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Diabetes (All)
Statins Linked to Improved Survival in Kidney Transplant Recipients
July 2008 - For patients receiving kidney transplants, treatment with cholesterol-lowering "statin" drugs may lead to longer survival, reports a study in the November 2008 Journal of the American Society of Nephrology (JASN).
Drug Lowers Body's Set Point to Control Hyperparathyroidism in Dialysis Patients
July 2008 - A medication called cinacalcet, an important part of treatment to control high levels of parathyroid hormone (PTH) in patients receiving dialysis for end-stage renal disease (ESRD), works by resetting the balance between calcium and PTH levels, according to a study in the November Journal of the American Society of Nephrology (JASN).
Diabetes Experts Recommend One-Two Punch for Treating Patients with Pre-Diabetes
July 2008 - For the first time, a consensus of diabetes and metabolic disorder experts have recommended a comprehensive treatment regimen for patients with pre-diabetes. The recommendations call for specific guidelines on both lifestyle, and pharmaceutical intervention where appropriate. The recommendations are made in a Consensus Statement released this morning by the American College of Endocrinology (ACE) and the American Association of Clinical Endocrinologists (AACE).
New Protocol Streamlines Therapy That Makes More Kidney Transplants Possible
July 2008 - A new therapy developed at Cedars-Sinai Medical Center improves transplant rates and outcomes for patients awaiting living- and deceased-donor kidney transplantation, according to a study published in the July 17 issue of the New England Journal of Medicine.
The therapy may provide an option for many patients "sensitized" to transplant antigens (human leukocyte antigens, or HLA) who previously would not have been candidates for transplantation because of their intense immune response to these HLA targets.
Scientists Suspect Omega-3 Fatty Acids Could Slow Acute Wound Healing
July 2008 - A recent study shows that popular fish oil supplements have an effect on the healing process of small, acute wounds in human skin. But whether that effect is detrimental, as researchers initially suspected, remains a mystery.
The omega-3 fatty acids found in fish oils are widely considered to benefit cardiovascular health and other diseases related to chronic inflammation because of their anti-inflammatory properties. But insufficient inflammation during the initial stage of wound healing may delay the advancement of later stages.
Dietary Factors Appear to Be Associated With Diabetes Risk
July 2008 - Drinking more sugar-sweetened beverages or eating fewer fruits and vegetables both may be associated with an increased risk of type 2 diabetes, whereas eating a low-fat diet does not appear to be associated with any change in diabetes risk, according to three reports in the July 28 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.
Cognitive Problems Associated With Diabetes Duration and Severity
August 2008 - Individuals with mild cognitive impairment appear more likely to have earlier onset, longer duration and greater severity of diabetes, according to a report in the August issue of Archives of Neurology, one of the JAMA/Archives journals.
All Sweeteners Not The Same For Managing Type 2 Diabetes
July 2008 - Recent research by Kalidas Shetty of the University of Massachusetts Amherst and Lena Galvez Ranilla of the University of San Paolo, Brazil, shows that when it comes to managing Type 2 diabetes, all sweeteners may not be the same. Some sweeteners, including date sugar and less refined, dark brown sugars, showed potential for managing Type 2 diabetes and related complications - information that could help Type 2 diabetics make better dietary choices.
Dietary Adherence Associated with Better Glucose Control in Children with Type 1 Diabetes
July 2008 - A study by researchers at the Joslin Diabetes Center has shown that adherence to prescribed dietary recommendations is associated with better glucose control in children with type 1 diabetes.
"In recent years, diabetes management has been focused around new medications and technologies," said Lori Laffel, M.D., senior author of the paper, which is published in the July issue of Diabetes Care. "In this study, we were encouraged to identify the unique importance of diet on blood sugar control in children and teens with type 1 diabetes."
Elevated Level of Certain Protein Linked With Risk for Diabetes
July 2008 - Having a higher than normal level of fetuin-A, a protein produced in the liver and secreted into the blood stream, is associated with an increased risk of the development of diabetes, according to a study in the July 9 issue of JAMA.
Traditional Laser Treatment More Effective than New Drug Therapy for Preserving Eyesight in Diabetic Patients
August 2008 - Five years ago, ophthalmologists started using steroid injections as a new way of treating diabetics with swelling in their eyes. Now, research shows that the traditional treatment for this disorder is still more effective, according to results in the online edition of the journal Ophthalmology.
Despite the recent trend to use corticosteroid injections, the NIH-funded study proves that the most effective treatment to preserve eyesight in diabetic patients with diabetic macular edema (DME) is with laser therapy.
New Uses for Old-line Diabetes Monitoring Test: Screening and Diagnosis
August 2008 - A blood test currently used as the gold standard for monitoring people already under care for diabetes may have far wider use in identifying millions with undetected diabetes, a team led by a Johns Hopkins physician suggests.
The hemoglobin A1c test (HbA1c), based on a blood sample, is widely used to keep tabs on how well confirmed diabetics keep their blood sugar, or glucose, in check by showing how much glucose red blood cells have been exposed to for the past 120 days, the average lifespan of these cells.
Treatment Corrects Severe Insulin Imbalance
August 2008 - Researchers have used a drug to achieve normal levels of blood sugar in animals genetically engineered to have abnormally high insulin levels. If this approach succeeds in humans, it could become an innovative medicine for children with congenital hyperinsulinism, a rare but potentially devastating genetic disease in which insulin levels become dangerously high.
Drug Therapy Found Effective in Patients with Common Form of Kidney Disease
August 2008 - The drug rituximab causes considerable kidney injury healing in patients with membranous nephropathy, a common form of kidney disease, according to a study appearing in the November 2008 issue of the Clinical Journal of the American Society Nephrology (CJASN). The results suggest that this condition, previously destined to progress to kidney failure in 30-40 percent of cases, can actually be healed in some patients.
Losing Weight After Diabetes Diagnosis Can Prevent Diabetes-Related Disease
August 2008 - People who lose weight soon after a diagnosis of type 2 diabetes have better control of their blood pressure and blood sugar, and are more likely to maintain that control even if they regain their weight, according to a Kaiser Permanente study published online in Diabetes Care, the American Diabetes Association journal.
Growth Hormone Treatment For HIV Patients Improves Abdominal Fat, But Worsens Glucose Level
August 2008 - For human immunodeficiency virus (HIV)-infected patients with treatment-related abdominal obesity and growth hormone deficiency, receiving low-dose growth hormone resulted in improvement in fat and blood pressure measurements but worsened glucose levels, according to a study in the August 6 issue of JAMA, a theme issue on HIV/AIDS.
Steven Grinspoon, M.D., of Massachusetts General Hospital, Boston, presented the findings of the study at a JAMA media briefing on HIV/AIDS.
Overweight Hispanic Children at Significant Risk for Pre-Diabetes
August 2008 - A study by researchers at the University of Southern California (USC) found that overweight Hispanic children are at significant risk for pre-diabetes, a condition marked by higher than normal blood glucose levels that are not yet high enough for a diagnosis of diabetes. The persistence of pre-diabetes during growth is associated with progression in risk towards future diabetes, according to the study, which will be published in an upcoming issue of the journal Diabetes, and is now available online.
Drinking in Excess Associated with Increased Risk for Metabolic Syndrome
August 2008 - Those who drink in excess of the U.S. Dietary Guidelines (i.e., men who usually drink more than two drinks per day or women who usually drink more than one drink per day) or those who binge drink are at increased risk for the metabolic syndrome, according to a new study accepted for publication in The Endocrine Society's Journal of Clinical Endocrinology & Metabolism (JCEM).
Triglycerides Count in Managing Heart Disease Risk
August 2008 - Cholesterol, both good and bad, gets plenty of attention when the subject is reducing the risk of heart disease. Yet triglycerides, a form of fat that circulates in the blood, merit similar attention, according to the August issue of Mayo Clinic Health Letter.
Some studies suggest that the increase in heart disease risk from elevated triglycerides may rival that of high low-density lipoprotein (LDL) or "bad" cholesterol. Another concern is that high triglyceride levels increase the risk of pancreatitis, a painful, life-threatening inflammation of the pancreas.
Cognitive Problems Associated With Diabetes Duration and Severity
August 2008 - Individuals with mild cognitive impairment appear more likely to have earlier onset, longer duration and greater severity of diabetes, according to a report in the August issue of Archives of Neurology, one of the JAMA/Archives journals.
Long-Acting Insulin: Safer, Slightly Tighter Glucose Control in Type 1 Diabetes
Introduced this decade, the long-acting insulin medications glargine and detemir have largely replaced the older intermediate-acting insulin NPH in the treatment of type 1 diabetes. However, a review of studies reveals that the newer drugs offer only a slight benefit over NPH in terms of blood glucose control.
The researchers did see a clear benefit of long-acting insulin in the risk for hypoglycemia - dangerously low blood glucose that can result from insulin injections - particularly at night.
The review comprised 23 studies of more than 6,500 people.
Current Stats Severely Underestimate Costs of Medical Errors
Medical errors drive hospital costs up and while many seek ways to reduce these mistakes, not all fully understand their financial effects.
A new review suggests that current statistics on medical mistakes might not be comprehensive because they do not factor in all inpatient costs or include readmissions and patient care for the 90 days following surgery.

