In a randomized trial of 224 patients with depression plus diabetes or heart disease, those whose care a nurse coordinated with their physicians were less depressed and had better blood sugar, cholesterol and blood pressure at one year. The two-year program cost $1,224 per patient.
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Diabetes
Type 1 and type 2 diabetes, blood sugar and diet.
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Miscellaneous
Who Were The Biggest Corporate Criminals in 2010?
A Public Citizen study finds drug companies now lead federal fraud payouts: 25 percent of False Claims Act payouts since 2000, against 11 percent from the defense industry, with $6 billion paid since 2009. Eli Lilly, Pfizer, Novartis and AstraZeneca head the list.
Supplements
Alternative medicines commonly used in Turkey to treat diabetes
A survey of 396 diabetes patients in Turkey found 34.6 percent used complementary and alternative medicine alongside conventional treatment, and 73 percent of those had not told their doctors or nurses. The authors say nurses should learn about and discuss these remedies.
Obesity
The skinny on diabetes and dairy fats
A study of 3,736 adults aged 65 and older in the Annals of Internal Medicine found people reporting more whole-fat dairy had higher blood trans-palmitoleate three years later, and those with higher levels showed better cholesterol markers and were less likely to have developed diabetes.
Diabetes
Dairy products may lower diabetes risk
Among 3,736 Cardiovascular Health Study participants followed 20 years, those with the highest baseline trans-palmitoleic acid were 60 percent less likely to develop type 2 diabetes and had healthier cholesterol, inflammation and insulin measures. The study is observational, not causal.
Food
Sugar-sweetened drinks boost diabetes risk
Harvard researchers pooled 11 studies covering 310,819 people and found that those drinking one to two servings of sugar-sweetened beverages a day had a 26% higher risk of type 2 diabetes and a 20% higher risk of metabolic syndrome than those drinking almost none.
Lifestyle
Exercise capacity predicts mortality in type 2 diabetes patients
Among 2,867 veterans with type 2 diabetes aged 50 to 87 followed nearly eight years, each 1-MET rise in exercise capacity was linked to 23 percent lower death risk in those aged 50 to 65 and 16 percent in those over 65. A separate JAMA study favours aerobic plus resistance training.
Drug
HIV drugs boost risk of diabetes and heart disease
Washington University researchers report in the Journal of Biological Chemistry that first-generation protease inhibitors such as ritonavir block a protein that carries blood sugar into cells, leaving sugar in the blood, a marker of diabetes, in patients being treated for HIV.
Lifestyle
Aerobic, resistance training together help diabetics
In the HART-D trial of 262 sedentary adults with type 2 diabetes, only those doing both aerobic exercise and resistance training over nine months saw a significant change in HbA1c. Neither form of training on its own produced one.
Disease
Managing Diabetes During the Holidays
Advice for holiday gatherings with diabetes: eat a snack beforehand, ask what will be served, bring a dish you can eat, take smaller portions, move away from the buffet, choose low-calorie drinks, limit alcohol to one drink with a meal, and skip honey glazes, gravies and salty prepared sides.
Disease
Ed early sign of heart disease in diabetics?
Among more than 6,000 men aged 55 to 88 with type 2 diabetes followed for five years, those with erectile dysfunction at baseline were 19 percent more likely to have a heart attack, 35 percent more likely to develop heart disease and 36 percent more likely to have a stroke.
Vitamins
Depression linked to diabetes: What is the missing link?
An Archives of Internal Medicine study by An Pan's Harvard team found women with depression were 17% more likely to develop type 2 diabetes and those on antidepressants 25% more likely, while women with diabetes were 29% more likely to become depressed. Cause remains unknown.
Vitamins
Vitamin D deficiency means higher death risk in Type 2 diabetes patients
Among 289 type 2 diabetes patients followed 15 years in Denmark, those with severe vitamin D deficiency, below 13.9 nmol/L, were 103 percent more likely to die of any cause and 95 percent more likely to die of cardiovascular disease than patients with higher levels.
Drug
Inhaled steroids boost diabetes mellitus risk, particularly in COPD patients
Montreal researchers tracked nearly 400,000 patients treated for COPD or asthma and found each year of inhaled corticosteroid use raised the rate of type 2 diabetes onset from 1.4 to 1.9 percent, a 34 percent increase, with the concern greatest for COPD patients.
Miscellaneous
November is National Diabetes Month
About one in ten American adults has diabetes now, and CDC scientists project that 20 to 33 percent of adults could have it within four decades. The piece lists control steps: manage A1C, blood pressure and cholesterol, get flu and pneumonia shots, and stay active.
Disease
Incidence of end-stage kidney disease in diabetics - CDC report
CDC analysis of 1996-2007 data found the age-adjusted rate of end-stage renal disease attributed to diabetes among people with diagnosed diabetes fell 35%, from 304.5 to 199.1 per 100,000. It declined in every US region and most states, with no state rising significantly.
Lifestyle
Physical inactivity boosts type 2 diabetes mellitus risk
A Finnish study that followed 8,182 twin pairs for 28 years found physically active people about 40 percent less likely to develop type 2 diabetes, though it was not a trial. The CDC projects nearly a third of Americans could have the disease by 2050.
Food
Wheat Bran Helps Type 2 Diabetes Mellitus Patients
A small Indian trial gave 15 of 30 type 2 diabetes patients aged 45 to 50 twenty grams of wheat bran daily for six months, measuring fasting and postprandial glucose and HbA1c against 15 who received none. It also cites a CDC projection that a third of Americans could have diabetes by 2050.
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