes to monitor and manage their glucose levels. The continuous glucose monitor (CGM) shown here includes a glucose level sensor and transmitter, a data receiver which displays the patient’s glucose levels, and an insulin delivery system.
FDA Consumer Update
Do you have diabetes? Do you notice that your blood glucose (sugar) levels rise or fall quickly? Has your doctor prescribed insulin to treat your diabetes? Are you comfortable with using a medical device?
If you answered yes to all of those questions, continuous glucose monitors (CGMs) and insulin pumps are tools that you and your health care professional might consider to assist you in achieving stable blood sugar levels.
By Lisa Aliferis
KHN and the Washington Post
Dean Schillinger is a primary-care physician at San Francisco General Hospital. He first came to the city in 1990 at the peak of the AIDS epidemic. “At that point, one out of every two patients we admitted was a young man dying of AIDS,” he says.
Today, that same ward is filled with diabetes patients.
“I feel like we are with diabetes where we were in 1990 with the AIDS epidemic,” Schillinger said. “The ward is overwhelmed with diabetes — they’re getting their limbs amputated, they’re on dialysis. And these are young people. They are suffering the ravages of diabetes in the prime of their lives. We’re at the point where we need a public health response to it.”
Schillinger and other researchers at the University of California at San Francisco are setting up a project called Sugar Science, to spell out the health dangers of too much added sugar in our diets.
The project aimed at consumers includes a user-friendly Web site and materials such as television commercials that public health officials can use for outreach. Health departments from San Francisco to New York City have agreed to participate.
By Sharyn Alden
Health Behavior News Service
A study in American Journal of Preventive Medicine finds that only half of adults in the U.S. were screened for diabetes within the last three years, less than what is recommended by the American Diabetes Association (ADA).
As the rates of obesity have increased, so does the incidence of type 2 diabetes, which also increases the risk for cardiovascular disease.
Up to one-third of people with diabetes are undiagnosed, note the researchers. Continue reading
From the US Centers for Disease Control and Prevention
New CDC data published in the Journal of the American Medical Association, JAMA, suggest that after decades of continued growth in cases of diagnosed diabetes, the rate of increase may be slowing from year to year.
The study, “Prevalence and Incidence in Trends for Diagnosed Diabetes Among Adults Aged 20 to 79 Years, United States, 1980–2012,” was published today.
“Our findings suggest that, after decades of continued growth in the prevalence and incidence of diagnosed diabetes, the diabetes epidemic may be beginning to slow for the first time,” said Linda Geiss, a chief epidemiologist in CDC’s Division of Diabetes Translation and lead author of the study.
What This Means:
- About 1.7 million new cases are diagnosed each year. For the first time, this study shows that number is not getting bigger every year, as in years past, but the numbers are still alarmingly high.
- These data suggest a change in momentum, a turning of the tides. Now is not the time to let up. Although this news inspires hope, there is still much work to be done.
- The rate of increase may be slowing from year to year, but diabetes is an urgent public health epidemic, affecting more than 29 million Americans.
- Although overall growth rates of diagnosed diabetes seem to be slowing, the rate of increase of new cases continues to rise among some groups including:
- Non-Hispanic blacks.
- Hispanic men and women, and
- People with less than a high school education.
“While this news is encouraging, our work is more important now than ever,” says Ann Albright, PhD, RD, director of CDC’s Division of Diabetes Translation. “These evolving trends show we’re moving in the right direction, but millions of people are still diagnosed with diabetes yearly. We need to fortify our efforts to see a real, sustained decrease in new cases of diagnosed diabetes.”
What You Can Do:
Reducing new cases of diabetes is unlikely without continuing to reduce obesity, improve diet, and reduce sedentary lifestyle in the U.S. population, and particularly in those at high risk of developing diabetes. Long-term lifestyle change programs—like the CDC-managed National Diabetes Prevention Program—can help those at high risk of developing the disease.
From the National Cancer Institute
Adults with extreme obesity have increased risks of dying at a younger age from cancer and many other causes including heart disease, stroke, diabetes, and kidney and liver diseases, according to a new study.
The study, led by researchers from the National Cancer Institute (NCI), part of the National Institutes of Health, found that people with class III (or extreme) obesity had a dramatic reduction in life expectancy compared with people of normal weight. The findings appeared July 8, 2014, in PLOS Medicine.
Six percent of US adults are now classified as extremely obese
From the National Institutes of Health
People with type 1 diabetes who used a bionic pancreas instead of manually monitoring glucose using fingerstick tests and delivering insulin using a pump were more likely to have blood glucose levels consistently within the normal range, with fewer dangerous lows or highs.
The report was published online by the New England Journal of Medicine
TThe researchers — at Boston University and Massachusetts General Hospital — say the process of blood glucose control could improve dramatically with the bionic pancreas. Currently, people with type 1 diabetes walk an endless tightrope.
Because their pancreas doesn’t make the hormone insulin, their blood glucose levels can veer dangerously high and low.
Several times a day they must use fingerstick tests to monitor their blood glucose levels and manually take insulin by injection or from a pump.
In two scenarios, the researchers tested a bihormonal bionic pancreas, which uses a removable tiny sensor located in a thin needle inserted under the skin that automatically monitors real time glucose levels in tissue fluid and provides insulin and its counteracting hormone, glucagon, via two automatic pumps. Continue reading
More than 29 million people in the United States have diabetes, up from the previous estimate of 26 million in 2010, according to a report released today by the Centers for Disease Control and Prevention.
One in four people with diabetes doesn’t know he or she has it.
Another 86 million adults – more than one in three U.S. adults – have prediabetes, where their blood sugar levels are higher than normal but not high enough to be classified as type 2 diabetes. Continue reading
An FDA Consumer Update
Whether it’s to cut down on the number of calories they consume or any of a variety of other reasons, some people use sugar substitutes – also called high-intensity sweeteners – to sweeten and add flavor to their foods.
They can be used alone to sweeten foods and beverages such as iced tea or coffee, or as an ingredient in other products. There are a number of sugar substitutes on the market from which to choose. Continue reading
In California, roughly one in three hospitalized people over 34 years old has diabetes, increasing the complexity and cost of their care, according to a report released Thursday. Continue reading
By Katherine Kahn
Health Behavior News Service
A new study in the American Journal of Health Promotion finds that, on average, a morbidly obese employee costs an employer over $4,000 more per year in health care and related costs than an employee who is of normal weight.
The study also revealed that obese individuals who had comorbidities such as high blood pressure, diabetes, and high cholesterol incurred more costs than obese workers without these conditions, says Karen Van Nuys, Ph.D., lead coauthor and economist at Precision Health Economics in Los Angeles.
“For example, someone who is overweight or obese and also has diabetes is more likely to file a short-term disability claim compared to someone who doesn’t have diabetes but is overweight or obese.” Continue reading
People with diabetes who received counseling at clinic appointments had a 49 percent greater likelihood of achieving long term blood glucose control than patients that did not receive counseling.
Physician training about managing diabetes seemed to be ineffective at helping patients control their glucose levels, whether or not patients received counseling.
By Valerie DeBenedette
Health Behavior News Service
Teaching people with diabetes how to control their blood glucose levels helps them achieve better results, finds a new study in Ethnicity and Disease.
Surprisingly, providing intensive training to physicians of diabetes patients did not help patients achieve blood glucose control. Continue reading