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Silent Heart Disease With Some Diabetics By Ng Peng Hock Diabetes mellitus is a condition in which the body produces too little or ineffectively uses insulin, resulting in high levels of glucose in the blood. has long been associated with heart disease. It is known that persons with are more likely to develop coronary heart disease (CHD) because can cause irritation of the blood vessel walls, adversely affect cholesterol profile and raise blood pressure. The prevalence levels of developed countries like United States and Australia are 8.3 percent and 7.4 percent respectively, as at 2004.
A report released in 2004 in the medical journal, Care, revealed that more than one-fifth of patients with type-2 have decreased blood flow to the heart. However, no symptoms to suggest there is a problem.
This serious condition, known as myocardial ischemia, occurs when the heart does not receive enough blood to meet the metabolic needs, usually due to plaque build-up in the coronary arteries. Experts depict this disease as “silent” when there are no symptoms being presented. No chest pain is experienced and in fact there are no symptoms at all before a heart attack.
Doctors usually have had difficulty to detect the early-stage heart disease in type-2 patients because there may be nerve damage throughout the body. Chest pain, which is the heart's most important signal, is dampened considerably since insufficient blood and oxygen are obtained.
The study was conducted by a group of researchers from the Yale University School of Medicines in New Haven, Connecticut. The patients for the Detection of Ischemia in Asymptomatic Diabetics (DIAD) study were recruited in such a way that there was not even the slightest suggestion of the presence
Why fish oils work swimmingly against inflammation and diabetes Researchers have identified the molecular mechanism that makes omega-3 fatty acids so effective in reducing chronic inflammation and insulin resistance. (Source: ScienceDaily Headlines)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Key to fish oil "magic" found The mystery of how fish oil helps fight diabetes and heart disease may have been solved (Source: Nursing in Practice) Beta-1 adrenergic receptor polymorphism may increase LVH risk. The Arg389 polymorphism of the beta-1 adrenergic receptor is associated with a higher risk for left ventricular hypertrophy than is the Gly389 polymorphism in non-diabetic acute myocardial infarction survivors, researchers report. (Source: MedWire News - Diabetes) Treating Diabetes With Severe Personality-Disordered Individuals and Families Diabetes is an increasingly common chronic medical condition that affects not only patients but also their families. Ensuring adherence to a treatment regimen in diabetic patients is particularly challenging for physicians as well as counselors providing health-focused counseling. However, that challenge is exponentially increased when the patient and one or more family members manifest personality-disordered behavior that interferes with and complicates diabetic treatment. Diabetes as a chronic medical condition is described in the context of individual and family borderline dynamics. (Source: The Family Journal) Mouse Study May Help Explain Fish Oil?s Benefits Giving rodents omega-3 fatty acids helped counteract inflammation that can lead to diabetes (Source: The Doctors Lounge - Health News) Long Term Data Presented at ESC 2010 Further Support the Benefit of TheSirolimus Drug-Eluting Stent Compared to The ENDEAVOR(R) Zotarolimus-Eluting Stent in Important High-Risk Subgroups STOCKHOLM, September 2, 2010/PRNewswire/ --
- Additional Analysis of 18 Month Data of the SORT OUT III Trial
Provides Detail on Safety and Efficacy Outcomes in Patients With
Diabetes, Acute Coronary Syndrome, or Treatment of... (Source: Drugs.com - Clinical Trials)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Enzymatic Function of Two Methylthiotransferase Families [Cell Biology] Bacterial and eukaryotic transfer RNAs have been shown to contain hypermodified adenosine, 2-methylthio-N6-threonylcarbamoyladenosine, at position 37 (A37) adjacent to the 3'-end of the anticodon, which is essential for efficient and highly accurate protein translation by the ribosome. Using a combination of bioinformatic sequence analysis and in vivo assay coupled to HPLC/MS technique, we have identified, from distinct sequence signatures, two methylthiotransferase (MTTase) subfamilies, designated as MtaB in bacterial cells and e-MtaB in eukaryotic and archaeal cells. Both subfamilies are responsible for the transformation of N6-threonylcarbamoyladenosine into 2-methylthio-N6-threonylcarbamoyladenosine. Recently, a variant within the human CDKAL1 gene belonging to the e-MtaB subfamily was... Metformin Might Prevent Colorectal, Lung Cancers The old, cheap diabetes drug metformin is attracting notice as a chemoprevention agent. Medscape Medical News (Source: Medscape Hematology-Oncology Headlines) NIHR Clinical Lecturer in Endocrinology and Diabetes (NTN(A) attached) - University of Sheffield Up to two National Institute for Health Research Clinical Lectureship posts are available at the University of Sheffield offering a programme of integrated training in clinical academic medicine.
The posts are open to a number of specialties, endocrinology and diabetes being one, and are available for four years or until the post holder obtains their CCT. They must also have successfully completed a PhD or MD and must be eligible for or in posession of a National Training Number (NTN).
The deadline for applications is 5 October 2010. For more information please follow the link below.
Further details (Source: Society for Endocrinology) Differential Contribution of Diabetes and the Ren2 Gene to Glomerular Pathology in Diabetic (mREN-2)27 Rats Narrowing the scope of utility for (mREN-2)27 rats may help to create better methods for researching diabetic nephropathy. Laboratory Investigation (Source: Medscape Today Headlines) Fatty acids 'may prevent diabetes' The secret of how fish oil helps prevent heart disease and diabetes is believed to have been unlocked by scientists who now hope to develop new dietary remedies and drugs to reduce conditions such as type-2 diabetes, heart disease and arthritis. (Source: Nursing Times Breaking News)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Longitudinal examination of cervical volume and vascularization changes during the antepartum and postpartum period using three-dimensional and power Doppler ultrasound Journal of Perinatal Medicine 38 (5): 461-465 Abstract Objective: To assess longitudinally the changes in cervical volume and vascularization during the peripartum period using three-dimensional ultrasound (3D US) and power Doppler and to determine whether these measures change with gestational complications. Methods: Longitudinal measurements of cervical dimensions by transvaginal 3D US and power Doppler using the virtual organ computer-aided analysis program were performed at 11?14, 22?24, 32?34 weeks' gestation, and at 6 weeks' postpartum in 111 pregnant women. Comparisons were made between women who delivered at term (vs. preterm), nulliparous (vs. parous), with (vs. without) pre-eclampsia and those with (vs. without) gestational diabetes. Results: After establishing reference ... Pcif1 modulates Pdx1 protein stability and pancreatic {beta} cell function and survival in mice The homeodomain transcription factor pancreatic duodenal homeobox 1 (Pdx1) is a major mediator of insulin transcription and a key regulator of the β cell phenotype. Heterozygous mutations in PDX1 are associated with the development of diabetes in humans. Understanding how Pdx1 expression levels are controlled is therefore of intense interest in the study and treatment of diabetes. Pdx1 C terminus–interacting factor-1 (Pcif1, also known as SPOP) is a nuclear protein that inhibits Pdx1 transactivation. Here, we show that Pcif1 targets Pdx1 for ubiquitination and proteasomal degradation. Silencing of Pcif1 increased Pdx1 protein levels in cultured mouse β cells, and Pcif1 heterozygosity normalized Pdx1 protein levels in Pdx1+/– mouse islets, thereby increasing ... How do organisms make dietary choices? When given a choice, organisms will choose a diet that maintains a nutritional balance in tune with their needs. That choice, studied in fruit flies for the first time, is regulated by activity in a molecular pathway involved in aging, cancer and diabetes. Humans share the same molecular pathway. The study, the first to be done in a genetically tractable lab animal, could lead to treatments that would "reboot" metabolic pathways in individuals who are obese or suffer from diabetes. (Source: ScienceDaily Headlines) Children who eat vended snack foods face chronic health problems, poor diet, study finds School children who consume foods purchased in vending machines are more likely to develop poor diet quality -- and that may be associated with being overweight, obese or at risk for chronic health problems such as diabetes and coronary artery disease, according to new research. (Source: ScienceDaily Headlines) An Economic Evaluation of Colesevelam when Added to Metformin-, Insulin- or Sulfonylurea-Based Therapies in Patients with Uncontrolled Type 2 Diabetes Mellitus (Source: PharmacoEconomics)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Factor Structure and Measurement Invariance of a 10-Item Decisional Balance Scale: Longitudinal and Subgroup Examination Within an Adult Diabetic Sample (Source: Measurement in Physical Education and Exercise Science) Frequent Reoccurrence of Hypoglycemia in a Type 2 Diabetic Patient with Insulin Antibodies (Source: Molecular Diagnosis) Dr Oz colon polyps raises question of "spontaneous disease" without cause (NaturalNews) Dr Oz was recently found to have a precancerous colon polyp which was surgically removed. Following this experience, he appears to be surprised and confused about the origin of the condition, and he credits colonoscopy screening with saving his life.Dr Oz even seems to think he has a perfect health record, saying, "I have done everything right. I don't have any family history, and yet I'm high risk now." His personal physician, meanwhile, is implying that even though Dr Oz's "healthy" diet was perfect, it wasn't enough to prevent colon polyps, and therefore you might get them too. (And therefore everybody should get screened...)Dr Jonathan Lapook, went on to say "...no matter what you do, you can't totally eliminate your risk of developing this disease, which is expected to s... Association of doctor specialty with diabetic patient risk of hospitalization due to diabetic ketoacidosis: a national population?based study in Taiwan (Source: Journal of Evaluation in Clinical Practice) Mild BNP may indicate LV dysfunction in diabetics Dutch researchers report that slightly elevated B-type natriuretic peptide levels are associated with increased left ventricular mass and diastolic dysfunction in patients with Type 2 diabetes. (Source: MedWire News - Diabetes)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Celebrating World Diabetes Day and preparing for the battles ahead (Source: Diabetes Research and Clinical Practice) Influence of Left Ventricular Dysfunction (Diastolic Versus Systolic) on Long-Term Prognosis in Patients With Versus Without Diabetes Mellitus Having Elective Peripheral Arterial Surgery In conclusion, diabetic patients with PAD have an increased prevalence of isolated systolic and combined LVD. In patients with PAD the presence of isolated diastolic, systolic, or combined LVD was independently and equally associated with increased cardiovascular mortality, irrespective of the concomitant presence of DM. (Source: The American Journal of Cardiology) NPRI partners launch £10m funding call to tackle major health threats A £10 million fund has been committed by The National Prevention Research Initiative (NPRI), managed by the MRC, in its drive to prevent some of the UK’s most prominent diseases and conditions, such as cancer, diabetes, obesity, stroke and dementia. (Source: Medical Research Council Funding News) Elevated blood glucose disrupts normal immune responses in diabetics UK researchers suggest that elevated blood glucose levels in patients with diabetes can cause competitive inhibition of immune receptors and hinder the body?s ability to fight infection. (Source: MedWire News - Diabetes) Involvement of the Basilar Artery in Diabetes Mellitus: An MRI Study of Brainstem Infarctions Eur Neurol 2010;64:230–235 (DOI:10.1159/000319924) (Source: Karger Publishers)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Peroxisome Proliferator-Activated Receptor-γ Agonist Rosiglitazone Prevents Albuminuria but Not Glomerulosclerosis in Experimental Diabetes Am J Nephrol 2010;32:393–402 (DOI:10.1159/000320129) (Source: Karger Publishers) Diabetes Drug Metformin Linked to Lower Lung Cancer Rate in Mice Findings reflect those of population studies in humans, researchers say (Source: Pharmacy News - Doctors Lounge) Bariatric Surgery Cost-Effective in Very Obese With Diabetes Both gastric bypass and gastric banding are cost-effective ways to reduce diabetes-associated
complications and mortality among severely obese individuals with diabetes, according to research published in the
September issue of Diabetes Care. (Source: Modern Medicine) Human-IAPP disrupts the autophagy/lysosomal pathway in pancreatic ?-cells: protective role of p62-positive cytoplasmic inclusions Human-IAPP disrupts the autophagy/lysosomal pathway in pancreatic β-cells: protective role of p62-positive cytoplasmic inclusions
Cell Death and Differentiation advance online publication, September 3, 2010. doi:10.1038/cdd.2010.111
Authors: J F Rivera, T Gurlo, M Daval, C J Huang, A V Matveyenko, P C Butler
& S Costes (Source: Cell Death and Differentiation) Lead Exposure May Delay Puberty in Girls Occurred even at blood levels below those recommended for treatment, NIH found (Source: The Doctors Lounge - Endocrinology and Diabetes)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> 14th Annual Meeting of the Neuroendocrinology Section of the German Society of Endocrinology (DGE) and 20th Anniversary of an Argentine-German Collaboration Experimental and Clinical Endocrinology & Diabetes 2010; 08Article in Thieme eJournal:Table of contents | Congress (Source: Experimental and Clinical Endocrinology and Diabetes) Plasma bile acids are not associated with energy metabolism in humans Bile acids (BA) have recently been shown to increase energy expenditure in mice, but this concept has not been tested in humans. Therefore, we investigated the relationship between plasma BA levels and energy expenditure in humans. Type 2 diabetic (T2DM) patients (n=12) and gender, age and BMI-matched healthy controls (n=12) were studied before and after 8 weeks of treatment with a BA sequestrant. In addition, patients with liver cirrhosis (n=46) were investigated, since these display elevated plasma BA together with increased energy expenditure. This group was compared to gender-, age- and BMI-matched healthy controls (n=20).Fasting plasma levels of total BA and individual BA species as well as resting energy expenditure were determined. In response to treatment with the BA sequestrant, p... FVB mouse genotype confers susceptibility to OVE26 diabetic albuminuria OVE26 (OVE) diabetic mice on the inbred strain FVB are a valuable model of diabetic nephropathy that excretes the highest amount of urine albumin of all diabetic mouse models. Crossing of OVE mice to C57BL6 or DBA2 mice reduced albuminuria 17-fold in F1 diabetic offspring without reducing diabetes. When comparing renal histology of OVE mice on the FVB background to F1 C57BL6 crosses, we found that the F1 kidneys had significantly smaller glomeruli, much less albumin accumulation in tubules, reduced mesangial matrix expansion, and less interstitial fibrosis. A genome scan of 108 OVE-positive N2 offspring for albuminuria revealed one significant peak on chromosome 11 and nearly significant peaks on chromosomes 9, 13, and 19. Homozygosity for the FVB genotype for peaks on chromosomes 11, 13, ... The pleiotropic actions of rosuvastatin confer renal benefits in the diabetic Apo-E knockout mouse In conclusion, in the diabetic Apo-E–/– mouse, rosuvastatin confers renal benefits that are independent of lipid lowering and equivalent or greater to those observed with candesartan. The combination treatment is not superior to monotherapies. (Source: AJP: Renal Physiology) Expression patterns of connective tissue growth factor and of TGF-{beta} isoforms during glomerular injury recapitulate glomerulogenesis Transforming growth factor (TGF)-β1, -β2, and -β3 are involved in control of wound repair and development of fibrosis. Connective tissue growth factor (CTGF) expression is stimulated by all TGF-β isoforms and is abundant in glomerulosclerosis and other fibrotic disorders. CTGF is hypothesized to mediate profibrotic effects of TGF-β1 or to facilitate interaction of TGF-β1 with its receptor, but its interactions with TGF-β isoforms in nonpathological conditions are unexplored so far. Tissue repair and remodeling may recapitulate gene transcription at play in organogenesis. To further delineate the relationship between CTGF and TGF-β, we compared expression patterns of CTGF and TGF-β isoforms in rat and human glomerulogenesis and in various human g...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> School Children Who Eat Vending Machine Foods Face Increased Risks for Chronic Health Problems, Poor Diet September 2, 2010 (U-M) - School children who consume foods purchased in vending machines are more likely to develop poor diet quality ? and that may be associated with being overweight, obese or at risk for chronic health problems such as diabetes and coronary artery disease, according to research from the University of Michigan Medical School.
The study also looked at foods sold in school stores, snack bars and other related sales that compete with USDA lunch program offerings and found that these pose the same health and diet risks in school-aged children.
read more (Source: Diabetes News from dLife.com) Acasti Pharma Inc. Reports Positive Impacts on Cardiometabolic Associated Disorders LAVAL, Quebec, Sept. 2, 2010 (GLOBE NEWSWIRE) -- This release replaces and supersedes the press release sent earlier today. Acasti Pharma Inc., a subsidiary of Neptune Technologies & Bioressources Inc. ("Neptune") (Nasdaq:NEPT) (TSX-V:NTB) reports significant results on the effects of its anti-dyslipidemic investigational drug candidate CaPre(tm) on C-reactive protein (CRP) levels, a biomarker of CardioVascular Disease risk (CVD) and associated with diabetes and obesity. (Source: Medical News (via PRIMEZONE)) Sugar not a painkiller for babies Conclusion
This study has used objective measures of pain in a small sample of infants and used careful blinding and randomisation to reduce bias. There are a few limitations due to the study size, but the conclusions are likely to challenge the currently held belief that sugar is an effective treatment for the pain of minor procedures in infants. The limitations mentioned by the researchers were:
The small sample size of 44 infants analysed, which could mean that this study was not powered to observe subtle effects that sucrose might have on the brain processes used for pain.
A measure of pain in infants is necessarily indirect (because they cannot describe the sensation), and so even though the electrophysiological measures reported in this study are more objective it is not clear ... How Fish Oil Fights Inflammation Omega-3 fatty acids work via a specific receptor and may combat diabetes as well (Source: ScienceNOW) Moving Diabetes Genetics Beyond Genome-Wide Association Studies Dr. Ali Torkamani summarizes key sessions from the American Diabetes Association's 70th Scientific Sessions and discusses how genetic investigations can assist in our understanding of type 1 and type 2 diabetes. Medscape Genomic Medicine (Source: Medscape Pathology Headlines)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Lower Blood Pressure Goal Benefits African-Americans with Chronic Kidney Disease, Protein in the Urine Source: National Institute of Diabetes and Digestive and Kidney Diseases -
Related MedlinePlus Pages: African-American Health, Kidney Diseases (Source: MedlinePlus Health News) Long Term Data Presented at ESC 2010 Further Support the Benefit of The CYPHER(R) Sirolimus Drug-Eluting Stent Compared to The ENDEAVOR(R) Zotarolimus-Eluting Stent in Important High-Risk Subgroups Additional Analysis of 18 Month Data of the SORT OUT III Trial Provides Detail on Safety and Efficacy Outcomes in Patients With Diabetes, Acute Coronary Syndrome, or Treatment of Multiple Lesions
STOCKHOLM, September 2, 2010 (HSMN NewsFeed) --Three ne... Devices, Interventional CardiologyCordis, CYPHER, Sirolimus, Drug Eluting Stent, Zotarolimus, Medtronic (Source: HSMN NewsFeed) High-Risk Pools for the Sick and Uninsured Under Health Reform: Too Little and Thus Too Late ABSTRACT Democrats and Republicans have turned to the concept of ?high-risk pools? to provide health care for those Americans who face
the dual challenge of uninsurance and serious health difficulties. Under the Patient Protection and Affordable Care Act (PPACA),
these ?high-risk? individuals will receive extensive help and regulatory protections, in concert with a new system of health
insurance exchanges. However, these federal provisions do not become operational until 2014. As an interim measure, PPACA
provides $5 billion for temporary, federally funded high-risk pools, now known as the Pre-Existing Condition Insurance Plan
(PCIP). This analysis explores the adequacy of such funding. Using 2005/06 data from the National Health and Nutrition Examination
Survey (N... Plasma osteoprotegerin, arterial stiffness, and mortality in normoalbuminemic Japanese hemodialysis patients Conclusions In long-term normoalbuminemic Japanese hemodialysis patients, with low prevalence of inflammation, OPG levels were strongly
linked with both arterial stiffness and worse outcome.
Content Type Journal ArticleDOI 10.1007/s00198-010-1377-0Authors
A. Nakashima, Department of Advanced Nephrology, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi Minami-Ku, Hiroshima, 734-8551 JapanJ. J. Carrero, Divisions of Renal Medicine and Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, SwedenA. R. Qureshi, Divisions of Renal Medicine and Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, SwedenT. Hirai, Department of Internal Medi... Better collaboration between primary and secondary doctors is key to integrated care (Source: BMJ Online First)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> EMAS Publishes Position Statements About the Post-Reproductive Health of Women September 2, 2010 (EurekAlert) - Elsevier announced today the publication of four important position statements from the European Menopause and Andropause Society (EMAS) in the journal Maturitas on common management problems in the post-reproductive health of women. The statements cover the management of the menopause in the context of obesity, epilepsy, endometriosis and premature ovarian failure. Each statement has summary recommendations as a quick aid for the busy clinician.
read more (Source: Diabetes News from dLife.com) Americans Blind to the Obesity Epidemic Harris Interactive/HealthDay poll finds 30 percent of those overweight think they're normal size (Source: The Doctors Lounge - Cardiology) Diabetes 2 Drug Metformin May Protect Against Lung Cancer In Smokers Two studies reveal that smokers may have a significantly lower risk of developing lung cancer and colorectal cancer with the drug metformin, which is commonly prescribed for diabetes type 2 treatment, the medical journal Cancer Prevention Research informs. Metformin, originally sold as Glucophage, is the first-line drug of choice for diabetes type 2 patients, especially those who are obese or overweight, as well as diabetes patients with normal kidney function. Metformin may have the following brand names: Fortamet, Glucophage, Glucophage XR, Glumetza, or Riomet... (Source: Health News from Medical News Today) Halozyme Begins Phase 2 Clinical Trials With Insulin Analogs Lispro and Aspart With rHuPH20 In Type 1 And Type 2 Diabetes Halozyme Therapeutics, Inc. (Nasdaq: HALO) today announced the initiation of two Phase 2 Ultrafast Insulin treatment studies that utilize its rHuPH20 hyaluronidase enzyme (PH20) in combination with the two leading commercially available mealtime analogs: insulin aspart, the active ingredient in NovoLog®, and insulin lispro, the active ingredient in Humalog®. (Source: Pharmaceutical Online News) Obesity runs Cali a $21B tab, and $24B for diabetes Rates of obesity and diabetes in California are well above the national targets and goals. In the state, costs related to obesity are reported to be $21 billion, and as the rate of diabetes jumped 26 percent from 2001 to 2007, direct costs related to the comorbidity have been reported to soak up $24 billion, according to the results of the most recent California Health Interview Survey. (Source: Cardiovascular Business News)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Acasti Pharma Inc. Reports Positive Impacts on Obesity and Cardiometabolic Associated Disorders LAVAL, Quebec, Sept. 2, 2010 (GLOBE NEWSWIRE) -- Acasti Pharma Inc., a subsidiary of Neptune Technologies & Bioressources Inc. ("Neptune") (Nasdaq:NEPT) (TSX-V:NTB) reports significant results on the effects of its anti-dyslipidemic investigational drug candidate CaPre(tm) on C-reactive protein (CRP) levels, a biomarker of CardioVascular Disease risk (CVD) and associated with diabetes and obesity. (Source: Medical News (via PRIMEZONE)) Correlation between fluorescein angiography and spectral-domain optical coherence tomography in the diagnosis of cystoid macular edema Conclusions
SD-OCT demonstrated greater sensitivity than FA in detecting CME, particularly those associated with RVO, DR and age-related macular degeneration. SD-OCT was also more sensitive than FA for detecting subretinal fluid and late complications of long-standing CME. (Source: British Journal of Ophthalmology) Central retinal thickness measured with HD-OCT shows a weak correlation with visual acuity in eyes with CSME Conclusion
Correlations between RT and BCVA in CSME are only present when the central 500-µm-diameter circle is involved. However, even in this circumstance, a correlation was found in only 48.8% of the cases. RT cannot, therefore, be used as a surrogate outcome for visual acuity changes. (Source: British Journal of Ophthalmology) Plasma levels of vascular endothelial growth factor and pigment epithelium-derived factor before and after intravitreal injection of bevacizumab Conclusions
The decreased levels of blood VEGF after an intravitreal injection of bevacizumab indicate that bevacizumab enters the general circulation and may also affect the PEDF levels. Thus, we should carefully examine patients for systemic changes and the fellow eye after an intravitreal injection of bevacizumab. (Source: British Journal of Ophthalmology) Entry site treatment to prevent late recurrent postoperative vitreous cavity haemorrhage after vitrectomy for proliferative diabetic retinopathy Conclusion
This study suggests that inner sclerostomy site treatment is effective in reducing the occurrence of recurrent late POVCH in patients undergoing vitrectomy for PDR. A randomised controlled study is needed to clarify this. (Source: British Journal of Ophthalmology)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Insulin resistance and diabetic macular oedema in type 2 diabetes mellitus Conclusions
The findings of this study indicate a relationship between insulin resistance and cystoid macular oedema that unrelated to the use of insulin. Insulin treatment was associated with diffuse macular oedema. (Source: British Journal of Ophthalmology) Is age a risk factor for diabetic retinopathy? (Source: British Journal of Ophthalmology) The prevalence and causes of visual impairment in indigenous Australians within central Australia: the Central Australian Ocular Health Study Conclusion
This study indicates that bilateral visual impairment and blindness are, respectively, 25.1% and 3.6% among indigenous Australians, four to seven times higher than among the non-indigenous Australian population. Trachoma is the leading cause of bilateral blindness after refractive error and cataract. (Source: British Journal of Ophthalmology) Agent Orange Cases Expanded; Added Costs Raise Fiscal Concerns The Associated Press/Washington Post: Hundreds of thousands of Vietnam War veterans are receiving disability compensation for diseases normally associated with aging - not combat - because of the possibility of a link Agent Orange exposure. The diseases in question range from diabetes, for which 270,000 veterans receive Agent Orange-related checks, to erectile dysfunction. "And taxpayers may soon be responsible for even more: VA said Monday that it will add heart disease, Parkinson's disease and certain types of leukemia to the list of conditions that might be connected to Agent Orange... (Source: Health News from Medical News Today) Familial prevalence of autoimmune disorders in multiple sclerosis in Northern Greece Conclusions: There is a longitudinally increased frequency of additional autoimmune disorders among multiple sclerosis family members, probably related to immunomodulatory therapy. (Source: Multiple Sclerosis)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Coronary revascularisation in the patient with diabetes: balancing risk and benefit (Source: Heart) Association between admission hypoglycaemia and in-hospital and 3-year mortality in older patients with acute myocardial infarction Conclusions
In older patients with AMI, increased as well as decreased admission FPG levels could predict higher in-hospital and 3-year mortality. There was a striking U-shaped relationship between admission FPG levels and short- and long-term mortality. An initial admission FPG level ≥ 5.1 to≤7.0 mmol/l may be desirable because it was associated with better clinical outcomes. (Source: Heart) Unilife Corporation Secures FDA 510k Clearance For The Unitract? 1mL Tuberculin Syringe Unilife Corporation ("Unilife" or "Company") (Nasdaq: UNIS, ASX: UNS), announced that its Unitract? Tuberculin (TB) Syringe has received 510(k) market clearance from the U.S. Food and Drug Administration (FDA). The Unitract? TB syringe is a variant of the Unitract? 1mL Insulin Syringe for which Unilife secured FDA clearance earlier this year. Unlike insulin syringes which are primarily used by people with diabetes, TB syringes are used for the administration of a range of therapeutic drugs and vaccines within acute-care hospitals and other healthcare facilities... (Source: Health News from Medical News Today) Azathioprine as an alternative treatment in primary hypophysitis Abstract Primary hypophysitis (PH) is an unusual disorder characterized by inflammatory infiltration of the pituitary gland with various
degree of pituitary dysfunction. Glucocorticoids are the treatment of choice in the majority of patients. Still, in patients
with poor response in glucocorticoids or when their administration is accompanied with serious side effects, the use of alternative
agents should be considered; up to now, data on other therapeutic approaches remains scant mainly due to the rarity of the
disease. Among them, the immunosuppressant azathioprine could represent an effective and safe alternative. In this article,
we present our clinical experience of two cases with PH successfully treated with azathioprine following serious side effects
after initial tr... Telemedicine Helps Native Americans Source: Carolyn Bloch, Federal Telemedicine News Content: “The University of California, Davis School of Medicine is using grant funding to train Native American communities in the state. The training sites include the Round Valley Indian Tribes of Covelo, Mendocino County, and communities served by Northern Valley Indian Health Inc. that includes Glenn County and portions [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Bone Loss in Diabetes: Use of Antidiabetic Thiazolidinediones and Secondary Osteoporosis Abstract Clinical evidence indicates that bone status is affected in patients with type 2 diabetes mellitus (T2DM). Regardless of normal
or even high bone mineral density, T2DM patients have increased risk of fractures. One class of antidiabetic drugs, thiazolidinediones
(TZDs), causes bone loss and further increases facture risk, placing TZDs in the category of drugs causing secondary osteoporosis.
Risk factors for development of TZD-induced secondary osteoporosis are gender (women), age (elderly), and duration of treatment.
TZDs exert their antidiabetic effects by activating peroxisome proliferator-activated receptor-? (PPAR-?) nuclear receptor,
which controls glucose and fatty acid metabolism. In bone, PPAR-? controls differentiation of cells of mesenchymal and hemato... The Role of Renin-Angiotensin Agents in Altering the Natural History of Type 2 Diabetes Mellitus Abstract Type 2 diabetes mellitus (T2DM) is a major risk factor for cardiovascular disease (CVD) morbidity and mortality worldwide.
Renin-angiotensin system (RAS) blockers have been indispensable in diminishing the macrovascular and microvascular complications
of diabetes. In addition, cumulative evidence from retrospective studies pointed toward a beneficial effect of RAS agents
in preventing the development and progression of T2DM. This disease-modifying potential of RAS blockers has been substantiated
by recent prospective trials. Contemporary concepts regarding the natural history of T2DM and the pathophysiologic processes
involved have increased our understanding of the mechanisms underlying the therapeutic potential of these agents in diabetes
management. In addition... Original Article: Potential CYP2C9?mediated drug?drug interactions in hospitalized type 2 diabetes mellitus patients treated with the sulphonylureas glibenclamide, glimepiride or glipizide Abstract.? (Source: Journal of Internal Medicine) pSivida Announces Iluvien(R) Receives FDA Priority Review For Treatment Of Diabetic Macular Edema pSivida Corp. (NASDAQ:PSDV) (ASX:PVA), a leader in the development of sustained release back of the eye drug delivery systems for difficult-to-treat conditions, announced that its licensee, Alimera Sciences (NASDAQ:ALIM) has been notified that the U.S. Food and Drug Administration (FDA) has granted Priority Review status for the New Drug Application (NDA) filed for Iluvien for the treatment diabetic macular edema (DME). FDA Priority Review status is given to therapies that offer major advances in treatment, or provide a treatment where no adequate therapy exists... (Source: Health News from Medical News Today) New Study Singles Out Factors Linked To Cognitive Deficits In Type 2 Diabetes Older adults with diabetes who have high blood pressure, walk slowly or lose their balance, or believe they're in bad health, are significantly more likely to have weaker memory and slower, more rigid cognitive processing than those without these problems, according to a new study published by the American Psychological Association. These three health factors stood out from more than a dozen suspected to shape how Type 2 diabetes is frequently shadowed by cognitive impairment, including dementia... (Source: Health News from Medical News Today)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Growing Obesity, Diabetes Epidemics In California A majority of adults in California are obese or overweight, and more than 2 million have been diagnosed with diabetes, according to a new study from the UCLA Center for Health Policy Research. Both conditions - which are related to each other as well as to heart disease - increased significantly in just six years, with the prevalence of diabetes alone jumping nearly 26 percent between 2001 and 2007. The "epidemic" of obesity and diabetes leaves no racial, ethnic, economic or geographic segment of the state unscathed, according to the researchers... (Source: Health News from Medical News Today) Diabetes Drug Metformin Linked to Lower Lung Cancer Rate in Mice Title: Diabetes Drug Metformin Linked to Lower Lung Cancer Rate in MiceCategory: Health NewsCreated: 9/1/2010 2:10:00 PMLast Editorial Review: 9/2/2010 (Source: MedicineNet Cancer General) Weight Loss Pill Meridia Raises Heart Attack, Stroke Risks Title: Weight Loss Pill Meridia Raises Heart Attack, Stroke RisksCategory: Health NewsCreated: 9/2/2010 11:01:00 AMLast Editorial Review: 9/2/2010 11:01:05 AM (Source: MedicineNet Diabetes General) Sleep-Deprived Teens Eat More Fat, Study Finds Title: Sleep-Deprived Teens Eat More Fat, Study FindsCategory: Health NewsCreated: 9/1/2010 10:10:00 AMLast Editorial Review: 9/2/2010 (Source: MedicineNet Diabetes General) Immune System Research Sees Many Similarities Among People Title: Immune System Research Sees Many Similarities Among PeopleCategory: Health NewsCreated: 9/1/2010 2:10:00 PMLast Editorial Review: 9/2/2010 (Source: MedicineNet Diabetes General)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Diabetes Drug Metformin Linked to Lower Lung Cancer Rate in Mice Title: Diabetes Drug Metformin Linked to Lower Lung Cancer Rate in MiceCategory: Health NewsCreated: 9/1/2010 2:10:00 PMLast Editorial Review: 9/2/2010 (Source: MedicineNet Diabetes General) Diabetes Drug Metformin Linked to Lower Lung Cancer Rate in Mice Title: Diabetes Drug Metformin Linked to Lower Lung Cancer Rate in MiceCategory: Health NewsCreated: 9/1/2010 2:10:00 PMLast Editorial Review: 9/2/2010 (Source: MedicineNet Senior Health General) Angola: Diabetes Association Set Up in Huíla An Angolan Diabetes Association (ASDA) was set up on Tuesday, in Lubango City, in the southern Huíla Province, aimed at warning, training and educating sufferers of this disease on how to fight against diabetes. (Source: AllAfrica News: Health and Medicine) Interferon-gamma-inducible kynurenines/pteridines inflammation cascade: implications for aging and aging-associated psychiatric and medical disorders Abstract This review of literature and our data suggests that up-regulated production of interferon-gamma (IFNG) in periphery and brain
triggers a merger of tryptophan (TRY)?kynurenine (KYN) and guanine?tetrahydrobiopterin (BH4) metabolic pathways into inflammation
cascade involved in aging and aging-associated medical and psychiatric disorders (AAMPD) (metabolic syndrome, depression,
vascular cognitive impairment). IFNG-inducible KYN/pteridines inflammation cascade is characterized by up-regulation of nitric
oxide synthase (NOS) activity (induced by KYN) and decreased formation of NOS cofactor, BH4, that results in uncoupling of
NOS that shifting arginine from NO to superoxide anion production. Superoxide anion and free radicals among KYN derivatives
trigger phospholi... Amaurosis after spine surgery: survey of the literature and discussion of one case Abstract Postoperative vision loss (POVL) associated with spine surgery is a well known, albeit very rare complication. POVL incidence
after spinal surgery ranges from 0.028 to 0.2%; however, due to the increase in number and duration of annual complex spinal
operations, the incidence may increase. Origin and pathogenesis of POVL remain frequently unknown. A 73-year-old patient presented
with lumbar disc herniation with associated neurological deficits after conservative pre-treatment at a peripheral hospital.
Known comorbidities included arterial hypertension, moderate arterial sclerosis, diabetes mellitus type 2, mildly elevated
blood lipids and treated prostate gland cancer. During lumbar spine surgery in modified prone position the patient presented
with an acute episo...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Association analysis of SLC30A8 rs13266634 and rs16889462 polymorphisms with type 2 diabetes mellitus and repaglinide response in Chinese patients Conclusions
SLC30A8 rs13266634 and rs16889462 polymorphisms were associated with repaglinide therapeutic efficacy in Chinese T2DM patients.
Content Type Journal ArticleDOI 10.1007/s00228-010-0882-6Authors
Qiong Huang, Institute of Clinical Pharmacology, Hunan Key Laboratory of Pharmacogenetics, Central South University, Changsha, Hunan 410078, People?s Republic of ChinaJi-Ye Yin, Institute of Clinical Pharmacology, Hunan Key Laboratory of Pharmacogenetics, Central South University, Changsha, Hunan 410078, People?s Republic of ChinaXing-Ping Dai, Institute of Clinical Pharmacology, Hunan Key Laboratory of Pharmacogenetics, Central South University, Changsha, Hunan 410078, People?s Republic of ChinaJing Wu, Department of Endocrinology, The XiangYa Hospital, Cent... Screening for gestational diabetes mellitus: cost?utility of different screening strategies based on a woman?s individual risk of disease Conclusions/interpretation Screening for gestational diabetes can be cost-effective. The best strategy is dependent on the underlying risk of each individual
and the acceptability of the tests used. The current study suggests that if a woman?s individual risk of gestational diabetes
could be accurately predicted, then healthcare resource allocation could be improved by providing an individualised screening
strategy.
Content Type Journal ArticleDOI 10.1007/s00125-010-1881-yAuthors
J. A. Round, Academic Unit of Health Economics, Institute of Health Sciences, University of Leeds, Leeds, UKP. Jacklin, National Collaborating Centre for Women?s and Children?s Health, London, UKR. B. Fraser, Academic Unit of Reproductive and Developmental Medicine, University of She... ACE I-ARB combination therapy not detrimental to severely hypertensive diabetics Australian researchers suggest that combined ACE inhibitor and angiotensin receptor blocker antihypertensive therapy does not produce more renal damage than monotherapy with either drug in diabetes patients with severe hypertension. (Source: MedWire News - Diabetes) Increased risk of death in men with insomnia and a short sleep duration Men with chronic insomnia who slept for less than six hours were four times more likely to die during the 14-year follow-up period, according to a new study. Results were adjusted for potential confounders such as body mass index, smoking status, depression and obstructive sleep apnea. Further adjustments for hypertension and diabetes had little effect on the elevated mortality risk. No significant mortality risk was found in women with insomnia and a short sleep duration of less than six hours. (Source: ScienceDaily Headlines) Bigger role for pharmacists planned Pharmacies in Scotland will provide a five-star chronic medication service for patients with conditions like diabetes and high blood pressure (Source: Pharmacy Europe)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Potential remains for PPAR-targeted drugs Nature Reviews Drug Discovery 9, 668 (2010). doi:10.1038/nrd3271
Author: Dan Jones
The controversy over the diabetes drug rosiglitazone (Avandia; GlaxoSmithKline), a peroxisome proliferator-activated receptor-? agonist, has undermined confidence in developing drugs that target this family of nuclear receptors, but some companies still see promise in the field. (Source: Nature Reviews Drug Discovery) Deal watch: Metabolex and Sanofi?Aventis partner on GPCR agonists for type 2 diabetes Nature Reviews Drug Discovery 9, 670 (2010). doi:10.1038/nrd3255
Metabolex has entered into an agreement with Sanofi?Aventis for the development of small molecules that target G protein-coupled receptor 119 (GPR119), the most advanced of which is in a Phase II trial for the treatment of type 2 diabetes (T2D). Metabolex will receive upfront and (Source: Nature Reviews Drug Discovery) Children who eat vended snack foods face chronic health problems, poor diet (University of Michigan Health System) School children who consume foods purchased in vending machines are more likely to develop poor diet quality -- and that may be associated with being overweight, obese or at risk for chronic health problems such as diabetes and coronary artery disease, according to research from the University of Michigan Medical School. (Source: EurekAlert! - Biology) Variation in Quality of Care Indicators for Diabetes in a National Sample of Veterans and Non-Veterans Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology) Most diabetics need better BP control to reach targets Belgian researchers report that only 16% of patients with Type 2 diabetes achieve the target blood pressure of 130/80 mmHg recommended by American and European regulatory bodies such as the European Society of Hypertension. (Source: MedWire News - Diabetes)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Diabetes drug can reduce risk of cancer, researchers find Metformin reduced the development of lung tumors in mice by more than 70%. Clinical trials on humans for lung, breast and prostate cancer are being organized.A growing body of evidence suggests that the widely used diabetes drug metformin can reduce the risk of cancer, researchers said Wednesday. (Source: Los Angeles Times - Science) Diabetes drug can reduce risk of cancer, researchers find Metformin reduced the development of lung tumors in mice by more than 70%. Clinical trials on humans for lung, breast and prostate cancer are being organized.A growing body of evidence suggests that the widely used diabetes drug metformin can reduce the risk of cancer, researchers said Wednesday. (Source: L.A. Times - Health) Sphingolipids as Signaling and Regulatory Molecules series:Advances in Experimental Medicine and BiologyThis book attempts to analyze the latest discoveries in sphingolipid biology and how the alteration of their metabolism leads to altered signaling events and to the development of pathobiological disorders, such as cancer, cardiovascular diseases, asthma, diabetes, inflammation and infectious diseases. (Source: Springer Biomedical Sciences titles) Prevalence of erectile dysfunction among Chinese men with type 2 diabetes mellitus Authors: G Yang, C Pan
& J Lu (Source: International Journal of Impotence Research) Epidemiological and economic burden of metabolic syndrome and its consequences in patients with hypertension in Germany, Spain and Italy; a prevalence-based model. Conclusion:
The presence of metabolic syndrome in patients with hypertension significantly inflates economic burden and costs are likely to increase in the future due to an aging population and an increase in the prevalence of components of metabolic syndrome. (Source: BMC Public Health - Latest articles)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Increased levels of CRP and MCP-1 are associated with previously unknown abnormal glucose regulation in patients with acute STEMI: a cohort study. Conclusion:
Elevated levels of CRP and MCP-1 measured in patients early after an acute STEMI were associated with abnormal glucose regulation classified by an OGTT at three-month follow-up. No significant associations were observed between inflammatory markers and hyperglycaemia measured during the acute STEMI. (Source: Cardiovascular Diabetology) FDA updates drug label for tigecycline (Tygacil®) to warn of increased mortality risk Source: FDA
Area: News
The FDA has issued a reminder to healthcare professionals of an increased mortality risk associated with the use of the intravenous antibiotic tigecycline (Tygacil®) compared to that of other drugs used to treat a variety of serious infections. The increased risk was more pronounced in patients treated for hospital-acquired pneumonia, especially ventilator-associated pneumonia, but was also seen in patients with complicated skin and skin structure infections, complicated intra-abdominal infections and diabetic foot infections. The Agency has updated sections of the drug label to include information about this increased mortality risk and suggested that alternatives should be considered in patients with severe infections. (Source: NeLM - News) Survey on access to insulin pump therapy Source: Medical Technology Group (MTG),
Area: News
The Medical Technology Group (MTG), a coalition of patient groups, research charities and medical device manufacturers, has published the findings of its survey of 152 PCTs about access to insulin pump therapy, which confirmed that overall uptake and utilisation for insulin pump therapy remains extremely low.
The survey found that:
. The average rate of insulin pump provision for people with type 1 diabetes is 3.9% compared to the 12% benchmark recommended by NICE.
. Two PCTs gave information which suggests they are providing insulin pumps in line with the NICE benchmark.
. Five out of 113 PCTs have a strategy in place to implement NICE guidance on insulin pumps in line with their... Intensive BP control in black patients with CKD may reduce disease progression in some Source: New England Journal of Medicine
Area: News
Further analysis of long-term follow up of patients from the AASK study found indications that intensive blood pressure (BP) control might reduce chronic kidney disease (CKD) progression in those with baseline proteinuria.
AASK tested antihypertensive regimens based on three drug groups in non-diabetic African-American patients with hypertension and signs of renal impairment, to determine whether any drug class was superior and whether more intensive BP control had advantages. Drugs used were ramipril, amlodipine, and metoprolol: the amlodipine arm was stopped early due to poorer outcomes. The results from the original trial, published in 2002 (JAMA 2002; 288(19): 2421-31), did not show any superiority for intensive BP control ... Readily available clinical descriptions can help assess cardiovascular event risk in atherosclerotic patients Source: JAMA
Area: News
Evaluation of outcomes in a large multi-national registry of people with atherosclerosis suggests that a number of simple descriptors can identify those at greatest risk of cardiovascular events.
It is often difficult to identify which patients are at the highest risk for cardiovascular events, although being able to do this would be of great value to both practising clinicians and to those carrying out clinical trials. Prior ischaemic events, polyvascular disease, and diabetes have all been identified as predictors of ischaemic events, but their comparative contributions to future risk remain unclear. The authors of this paper used data from the Reduction of Atherothrombosis for Continued Health (REACH) Registry to examine the contribution to overall ri...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Review: Balancing risk and benefit of coronary revascularisation in patients with diabetes Source: Heart
Area: News
This review addresses two important clinical questions about revascularisation in patients with diabetes:
1. In medically-treated non-ACS patients, should revascularisation (CABG or PCI) be offered initially or should it be delayed?
2. When does CABG offer benefits over PCI?
The following topics are discussed:
. Revascularisation versus medical therapy in diabetes
. Bypass Angioplasty Revascularisation Investigation 2 Diabetes trial (BARI 2D) main findings
. Limitations of BARI 2D
. CABG versus PCI in diabetes
. Ongoing study of CABG versus PCI in diabetes
. Clinical implications for patients with diabetes
. Patient involvement
. Advances in medical and surgical ther... Review: Saxagliptin for type 2 diabetes mellitus Source: American Journal of Health-System Pharmacy
Area: News
This review: on saxagliptin, a dipeptidyl peptidase-4 inhibitor for the treatment of type 2 diabetes mellitus examines its pharmacology, pharmacokinetics, efficacy, safety, and dosage and administration. (Source: NeLM - News) Annual Evidence Updates planned for September 2010 Source: NHS Evidence
Area: News
NHS Evidence has announced the following Annual Evidence Updates planned for September 2010:
6 September
Epilepsy
Gastrointestinal symptoms in supportive and palliative care
13 September
Alzheimer's disease and dementia
Diabetic Retinopathy
Eczema
20 September
Osteoarthritis
Surgical aspects of faecal incontinence
27 September
Amblyopia
Antenatal and pregnancy care (Source: NeLM - News) Pneumomediastinum as a complication of emphysematous cholecystitis: case report Conclusion:
Emphysematous cholecystitis should be considered as a possible cause of pneumomediastinum. (Source: BMC Gastroenterology) Proposed Diabetes Test Misses Most Cases: Study A new proposed diabetes test could miss millions of cases of diabetes and pre-diabetes and also over-diagnose black Americans, suggests a new study published online July 16th in Diabetes Care. Reuters Health Information (Source: Medscape Pathology Headlines)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Previous gestational diabetes impairs long-term endothelial function in a mouse model of complicated pregnancy Women who develop gestational diabetes mellitis (GDM) display endothelial dysfunction up to 1 yr after pregnancy, despite a return to normoglycemia. It is unknown whether this dysfunction was preexisting or whether GDM pregnancy leads to long-term endothelial dysfunction. A mouse model that spontaneously develops GDM (Leprdb/+) was used to determine whether the endothelial dysfunction that develops during GDM is evident in later life. Heterozygous and wild-type (WT) controls were allowed to litter once, then age to 9–10 mo, and were compared with virgin controls. Vascular function of small mesenteric arteries was assessed using wire myography. Concentration response curves to the thromboxane A2mimetic U46619 and the endothelium-dependent vasodilator methacholine were constructed. Sup... Metabolic profiling of muscle contraction in lean compared with obese rodents Interest in the pathophysiological relevance of intramuscular triacylglycerol (IMTG) accumulation has grown from numerous studies reporting that abnormally high glycerolipid levels in tissues of obese and diabetic subjects correlate negatively with glucose tolerance. Here, we used a hindlimb perfusion model to examine the impact of obesity and elevated IMTG levels on contraction-induced changes in skeletal muscle fuel metabolism. Comprehensive lipid profiling was performed on gastrocnemius muscles harvested from lean and obese Zucker rats immediately and 25 min after 15 min of one-legged electrically stimulated contraction compared with the contralateral control (rested) limbs. Predictably, IMTG content was grossly elevated in control muscles from obese rats compared with their lean counte... Maternal obesity and fetal metabolic programming: a fertile epigenetic soil The incidence of obesity and overweight has reached epidemic levels in the United States and developed countries worldwide. Even more alarming is the increasing prevalence of metabolic diseases in younger children and adolescents. Infants born to obese, overweight, and diabetic mothers (even when normal weight) have increased adiposity and are at increased risk of later metabolic disease. In addition to maternal glucose, hyperlipidemia and inflammation may contribute to the childhood obesity epidemic through fetal metabolic programming, the mechanisms of which are not well understood. Pregravid obesity, when combined with normal changes in maternal metabolism, may magnify increases in inflammation and blood lipids, which can have profound effects on the developing embryo and the fetus in u... Diabetes drug may keep lung cancer at bay CHICAGO (Reuters) - The common diabetes drug metformin may hold promise as a way to keep smokers from developing lung cancer, U.S. researchers said on Wednesday. (Source: Reuters: Health) New Evidence That Fat Cells Are Not Just Dormant Storage Depots for Calories September 1, 2010 (EurekAlert) - Scientists are reporting new evidence that the fat tissue in those spare tires and lower belly pooches ? far from being a dormant storage depot for surplus calories ? is an active organ that sends chemical signals to other parts of the body, perhaps increasing the risk of heart attacks, cancer, and other diseases.
read more (Source: Diabetes News from dLife.com)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> New Study Singles out Factors Linked to Cognitive Deficits in Type 2 Diabetes September 1, 2010 (EurekAlert) - Older adults with diabetes who have high blood pressure, walk slowly or lose their balance, or believe they're in bad health, are significantly more likely to have weaker memory and slower, more rigid cognitive processing than those without these problems, according to a new study published by the American Psychological Association.
read more (Source: Diabetes News from dLife.com) Immune System Research Sees Many Similarities Among People Findings may lead to better diagnosis, treatment of cancers, autoimmune diseases, study says (Source: The Doctors Lounge - Neurology) Diabetes drug shows potential as a cancer fighter An inexpensive drug that's already used to treat type 2 diabetes could find new life as a cancer fighter, with two new studies suggesting it fights off colon cancer and even prevents lung cancer in smokers. (Source: CTV Health) Diabetes Drug Metformin Linked to Lower Lung Cancer Rate in Mice Findings reflect those of population studies in humans, researchers say
Source: HealthDay
Related MedlinePlus Pages: Diabetes Medicines, Lung Cancer (Source: MedlinePlus Health News) Charcot neuroarthropathy: An often overlooked complication of diabetes In patients with long-standing, poorly controlled diabetes and peripheral neuropathy, a red, hot, swollen foot without open ulceration should raise the suspicion of Charcot neuroarthropathy, an often-overlooked diabetic foot complication. The authors discuss key diagnostic features and how to differentiate this condition from cellulitis, osteomyelitis, and other conditions. They review key elements of the workup and emphasize the importance of early diagnosis and prompt treatment to preserve a functioning foot. (Source: Cleveland Clinic Journal of Medicine)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Hospitalized Patients With 2009 H1N1 Influenza Infection: The Mayo Clinic Experience CONCLUSION: Hospitalized adults with H1N1 influenza infection are relatively young, and a significant number require treatment in the ICU. Among the patients who require ICU admission, most develop acute lung injury or acute respiratory distress syndrome and require mechanical ventilator support. (Source: Mayo Clinic Proceedings) Impact of Prevalent Fractures on Quality of Life: Baseline Results From the Global Longitudinal Study of Osteoporosis in Women CONCLUSION: Previous fractures at a variety of bone locations, particularly spine, hip, and upper leg, or involving more than 1 location are associated with significant reductions in quality of life. (Source: Mayo Clinic Proceedings) Balanced diet cuts heart risk Conclusion
This well-conducted trial benefits from its relatively large size, accurate provision of the three randomised diets and high study completion rates (95%). It also featured a reliable study outcome by using the average of a series of blood pressure measures, which is preferable to relying on a single blood pressure reading.
The study found that eight weeks of the DASH diet, which was rich in fruit and vegetables and low in saturated fat, lowered blood pressure and cholesterol. This contributed to a decrease in predicted 10-year CHD risk. The DASH diet reduced this risk by 18% compared to a high-saturated fat ?American? diet and by 11% compared to a diet similar to the American diet but with higher intake of fruit and vegetables.
Some points to note when interpreting this stud... Diabetes drug can reduce risk of cancer, researchers find A growing body of evidence suggests that the widely used diabetes drug metformin can reduce the risk of cancer, researchers said Wednesday.
A study in mice exposed to tobacco carcinogens shows that the drug can reduce the development of lung tumors by... (Source: OrlandoSentinel: Medical Research) Death risk from insomnia unclear Conclusion
This study has found that in middle-aged men, self-reported insomnia and objectively measured short sleep duration was associated with a greater risk of death during the 14-year follow-up period, compared with men who did not have insomnia or short sleep duration. However, these findings require careful interpretation and do not prove that insomnia increases the risk of early death:
The study has an important limitation in that it is a secondary analysis of a study set up to assess the age distribution of people with sleep-disordered breathing. As such, the participants were not selected at random. All of them had a higher risk of sleep-disordered breathing, and the women had markedly higher BMIs. These factors may affect both mortality risk and insomnia. Therefore, the resul...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Less is More: Study Shows That Teens Who Sleep Less Eat More Fatty Foods and Snacks September 1, 2010 (EurekAlert) - A study in the Sept. 1 issue of the journal Sleep shows that teens who slept less than eight hours per weeknight ate higher proportions of fatty foods and snacks than adolescents who slept eight hours or more. The results suggest that short sleep duration may increase obesity risk by causing small changes in eating patterns that cumulatively alter energy balance, especially in girls.
read more (Source: Diabetes News from dLife.com) GI Dynamics Announces Distribution Agreement with Elemental Healthcare for the EndoBarrier Gastrointestinal Liner LEXINGTON, Mass. & HUNGERFORD, England--(Healthcare Sales & Marketing Network)--GI Dynamics, a leader in non-surgical, endoscopic treatments for type 2 diabetes and obesity, today announced it has entered into a new agreement with Elemental Healthcare, bas... Devices, DistributionGI Dynamics, Elemental Healthcare, EndoBarrier (Source: HSMN NewsFeed) Association of Interleukin-10 Polymorphisms with Cytokines in Type 2 Diabetic Nephropathy Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology) The Fallacy of Hindsight: Response to Moses and Koenen Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology) Lower Rate of Initial Failures and Reduced Occurrence of Adverse Events with a New Catheter Model for Continuous Subcutaneous Insulin Infusion: Prospective, Two-Period, Observational, Multicenter Study Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Analysis of Hemodialysis-Associated Hypoglycemia in Patients with Type 2 Diabetes Using a Continuous Glucose Monitoring System Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology) Detrended Fluctuation Analysis Is Considered to Be Useful as a New Indicator for Short-Term Glucose Complexity Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology) Inter-Day Glycemic Variability Assessed by Continuous Glucose Monitoring in Insulin-Treated Type 2 Diabetes Patients on Hemodialysis Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology) MIF knockdown impairs glucose homeostasis Macrophage migration inhibitory factor (MIF) is a cytokine which affects carbohydrate metabolism and has been linked to obesity and insulin resistance. Serre-Beinier and colleagues have shown that MIF plays an active role in insulin secretion and glucose homeostasis for the first time, using MIF knockout mice. MIF deficiency affected body weight gain; mice had a lower body weight at birth, whilst after birth a higher body weight gain was observed compared to wild type mice, due to increased food intake. Older mice without the MIF gene had impaired glucose tolerance, with an age-dependent increase in fasting insulin levels being observed. This leads to an increase in glucose uptake which may explain the increased fat mass of older mice.
Whilst further work needs to be done to elucidate MIF&... Diabetes-Related Risk Factors and Cognitive Aging Focus on Obesity, Insulin Resistance, and the Metabolic Syndrome (Source: Psychiatric Times)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Whisky from the Urine of Diabetics I learned of whisky made from the urine of diabetics while reading Slashdot today. Sugar is recovered from the urine of a diabetic person and is added to the whisky ...Read Full Post (Source: About.com Chemistry) Improving Ocular Disease Screening By LED Illumination Of The Eye A new imaging system using six different wavelengths to illuminate the interior of the eyeball (ocular fundus) may pave the way for doctors to easily screen patients for common diseases of the eye, such as age-related macular degeneration and diabetic retinopathy. The system is described in the journal Review of Scientific Instruments, which is published by the American Institute of Physics... (Source: Health News from Medical News Today) Differences in cortical and pituitary activity in response to hypoglycaemia and cognitive testing in healthy men with different basal activity of the renin-angiotensin system Conclusion. Basal RAS activity influenced cerebral activity. Low RAS was associated with more pronounced cortical activation in all glycaemic conditions. High RAS was associated with pituitary activation during hypoglycaemia and post-hypoglycaemia, and this was associated with a greater growth hormone response. (Source: Journal of the Renin-Angiotensin-Aldosterone System : JRAAS) Spironolactone ameliorates podocytic adhesive capacity via restoring integrin {alpha}3 expression in streptozotocin-induced diabetic rats Podocyte responses to various injuries include detachment from the glomerular basement membrane (GBM) with impaired adhesion ability. Growing evidence suggests inappropriately enhanced aldosterone levels in glomeruli may contribute to podocytic injury and subsequently glomerulosclerosis in diabetic nephropathy (DN). In the present study, we aimed to investigate podocytic integrin 3 expression and urinary podocyte excretion in streptozotocin (STZ)-induced diabetic rats, and to evaluate their responses to spironolactone (SPL). STZ-induced male diabetic Wistar rats were treated with vehicle (the STZ group, n=7), or spironolactone (the STZ+SPL group, n=6) for 12 weeks, six additional rats of similar body weight serving as control. Urine specimens were obtained for measurement of urine albumin ... ORIGINAL ARTICLE: Differences in mouse models of diabetes mellitus in studies of male reproduction Summary (Source: International Journal of Andrology)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Insomnia with Short Sleep Duration and Mortality: The Penn State Cohort Conclusions: Insomnia with objective short sleep duration in men is associated with increased mortality, a risk that has been underestimated.
Keywords: Insomnia, short sleep duration, mortality, population-based study (Source: Sleep) Comparison of family partnership intervention care vs. conventional care in adult patients with poorly controlled type 2 diabetes in a community hospital: A randomized controlled trial This study aimed to compare FPIC with conventional care (CC) across a number of outcome measures in patients with poorly controlled type 2 diabetes.Design: The study was performed using a randomized controlled trial design.Participants: Patients with poorly controlled type 2 diabetes who were solely treated with oral antidiabetic agents and had at least two out of three hemoglobin A1C readings equal to or above 7% in the previous 12 months, were randomly assigned to the FPIC group (n=28) and to the CC group (n=28).Methods: Baseline and 6-month follow-up scores were compared using the following outcome measures: (1) hemoglobin A1C, (2) BMI, (3) lipid profile, (4) family supportive behaviours, (5), knowledge of and attitudes toward diabetes, and (6) diabetes self-care behaviours. Descriptive... Crisps: a very British habit They're fried in fat and smothered in salt, but still we eat a heart-stopping 6bn packets of them a year. So why do we have an unhealthy obsession with potato crisps?? Food blog: what's your favourite crisp?In an unremarkable suburb of Leicester called Beaumont Leys is a big factory ? or actually two, side by side. But let's not split hairs already. The point is that it's big; a winding 10-minute march from reception round to the delivery bays.These bays are where the raw material comes in, which is potatoes. The variety changes with the season, depending on whether they've come straight from the fields in summer, or from storage during winter. There are Hermes, Saturna and, right now, round, pink-cheeked Lady Rosetta.Let's follow her, briefly. She is washed out of the truck ? sheddi... Retinal Detachment Title: Retinal DetachmentCategory: Diseases and ConditionsCreated: 3/8/2000Last Editorial Review: 9/1/2010 (Source: MedicineNet Diabetes General) Eicosapentaenoic acid as an add-on to antidepressant medication for co-morbid major depression in patients with diabetes mellitus: A randomized, double-blind placebo-controlled study Abstract: Background: Depression is common in individuals with diabetes. The present study is the first randomized controlled trial to test the efficacy of ?-3 ethyl-eicosapentaenoic acid (E-EPA) as adjuvant to antidepressant medication in the treatment of depression in adults with diabetes mellitus.Methods: In the VU University Medical Center, we conducted a 12-week, placebo-controlled, double-blind, parallel-group intervention study of E-EPA (1g/day) versus placebo in 25 diabetes patients meeting DSM-IV criteria for major depressive disorder, who were already using antidepressant medication. The primary outcome was severity of depressive symptoms, assessed by the Montgomery Åsberg Depression Rating Scale (MADRS) at baseline and 12-week follow-up at two-weekly intervals. Blood samples w...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> Behind the headlines - Genetic effects of vitamin D studied ?Stocking up on vitamin D supplements and enjoying the summer sun could cut the risk of a host of diseases,? reported the Daily Mail. This news story is based on a study that investigated how vitamin D might influence the risk of certain diseases by affecting the activity of genes. It found that vitamin D binds directly to genes associated with several common autoimmune diseases, including multiple sclerosis, type 1 diabetes, rheumatoid arthritis and colorectal cancer. Studies of this kind add to our knowledge of the function of vitamin D, and will be used to assess the guidelines for recommended vitamin D intake. What does NHS Choices make of this study? This is a valuable addition to our knowledge of the effects of vitamin D in the cells and how it might affect our risk of certain di... Behind the headlines - Genetic effects of vitamin D studied ?Stocking up on vitamin D supplements and enjoying the summer sun could cut the risk of a host of diseases,? reported the Daily Mail. This news story is based on a study that investigated how vitamin D might influence the risk of certain diseases by affecting the activity of genes. It found that vitamin D binds directly to genes associated with several common autoimmune diseases, including multiple sclerosis, type 1 diabetes, rheumatoid arthritis and colorectal cancer. Studies of this kind add to our knowledge of the function of vitamin D, and will be used to assess the guidelines for recommended vitamin D intake. What does NHS Choices make of this study? This is a valuable addition to our knowledge of the effects of vitamin D in the cells and how it might affect our risk of certain di... Diabetes may speed up progression of mild cognitive impairment The presence of diabetes in patients with mild cognitive impairment can accelerate progression to dementia by more than 3 years, a Swedish study suggests. (Source: MedWire News - Diabetes) Behind the headlines - Genetic effects of vitamin D studied ?Stocking up on vitamin D supplements and enjoying the summer sun could cut the risk of a host of diseases,? reported the Daily Mail. This news story is based on a study that investigated how vitamin D might influence the risk of certain diseases by affecting the activity of genes. It found that vitamin D binds directly to genes associated with several common autoimmune diseases, including multiple sclerosis, type 1 diabetes, rheumatoid arthritis and colorectal cancer. Studies of this kind add to our knowledge of the function of vitamin D, and will be used to assess the guidelines for recommended vitamin D intake. What does NHS Choices make of this study? This is a valuable addition to our knowledge of the effects of vitamin D in the cells and how it might affect our risk of certain di... Study finds an increased risk of death in men with insomnia and a short sleep duration (American Academy of Sleep Medicine) Men with chronic insomnia who slept for less than six hours were four times more likely to die during the 14-year follow-up period. Results were adjusted for potential confounders such as body mass index, smoking status, depression and obstructive sleep apnea. Further adjustments for hypertension and diabetes had little effect on the elevated mortality risk. No significant mortality risk was found in women with insomnia and a short sleep duration of less than six hours. (Source: EurekAlert! - Medicine and Health)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div> New study singles out factors linked to cognitive deficits in type 2 diabetes (American Psychological Association) Older adults with diabetes who have high blood pressure, walk slowly or lose their balance, or believe they're in bad health, are significantly more likely to have weaker memory and slower, more rigid cognitive processing than those without these problems, according to a new study published by the American Psychological Association. (Source: EurekAlert! - Medicine and Health) JCI online early table of contents: Sept. 1, 2010 (Journal of Clinical Investigation) This release contains summaries, links to PDFs, and contact information for the following newsworthy papers to be published online, Sept. 1, 2010, in the JCI: "Protecting nerve cells from death in a model of stroke"; "Modified adenovirus malaria vaccine works a treat in mice"; "Mechanisms of testicular cancer drug resistance"; "Pacifying protein levels to treat diabetes"; "Preemptive approach to decreasing scarring in the heart"; and others. (Source: EurekAlert! - Cancer) Continuous Glucose Monitoring Reveals Delayed Nocturnal Hypoglycemia After Intermittent High-Intensity Exercise in Nontrained Patients with Type 1 Diabetes Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology) Effective Intervention or Child's Play? A Review of Video Games for Diabetes Education Diabetes Technology & Therapeutics , Vol. 0, No. 0. (Source: Diabetes Technology)
of heart disease.
The researchers had found that even in these patients with no symptoms, 22 percent had myocardial ischemia. In the DIAD study, the researchers analyzed data from 522 patients with type 2 diabetes. Of the patients with silent myocardial ischemia, only 60 percent met American Association (ADA) guidelines for heart disease screening.
As suspected by the researchers, the rate of silent ischemia is even higher in the real world. The study again shows that is a very serious risk factor for heart disease. According to the researchers, the ADA should review its guidelines for screening heart disease for type-2 because they obviously miss almost half the patients with silent disease. Article Source: http://www.ArticleJoe.com Feel free to use this article on your website or ezine as long as the following information about author/website is included. Heart Disease Prevention - 8 Simple Ways You Can Do Immediately, Go to: www.howtopreventheartdisease.com
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