Educate the public about diabetes | Letters To The Editor … – LancasterOnline

Mar 2017 04:33:29 GMT

 

Educate the public about diabetes | Letters To The Editor ... - LancasterOnline Educate the public about diabetes | Letters To The Editor … – LancasterOnline

 

 

Mark’s Note: This nurse’s comments in a local paper ring true.  One of the drivers of our sky high medical costs is the Diabetes epidemic in our country.  She is correct also that the newsmedia needs to pay more attention and help educate the public. Use caution when purchasing used test strips.

I am writing in regard to the Feb. 24 online article “Diabetic test strip prices spur shady secondhand market.” As a registered nurse, I wish to commend you on  on your diligence to shed light on a public health issue. 

Diabetes mellitus is a huge concern in Lancaster County and the surrounding areas; roughly 15 percent of people in Lancaster have diabetes. Diabetes is a multifocal problem. Patients are more likely to have high blood pressure, a stroke, heart disease, blindness, poor circulation to the lower extremities, and even mortality.

Per 100,000 people in Lancaster, 362 will die as a result of diabetes. When diabetes is poorly managed, the risks for complications greatly increase. It is extremely important for diabetics to always have the supplies they need to control their blood sugars.

As your article mentioned, supplies are often too costly to buy. This leaves patients buying cheaper, expired supplies that may be faulty.

Nationally, we spend $174 billion annually on diabetic care. This number will continue to rise as more people are diagnosed with diabetes. I urge you to continue to write well-informed articles on diabetes, obesity and high blood pressure. We can bring more awareness to the disease by sharing these alarming statistics.

Rather then just writing on the cost of the disease, I encourage you to increase the knowledge of Lancaster residents. The newspaper is a prime opportunity to educate people who are at high risk for diabetes and how they can decrease their risk. We must try to decrease our rates of countywide diabetes or we will continue to see these problems.

 

Attacking Diabetes with Tech and Low Carb Diet

Can Silicon Valley Cure Diabetes With Low Carbs And High Tech? - Forbes Can Silicon Valley Cure Diabetes With Low Carbs And High Tech? – Forbes

Wed, 08 Mar 2017 08:00:32 GMT

Imagine a treatment for Type 2 diabetes that requires neither surgery, medication nor calorie restriction, but rather relies on adherence to a low-carbohydrate, high-fat diet, tracked by regular finger-stick checks of blood chemistry, and guided …

Read More…

Dallas Stars Owner’s Diabetes Fight

Tom Gaglardi’s hotel business takes him all over the world, and wherever he goes, whenever he sees a tell-tale needle, he offers his credentials.

His son, Wilson Gaglardi, 11, was diagnosed five years ago, not long after his father bought the Stars out of bankruptcy. His symptoms were typical. Thirsty all the time. Once doctors confirmed the diagnosis, Gaglardi educated himself on the incurable condition and the maintenance it requires. An insulin shot before every meal. Another at bedtime. Blood sugar checks. Pumps and pricks and test strips. Highs and lows. On and on and on.

In Wilson’s case, his parents check him three times a night. First at 10, again at midnight, then once more at 3.

If his blood sugar is off at 3, they give him something for it, then check him again at 4.

“It’s a tough slog,” Gaglardi said. “We gotta solve it.”

He doesn’t just mean his family’s lack of sleep. This is why he sees, say, a restaurant employee giving himself a shot and starts asking questions. What kind of insulin do you use? Ever thought about a pump? In this particular case, the guy tells him he can’t afford one. Can’t even check his blood sugar as much as he should. Test strips are too expensive.

“And that just kills you,” Gaglardi said. “I look at what we spend, and unless you’ve got a major plan, who can afford that?

This is why Gaglardi does more than ask questions. He’s donated money and raised more for the Juvenile Diabetes Research Fund. He’s met with leading researchers. He promotes funding for advances in maintenance, but he’s more interested in potential remedies. Encapsulation, for example, where a credit card-sized device is implanted beneath the skin and releases insulin automatically as needed.

What he wants is a cure, and he believes it may be as close as three or four years.

Toward that end, the JDRF will honor Gaglardi at its Dream Gala banquet on April 8 at the Omni Dallas. Jim Lites, the Stars’ president, is the corporate chair. This year’s fundraising goal: $1.5 million.

Every night, Gaglardi is reminded of the need to meet the JDRF’s goals. He’s reminded when Wilson looks up at him and says, “I’m tired of having this. I don’t want it anymore.”

“I say to him, ‘Buddy, we’re gonna get a cure,'” Gaglardi said. “And he believes me.”

From The Dallas News

Weight Gain Increases Diabetes Risk

Maintaining stable weight and loss of weight were each strongly associated with a decreased risk for diabetes among middle-aged adults, a new study found.

The researchers predicted that about 20% of new diabetes cases could be prevented if adulthood weight was monitored and by getting people aware of there Body Mass Index values.

To learn your BMI go here and use the BMI Calculator

On a population level, about 40% of new cases could be prevented through weight loss 

During the primary care visits, if a patient had a BMI of 30 or more, he or she was counseled on lifestyle modification. Similarly, referral to a nurse followed if the patient had impaired glucose intolerance.

During a 10-year follow-up, 1,087 new diabetes cases occurred, accounting for 3.3% of the participants. Also during this period, the study found that a weight gain of more than one BMI point among adults was associated with an increased incident diabetes risk .

Similarly, a gain in relative weight during the follow-up period was also linked to an increased incident diabetes risk

However, the researchers reported that the benefits of weight maintenance and weight loss were not significantly associated with diabetes risk among normal weight individuals. Also, individuals who were age 30 at baseline did not experience the same relationship between incidence risk and BMI change among the BMI categories

Despite the already established link between obesity status and diabetes risk, Feldman and colleagues noted that “the probability that obese adults will attain normal weight is exceedingly low,” arguing for action to take place at a broader, population level, in terms of the prevention of weight gain.

Shifting the focus of the analysis to public health concerns, the researchers stated that there is a dearth of evidence concerning population-based approaches for diabetes prevention. Through the current study, they said, they hoped “to investigate the public health potential of a whole population strategy for diabetes prevention by quantifying the impact on risk and population burden of diabetes of shifting the population distribution of body weight.

“While a population-based approach for weight maintenance or moderate weight loss has considerable potential for reducing diabetes burden, single interventions are unlikely to achieve the necessary impact on weight.”

The researchers said they instead propose that particular focus be paid to achievable, community-based weight loss programs, such as commercial weight loss programs.

Past research has shown the weight benefits that commercial weight loss programs can provide, particularly for high-risk populations, the team said. For example, a recent analysis reported significant improvement in metabolic syndrome among overweight and obese women enrolled in 12-week commercial weight loss programs. However, Feldman et al cautioned that maintaining weight loss following the conclusion of these programs can be difficult.

The authors also pointed to the potential for new policy, such as the uptake in sugar-sweetened beverage taxes, which have been recently implemented in several places across the world, such as Berkeley, Calif., Philadelphia, and Mexico. Although these population-based prevention methods have the potential to reduce diabetes risk, the extent of the benefits remains largely unknown.

Overall, the team highlighted the importance of promoting weight maintenance at a population level through lifestyle modification, in order to curb the rising rates of type 2 diabetes.

“Thus, when it comes to body weight and diabetes, from a public health perspective it would be advisable to consider both high-risk and population-based strategies for diabetes prevention,” Feldman said in a press statement.

 

 

10 Foods to Eat to Help Rid Belly Fat

10 Foods to Help You Lose Belly Fat - Newsmax 10 Foods to Help You Lose Belly Fat – Newsmax

Wed, 08 Feb 2017 20:18:08 GMT

That spare tire around your middle isn’t just unsightly, it is also dangerous to your health. Carrying extra weight around … “Visceral adipose tissue predisposes people to metabolic syndrome, diabetes, high blood pressure and heart disease,” 

Carrying extra weight around your midriff is a sign that you’re harboring an excess of hidden belly fat called visceral adipose tissue (VAT), which can spark a variety of health woes.

“Visceral adipose tissue predisposes people to metabolic syndrome, diabetes, high blood pressure and heart disease,” notes registered dietician and functional nutritionist Paula Mendelsohn.

She adds that it takes a “concerted effort” to lose VAT, including regular exercise, good sleep habits, stress management and diet. Eating less processed foods and simple carbohydrates — and more whole grains, fruits, and vegetables — is a good start.

She adds that it takes a “concerted effort” to lose VAT, including regular exercise, good sleep habits, stress management and diet. Eating less processed foods and simple carbohydrates — and more whole grains, fruits, and vegetables — is a good start.

Some foods also contain visceral fat-busting compounds. Here are 10 that Mendelsohn and other experts say you may want to add to your diet:

Coconut oil: This oil got a bad reputation because it’s high in saturated fat. But  Mendelsohn explains: “Because it’s a medium-chain saturated fat, as opposed to long-chain, it’s very easy for the body to process. Coconut oil is the only fat known to cause weight loss and reduce waist circumference.”

Grapefruit: A 2011 study found that participants who ate half a grapefruit before their three daily meals lost more dangerous visceral fat than those who did not. Researchers believe that the potent flavonoid naringenin is a key factor. “Naringenin helps cells metabolize whatever they are processing,” .

Hot peppers: Cayenne and other chili peppers contain capsaicin, which cranks up the body’s heat production, a process called thermogenesis. One study showed that it increased metabolism by about 25 percent, which translates into burning more carbohydrates and fats. Other studies show that capsaicin also reduces appetite, so you’re likely to eat less when adding hot peppers to your meal.

Green tea: This superfood contains a flavonoid called epigallocatechin gallate (EGCG), which also ramps up metabolism. “That compound not only supports weight loss by enhanced metabolism, but it’s heart protective, brain protective and anti-cancer,” notes Mendelsohn.

Oatmeal: Studies show that beta glucan, a fiber found in oatmeal, helps fight metabolic syndrome, in part by feeding the “good” bacteria, or probiotics, in your gut. Researchers say that some probiotics appear to inhibit the absorption of fat, so it goes into the toilet rather than sticking around your innards. Rolled or steel-cut oats are best.

Avocado: Guacamole anyone? Avocado is great for your gut. Its monounsaturated fats help to prevent fat storage and curb appetite. It’s also high in oleic acid, which studies have shown improve blood sugar levels. Researchers at Penn State University found that oleic acid reduces belly fat.

White beans: “There’s a starch in white beans that helps slow down how the body processes starches and sugars,” says Mendelsohn. “It basically creates resistant starch.” Resistant starch feeds probiotics, and in one study, researchers found that replacing a mere 5 percent of a person’s daily carbohydrate intake with a resistant starch increased post-meal fat burn by 30 percent.

Milk: Not just any milk will do. You need to get it from pasture-raised cows that eat grass. Their milk is high in conjugated linoleic acid (CLA), which “has been documented to reduce visceral adipose tissue,” says Mendelsohn. “You can also get it in supplement form.”

Dark leafy greens: Greens like kale, arugula and watercress not only fill you up without filling you out, they also contain sulforaphane. In a lab, this compound broke down fat cells, which researchers equate to fat-burning in people. Mendelsohn notes that greens are also rich in magnesium, and a deficiency in that essential mineral, which is common in the U.S., can lead to metabolic syndrome.

Yogurt: There are two families of probiotics that are known to cause weight loss, and you can find both in yogurt. Mendelsohn suggests getting yogurt that is organic, unflavored and contains live cultures. “Something like plain, low-fat Greek yogurt would be good,” she says. For a fat-burning breakfast, she recommends cooking rolled or steel-cut oats in water with chopped walnuts or flaxseed, adding organic coconut oil, Greek yogurt, a handful of berries, and snow the whole thing with cinnamon.

The Perfect Treatment for Diabetes and Weight Loss

 

 

Is type 2 diabetes incurable? Must it get worse with age? Or as a society are We treating it wrong? Or do we treat it at all?  My name is Andreas Eenfeldt from Diet Doc. Welcome Dr. Jason Fung. I have just listened to your lecture. It was fantastic. It was about how we treat diabetics in health care today. It is not a disease that must necessarily  get worse with age. We have always said that it is a chronic condition that worsens with age.This is the view of the diabetes associations, both in the US and in Australia. Everyone says it is a chronic disease.

But it is not true. It is indeed easy to see. If someone said, “I was told I had diabetes,” – – “but I lost weight and lowered my carbs.” “Now I take no medication and am doing well.” It is true after all! No one believes that they are lying. A patient who loses weight, put on a diet  -is of course healthier. How can they be healthier if the disease is chronic and only going to get worse? Everyone knows that the drugs do not help against the disease itself. Type 2 diabetes depends on too high insulin resistance.

It is all agreed. High resistance to insulin makes blood sugar levels rise. But the disease is the high insulin resistance. But all treatment focuses still on blood sugar. It is not logical.   Treatment of symptoms does not help against the disease,as we have done with diabetes. We treat blood sugar. But the disease depends on insulin resistance. Since we do not treat the disease  only the symptoms nothing improves. It takes more and more medication to keep blood sugar at the same level. The diabetes is worse even if blood sugar is better. The diabetes is worse than ever.

Insulin Resistance’s not treated. Those who lose weight, exercise  have affected insulin resistance, and therefore a lower blood sugar.

We have dealt with in the short term and reduced sugar. What happens then with the disease?

The funny thing is that patients know this. I talk with many patients. They tell me that when they got insulin they immediately gained weight. It’s no secret. You gain weight taking insulin. They take insulin and gain weight. Then they come back to the doctor. “I needed to lose weight, but get medicine that cause weight gain!?” And the doctor responds: “You need insulin

– Therefore, you must treat it. – What do you do if you have type 2 diabetes? It is a diet-related disease. Type 2 diabetes involves too much sugar. Once you have realized it, the solution is to do away with the sugar. Then remove all sugar and simple carbs, which also is the sugar -As bread and pasta. Carbohydrates are the only chains of sugar. When we eat, it breaks down into sugar. You have to stop eating sugar.

Diabetes Patients Fed up with Insulin Prices

Diabetes Patients File Lawsuit

A group of diabetes patients filed a lawsuit Monday against three drug companies for systematically increasing the list prices of insulin for years in an alleged fraudulent-pricing scheme

The insulin market is dominated by a small number of companies that sell many billions of dollars worth of insulin each year — and have steadily raised the list prices of their drugs. A version of insulin called Humalog launched two decades ago with a sticker price of $21 a vial and has increased to $255 a vial.

Meanwhile, competition has appeared to work in a perverse way, with list prices of competing insulins often rising in concert. Last year, Sen. Bernie Sanders (I-Vt.) and Rep. Elijah E. Cummings (D-Md.) asked for a federal investigation into “possible collusion” on insulin prices.

The lawsuit, filed by 11 patients in U.S. District Court in Massachusetts, focuses on a common practice in the pharmaceutical industry: Drug companies compete for insurers’ business by offering secret rebates on their drugs. Companies that negotiate drug prices for insurers, called pharmacy benefit managers, can place drugs on tiers that determine how much consumers pay for them — decisions that may be influenced by the size of the discount granted by the drug companies.

The lawsuit claims that drug companies have been increasing the list price of insulin in order to expand their discounts without lowering the overall price tag. The people stuck paying the balance: patients, particularly those without insurance or with high-deductible plans.  The lawsuit alleges those actions violate the Racketeer Influenced and Corrupt Organizations Act and state consumer protection laws.

“I think that publishing a price that you know is artificially inflated and is not a real price — other than to one group of people — is a fraud,” said Steve Berman, a partner in the with Hagens Berman law firm who represents the plaintiffs.

The lawsuit describes a patient who may need to have her foot amputated because she cannot afford her insulin. Others, it says, have intentionally allowed themselves to develop a potentially life-threatening syndrome so that they can be admitted to a hospital and obtain free insulin samples.

“This scheme directly and foreseeably causes consumers to overpay for these life-saving medications,” the lawsuit states.

Insulin companies acknowledge that list prices have risen but argue that net prices — the amount drug companies are paid after rebates — haven’t budged.

Eli Lilly “conducts business in a manner that ensures compliance with all applicable laws, and we adhere to the highest ethical standards,” spokesman Greg Kueterman said in an email, declining to comment further.

A spokeswoman for Sanofi said that the company believes the allegations have no merit and will defend against them.

Novo Nordisk spokesman Ken Inchausti said in an email: “We are aware of the complaint and its characterization of the pharmaceutical supply chain. We disagree with the allegations made against the company and are prepared to vigorously defend the company in this matter.”

The Pharmaceutical Care Management Association, a trade group that represents pharmacy benefit managers, said it is reviewing the lawsuit and pointed out that its companies are not defendants. But in a statement, the association said the lawsuit “inexplicably attacks prescription drug rebates, long used to reduce costs in public programs like Medicaid and in the commercial market.”

Rising drug list prices have become a major issue for the biopharmaceutical industry as various pricing controversies triggered by list-price hikes have flared into congressional hearings and prompted other scrutiny over the past year and a half. Although drugmakers grant discounts off the list prices to pharmacy benefit companies, those may not always be passed through directly to consumers.

For example, people with high-deductible plans or co-insurance requiring them to pay a percentage of the drug cost can be directly affected by rising list prices. As more consumers are using health insurance that includes high deductibles, more patients are being exposed to the list price of a drug. In addition, insulin is a drug people take for a lifetime, so any gaps in health insurance or issues such as losing or breaking a vial of insulin could expose them to the list price of their medicine.

The lawsuit says pharmacy benefit managers that negotiate on drug prices for insurers play a role in the alleged scheme by telling the public the rebates were saving patients and insurers money, even when they know rebates aren’t lowering the real price of the insulin.

Brian Henry, a spokesman for Express Scripts, one of the largest pharmacy benefit managers, declined to comment on the lawsuit, but he said in an email, “Rebates don’t raise drug prices. Drugmakers raise drug prices.”

Erin Britt, a spokeswoman for CVS Health said that the company passes more than 90 percent of its rebates back to customers.

 

Mary Tyler Moore’s Life WIth DIabetes

TV icon Mary Tyler Moore was famous for her groundbreaking role in the 1970s sitcom that bore her name, but one of her more important roles was off-screen, as a staunch advocate for people with type 1 diabetes.

The actress, who died on Wednesday at age 80, was diagnosed with the disease in 1969 when she was 33 years old.

“A blood test revealed that my blood sugar level was 750,” she explained at an appearance at the National Press Club in Washington D.C. in 2009. “Normal is between 70 and 110. And they did not know how I was still alive and walking around. But within 48 hours, I was brought back to normal, and then began the hard part, living with the disease.”

Actress Mary Tyler Moore was the international chairman of the Juvenile Diabetes Research Foundation and spoke on raising awareness and funds for diabetes research.

In an interview with CBS News in 2005, Moore admitted she had no idea what type 1 diabetes was when she was diagnosed.

“It’s a long educating process that you go through,” she said.

She called the disease a “tremendous burden” that “affects you emotionally as well as physically.” She had to get used to giving herself regular injections of insulin to keep her blood sugar levels in check.

“Mary Tyler Moore’s legacy is that of a woman who tirelessly committed herself to helping the millions with T1D,” JDRD said in a statement. “Over the past 30 years, Moore educated about and increased awareness of T1D around the world and raised millions of dollars for research that will one day lead to a cure.”

Her efforts included lobbying for diabetes research, testifying before Congress alongside children diagnosed with type 1 diabetes to share their stories with elected officials, and taking part in public service campaigns.

Following Moore’s passing, reactions from colleagues and fans across the entertainment industry began pouring in on Wednesday. Some made a point of praising her for her advocacy work.

“Mary Tyler Moore lived with diabetes and showed the world you can live a full productive life and never gave up the fight!” former tennis star Billie Jean King tweeted. King herself has been diagnosed with type 2 diabetes.

JDRF concluded its statement by saying: “With Moore’s passing, our country has lost an advocate, a hero and a woman who ‘turned the world on with her smile’ both on and off screen.”

Therapeutic CGMs Now Covered Under Medicare Part B – MedPage Today

Therapeutic CGMs Now Covered Under Medicare Part B - MedPage Today Therapeutic CGMs Now Covered Under Medicare Part B – MedPage Today

Fri, 20 Jan 2017 19:04:03 GMT

Dexcom’s G5 Mobile system is currently the only FDA-approved therapeutic CGM on the market, as one can make diabetes treatment decisions using the system. This past December, the FDA approved the expanded indication for the G5 Mobile CGM, …

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Is Sugar the New Tobacco?

“Sugar spoils no meal,” averred a 16th-century German . However it definitely spoils and savages an individuals’s health, states Gary Taubes, an American science author.   He has actually focused greatly on the ills of sugar in the past 10 years  and is the co-founder of an effort to fund research and study the underlying reasons for obesity, diabetes and heart disease.

In “The Case Against Sugar” he argues that dietary fat was fingered for years as the criminal of weight problems, diabetes and heart problems. The genuine perpetrator  was sugar not fat.

Sugar, peer-reviewed research studies now reveal, activates insulin resistance, lowers good cholesterol and raise harmful bad cholesterol.

Preferably, Taubes states, we need to remove sugar from our diet plans– or a minimum of deal with the choice to chew on sugary foods with the exact same gravity as smoking cigarettes or drinking alcohol. (By sugar, he’s generally concentrated on the fine-tuned crystals and high-fructose corn syrups that sweeten much of our food and consume nowadays.)

Due to the fact that of the special metabolic, physiological and hormonal effects, sugar is the brand-new tobacco. It is destructive to health, yet likewise safeguarded by effective lobbies. As populations end up being Westernised, urbanised and wealthy the quantity of sugar consumed increases,

Cultures with diet plans which contain significant fat, like the Inuit and the Maasai, experienced weight problems, high blood pressure and coronary illness only when they started to consume extreme quantities of sugar. Also, diabetes– essentially unidentified in China at the turn of the 20th century, and now endemic in 11.6% of the adult population, 

Sugar is addictive in the exact same method that drugs can be, composes Mr Taubes. The yearning appears to be hard-wired: infants naturally choose sugar water to plain.

In just 10 nations do individuals consume less than 25 grams of sugar a day.

Sugar hides in peanut butter, sauces, catsup, salad dressings, breads and more. Breakfast cereal, initially a wholegrain organic food, progressed into “breakfast sweet”– sugar-coated flakes and puffs hawked to kids by animation pitchmen like Tony the Tiger and Sugar Bear  . A 12-ounce carbonated beverage consists of about 10 teaspoons of sugar. Even cigarettes are laced with it. Bathing tobacco leaves in a sugar option produces less annoying smoke; it is much easier and more enjoyable to breathe in.

The case versus sugar is gaining traction. In October the World Health Organisation prompted all nations to enforce a tax on sweet beverages. Mexico had actually currently done so in 2013. In America cities consisting of Chicago, Philadelphia and San Francisco are doing the same. Britain will carry out a soft-drink levy in 2018.