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Do You Read All Of Our Cancer Blogs?

Do You Read All Of Blogs?
This page you have reached is an archive page of diabetes watch blog. If you wish to read current posting of this blog, please go to diabetes watch blog main page. If you wish to read the archived blog postings, simply scroll down to the lower part of the page.

Do you read all of the blogs published by medicineworld.org? Many of our bloggers are busy keeping you updated on the various health related topics. We publish the following blogs at this time.

Cancer blog: I manage the cancer blog with lots of help and support form other bloggers. Through this cancer blog my friends and I try to bring stories of hope for patients with cancer. The cancer blog often republishes important blog posts from other cancer related blogs at Medicineworld.org. If you are searching for a blog that covers wide variety of cancer topics, this may be the one for you.

Breast cancer blog: Breast cancer blog is run by Emily and other bloggers and they bring you the latest stories, news and events that are related to breast cancer. Increasing awareness about breast cancer among women and in the general population is the main goal of this breast cancer blog.

Lung cancer blog: Lung cancer blog is managed by Scott with the help of other bloggers. Through this blog Scott and his friends constantly remind the readers about the dangers of smoking. It's a never-ending struggle against this miserable disease with which a social stigma of smoking is associated.

Colon cancer blog: Colon cancer blog is run by Sue and other bloggers. Sue brings a personal touch to the colon cancer blog since her mother died of colon cancer few years ago. She writes about stories, research news and advances in treatment related to colon cancer.

Prostate cancer blog: Prostate cancer is the most common cancer among American men. American Cancer Society estimates that over 230,000 new cases of prostate cancer occur in the United state every year. This important blog about prostate cancer is run by Mark and other bloggers. This blog brings news, stories, and other personal observations related to prostate cancer.

Medicineworld.org publishes a diabetes watch blog and this blog is run by JoAnn other bloggers. This diabetes watch blog brings you the latest in the field of diabetes. This includes personal stories, advances in diagnosis and treatment, and other observations about diabetes. Improving awareness about diabetes is an important mission of this group.

Janet      

Dec 11, 2005

Cape Town Will Host Next World Diabetes Congress

Cape Town Will Host Next World Diabetes Congress
Cape Town in South Africa will be the host of the 19th World Diabetes Congress organized by the International Diabetes Federation in Cape Town from 3 to 7 December 2006.

The only global congress related to diabetes will be a watershed event not only providing a unique platform for discussion of the latest scientific advances in the field but also offering practical information on diabetes care, advocacy and awareness.

An expected number of 10 000 participants from the broad diabetes community worldwide will come together to share knowledge, experience and ideas.

For the diabetes community on the African continent it will offer a chance to raise awareness of the seriousness of the condition and bring hope to those living with diabetes across the region.

JoAnn      Permalink

Dec 9, 2005

Insulin Patch Closer To FDA Approval

Insulin Patch Closer To FDA Approval
I have previously written about inhaled form of insulin, today I am I writing about Insulin patch, which is a novel mode of delivery for insulin. Delivery of drugs through skin patches is not a new idea. You may be familiar with the nicotine patch that is used by smokers to help them to quit smoking. Duragesic patch is a commonly used morphine type of patch, commonly used in patients who have chronic pain like cancer patients. Insulin patches pretty much borrow the same idea.

Various types of insulin patches are under development by different pharmaceutical manufactures. Dermisonics Inc. is developing a new, ultrasonic transdermal drug-delivery patch and the company has recently announced that it has received approval from the regulatory authorities to enter into the next stage of human pilot trials of its proprietary U-Strip (TM) Insulin Patch drug-delivery system.

The trials, expected to begin in the first quarter of 2006, will evaluate the use of U-Strip transdermal patch device as an insulin delivery system for Type-2 diabetics.

If successful, it would add this painless and convenient alternative strategy to the armamentarium of the currently existing 175 or more drug formulations to treat diabetes.

The initial pilot study would involve a small group of volunteers with Type-2 diabetes, to compare the performance of the Dermisonics U-Strip (TM) Insulin Patch system with an existing FDA-approved insulin pump delivery system. The test will run for approximately three months. The study will evaluate the effectiveness of the Insulin Patch in comparison to conventional pump therapy, with one significant advantage; the U-Strip(TM) Insulin Patch will be totally non-invasive. The results of the study are expected to be available by 2006.

JoAnn      Permalink

Dec 8, 2005

Putting Your Feet First

Putting Your Feet First
Putting Your Feet First
Think about it! Every 30 seconds a lower limb is amputated somewhere in the world as the direct result of diabetes. This is, according to the data released by the International Diabetes Foundation (IDF). Do you need another reason to keep your feet first?

"Put Feet First: Prevent Amputations", this was the theme of the just diabetic day about a month ago. The point is even after the diabetes day long gone you still have to keep your feet first.

When you put your feet first you will know what are the warning symptoms of decreased blood circulation in the legs, and you will care better for your feet. By putting your feet first you will learn to recognize the problem before a wound or non-healing ulcer develop. This will go a long way in prevention of diabetic gangrene and amputations.

Did you know that foot problems lead to more hospitalizations in diabetics compared to any other diabetic related problems? I didn't know until I started reading about it. Also you might be surprised to know that 70 percent of all amputations, which are not related to trauma, occur due to diabetes.






Putting your feet first involves the following steps:
  • Check your feet every day. Inspect the top, sides, soles, heels, and between the toes.
  • Wash your feet every day with lukewarm water and mild soap. Strong soaps may damage the skin.
  • Test the temperature of the water before putting your feet in, because the normal ability to sense hot temperature is usually impaired in diabetics. Burns can easily occur.
  • Gently and thoroughly dry the feet, particularly between the toes, because infections can develop in moist areas.
  • Because of skin changes linked with diabetes, the feet may become very dry and may crack, possibly causing an infection. After bathing the feet, soften dry skin with lotion, petroleum jelly, lanolin, or oil. Do not put lotion between your toes.
  • Ask your health care provider to show you how to care for your toenails. Soak your feet in lukewarm water to soften the nail before trimming. Cut the nail straight across, since curved nails are more likely to become ingrown.
  • Exercise daily to promote good circulation. Avoid sitting with legs crossed or standing in one position for prolonged periods of time.
  • If you smoke, stop. It decreases blood flow to the feet.
  • Wear shoes at all times to protect your feet from injury. Otherwise, if you have poor vision and less ability to feel pain, you may not notice minor cuts or bumps.
  • Wear comfortable, well-fitting shoes. Never buy shoes that do not fit properly, expecting the shoes to stretch with time. Nerve damage may prevent you from being able to sense pressure from improperly fitting shoes.
  • Check the inside of your shoes for rough areas or torn pieces that can cause irritation.
  • Change your shoes after 5 hours of wearing during the day to alternate pressure points.
  • Avoid wearing thong sandals or stockings with seams that can cause pressure points.
  • Wear clean dry socks or non-binding panty hose every day. Socks may provide an additional layer of protection between the shoe and your foot.
  • Wear socks to bed if your feet are cold. In cold weather, wear warm socks and limit your exposure to the cold to prevent frostbite.
JoAnn      Permalink

Dec 8, 2005

Actos Prevents Heart Attacks

Actos Prevents Heart Attacks
As you may very well know, patients with type-2 diabetes have a higher risk of developing coronary heart disease. Today I have some great news for such patients. Yes, the diabetic medication Actos (pioglitazone) is now known to reduce the recurrence of myocardial infarction in patients with diabetes and myocardial infarction. This is the first known oral diabetes drug has shown to prevent cardiovascular events.

Patients taking Actos (pioglitazone) also experienced considerable reductions in insulin resistance, C-reactive protein (a marker for inflammation) and blood pressure, all of which contribute to the overall risk for cardiovascular disease. Beyond its effects on blood glucose, it also keeps the blood vessels healthy precluding the hardening of the arteries.

In the main study, 5,238 patients with type 2 diabetes were randomly assigned to pioglitazone or placebo in addition to glucose-lowering drugs and other medications, and followed for an average of 34.5 months.

In these patients, pioglitazone significantly reduced the risk of fatal or recurrent non-fatal MI by 28% (a pre-specified endpoint) and significantly reduced the risk of acute coronary syndromes by 37% (part of a post hoc exploratory analysis).

Pioglitazone has shown to increases HDL cholesterol levels and LDL particle size, and decreases levels of triglycerides and inflammatory markers.

Daniel      Permalink

Dec 7, 2005

Catastrophic Drug Plan For Diabetics

Catastrophic Drug Plan For Diabetics
Canadian Diabetic Association is calling for a catastrophic drug plan to help diabetics in Canada. Out-of-pocket expenses for medicines and supplies vary widely across the country and jeopardize their ability to control the potentially life-threatening disease.

"People with diabetes in Canada have difficulty accessing and affording the diabetes medications, devices and supplies they need to manage their disease and reduce their risk of very costly health complications," Dr. Karen Philp, the group's national director of public policy and government relations, said releasing the report.

"There are startling variations in drug plan coverage and financial support for Canadians living with diabetes," Philp said. "A national catastrophic drug plan can ensure that Canadians, no matter where they live, have access to the diabetes medications and supplies they need."

Canada as you may all know has a government owned and controlled health system. Like any other system this policy has good and bad effects. Unlike in the United States all Canadian citizens and permanent residents have medical insurance coverage provided by the government. However this comes at a price. Canada is often slow to adopt the new drugs and devices. Medical resources and investigation facilities may be limited, causing some excess waiting compared to the United States. Sometime the waiting time may reach unacceptable levels.

More than two million Canadians have been diagnosed with diabetes, a number that's expected to rise to at least three million by 2010. This year's price tag for controlling the disease and treating its complications - among them limb amputation, kidney failure and vision loss - is projected to reach a staggering $13 billion. But with half of those with Type 1 or Type 2 diabetes not meeting targeted blood-sugar levels, the proportion of those with complications is sure to rise.

JoAnn      Permalink

Dec 6, 2005

Alcohol Heart Disease Link

Alcohol Heart Disease Link
Many who drink alcohol justify the use of alcohol to the beneficial effects of alcohol in prevention of coronary artery disease. More than a dozen previously published studies have demonstrated a consistent, strong, dose-response relation between increasing alcohol consumption and decreasing incidence of CHD. The protective effect of alcohol is similar in men and women and is present irrespective of the geographic location and ethnic groups. Studies suggest that consumption of one or two drinks per day is associated with a reduction in risk of approximately 30% to 50%.

Studies of coronary narrowing at cardiac catheterization or autopsy show a reduction in atherosclerosis in persons who consume moderate amounts of alcohol. This protective effect of alcohol is independent of other factors like diet and cigarette smoking.

So far good! A new research suggests that things may not be as fruity as above. Researchers from New Zealand say that the harmful effects of alcohol may offset any gain in benefit in coronary artery disease. They say that drinking a glass or two of wine a day may not be such a good idea. Their findings are published in the latest issue of the journal Lancet.

These researchers claim that past studies that showed beneficial effects of alcohol are flawed.

Indeed, there is more evidence that heavier drinking provides the most heart protection - alcoholics have relatively 'clean' arteries they say. But overdrinking may have its own health hazards including damage to the liver and development of cirrhosis. These researchers are warning not assume there is a window in which the health benefits of alcohol are greater than the harms. The health risks of alcohol definitely outweigh the risks the authors say.

The researchers conclude: The good news is that people can still enjoy alcohol in moderation, especially during the festive period. There is no evidence to suggest that light to moderate alcohol consumption will actually harm the heart. However over indulging can have an adverse effect on your health.

Daniel      Permalink

Dec 6, 2005

Mental Abilities Of Your Child Not Damaged By Hypoglycemia

Mental Abilities Of Your Child Not Damaged By Hypoglycemia
If you have a diabetic child you may have witnessed frequent episodes of low blood sugar and may even have witnessed seizures or coma associated with these episodes of low blood sugar called hypoglycemia. I know every parent is worried about the mental development of his or her diabetic child with such episodes. They worry that these episodes may lead to decline in mental abilities of the child.

Doctors have observed that children with type-1 diabetes (juvenile diabetes), who develop the disease very early in the course of life, may show signs of decline in mental abilities. Low blood sugar means lower supply of energy to the whole body including the brain. The question in every parents mind is: do these severe episodes of hypoglycemia, seizures or coma in young children cause impairments in mental ability or behavior?

As per a new study from Australia there are no significant differences in mental abilities between those children who had hypoglycemia and seizures in the early years compared to those children who never had such episodes. The study showed no correlation between the number of severe hypoglycemic events and the memory, intellectual, or behavioral scores. There was no difference between the early first seizure subgroup and no-seizure group even on those delayed recall tasks studied distinctively given the concern about the prospective effect of hypoglycemia on memory function.

The researchers conclude that these results render some encouragement to those children with type 1 diabetes with intensive treatment that seizures and or coma at a young age does not necessarily lead to a gross cognitive or behavioral impairment."

JoAnn      Permalink

Dec 6, 2005

Teach Your Boys Young To Avoid Saturated Fat

Teach Your Boys Young To Avoid Saturated Fat
I have seen some parents taking their small children to McDonalds very frequently. Cultivating such habits in children may have a double edge effect. A recent report published in the Journal of the American Heart Association suggest that, boys with an intake of low saturated fat diet from birth till ten years of age have lower cholesterol levels, healthier arteries and less risk of heart disease or stroke in the later part of their life.
At the same time low saturated diet had no significant impact on girls. The exact cause of this difference between boys and girls is unknown. Researchers speculate that this may be due to the level of sex hormones present in boys and girls.

The study indicated better endothelial health for those who were on a low saturated fat diet compared to the boys eating a typical diet. As per an analysis, the superiority of the endothelial function in boys was because of the lower fat diet early in life rather than later.
Previous studies have indicated that beginning a low saturated-fat diet in infancy with individualized diet and lifestyle counseling could lower cholesterol in children without harming their growth or neurological development.

Daniel      Permalink

Dec 5, 2005

Looking Forward To The Inhaled Form Of Insulin

Looking Forward To The Inhaled Form Of Insulin
Every one of us knows, how painful is the daily life of a diabetic patient. The more you would like to control your blood sugar, the more painful our lives become. Life stretches through the dark tunnel of pain and discomfort for most diabetic patients. But there is light at the end of the tunnel. The new inhaled formulations of insulin are instilling hope to all of us. After all there is light at the end of the tunnel.

There is clear evidence from clinical trials that a new inhaled formulation of insulin, Exubera, is as effective as traditional subcutaneous injections in controlling blood glucose in patients with type 1 or type 2 diabetes. The new formulation, is likely to be the first non-injectable insulin on the market.

Recent clinical trial results with Exubera are reviewed in the journal Core Evidence. Researchers say that one reason that clinicians and patients are often reluctant to initiate insulin therapy is due to the burden of daily injections, and the risk of low blood sugar and weight gain.
Exubera is a dry powder formulation packaged into blisters and delivered via a hand-held inhaler device developed by Nektar Therapeutics. It is jointly developed by Pfizer and Sanofi-Aventis. Its approval has been recommended by an FDA Advisory Board in the United States, and by the Committee for Medicinal Products for Human Use of the European Medicines Agency.

The review in Core Evidence states that there is clear evidence that Exubera is as effective as subcutaneous insulin in reducing HbA1c levels, which is the key indicator of blood glucose control, in patients with type 1 or type 2 diabetes. The article also found that "inhaled insulin" had a greater acceptance relating to convenience and ease of use." The incidence of weight gain and hypoglycemia was no greater with Exubera compared with subcutaneous insulin, and in short-term trials there was no effect on pulmonary function.

JoAnn      Permalink

Dec 3, 2005

Good Diet And Statin Key To Survival

Good Diet And Statin Key To Survival
I walk about 6 miles per week. It's fun during summer to walk on the pavement listening to the chirping of the birds and listening the music from my MP3 player knobs plugged to my ear. Now after the starting of the winter and snow, I feel less inclined to go for a walk. Once in a while I can force myself but then it takes lots of lecturing to my own body.

I was reading a study, which was presented in the recent meeting of the American Medical association. Basically it did not suggest anything that we didn't know, but just reconfirmed our thoughts.

Researchers said that a combination of diet and low-dose pravastatin (prvachol) reduced the risk of coronary heart disease (CHD) in people with moderately elevated cholesterol. I am sure an active exercise program would add to the benefits, even though the researchers did not mention this.

The study showed 33 percent reduction in the coronary artery disease in those people with high cholesterol level who were taking pravachol and eating a healthy diet compared to those who were on diet therapy alone. This was a study from Japan and it was the first study in Japan to show reduction in the coronary artery disease from statin therapy. The benefits were seen both in men and women.

Daniel      Permalink

Dec 2, 2005

Number of Americans with Diabetes Continues to Grow

Number of Americans with Diabetes Continues to Grow
Diabetes now affects nearly 21 million Americans - or 7 percent of the U.S. population - and more than 6 million of those people do not know they have diabetes, according to the latest prevalence data released today by the Centers for Disease Control and Prevention (CDC). This number represents an additional 2.6 million people with diabetes since 2002. Another 41 million people are estimated to have pre-diabetes, a condition that increases the risk of developing type 2 diabetes - the most common form of the disease - as well as heart disease and stroke.

"Diabetes is a leading cause of adult blindness, lower-limb amputation, kidney disease and nerve damage. Two-thirds of people with diabetes die from a heart attack or stroke," said Dr. Frank Vinicor, director of CDC's diabetes program.





Highlights From the CDC fact sheet:
  • Diabetes continues to be the sixth leading cause of death in the United States.
  • In 2005, 1.5 million people aged 20 years or older will be newly diagnosed with diabetes.
  • Compared to non-Hispanic whites, diabetes continues to be more common (1.7 to 2.2 times more common) among American Indians and Alaska Natives, non-Hispanic blacks, Hispanic/Latino Americans, and Asian Americans and Pacific Islanders.
  • The risk of diabetes increases with age. About 21 percent of Americans aged 60 years or older have diabetes. This compares to approximately 2 percent for people 20 to 39 years old and about 10 percent for those aged 40-59 years.
  • The United States spends approximately $132 billion each year on diabetes - $92 billion in direct medical costs and another $40 billion each year in indirect costs because of missed work days or other losses in productivity.


JoAnn      Permalink


Type-2 Diabetes
Type-2 diabetes is the most common form of diabetes, accounting for 90% of cases diabetes. This disease affects nearly 17 million Americans and is the seventh leading cause of death in the United States. Even though 17 million Americans have type-2 diabetes only half of these people are aware that they have diabetes. The death rate in patients with diabetes may be up to 11 times higher than in persons without the disease. The occurrence of diabetes in persons 45 to 64 years of age is 7 percent, but the proportion increases significantly in persons 65 years of age or older. Type-2 diabetes accounts for more than 90% of all diabetes worldwide.

Diabetes Watch Blog: From Medicineworld.org

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