diabetestalk.net

Surgery For Weight Loss: A Standard Treatment For Type 2 Diabetes?

Surgery for weight loss: A standard treatment for type 2 diabetes?

Surgery for weight loss: A standard treatment for type 2 diabetes?

Gastric bypass procedure should be used more often, experts say
Weight-loss surgery not only leads to dramatic weight loss, it also reverses type 2 diabetes in most people who undergo these stomach-shrinking procedures. In fact, international diabetes organizations now say that surgery for weight loss should become a more routine treatment option for people with type 2 diabetes—even those who are only mildly obese.
Many of the estimated 29 million Americans with type 2 diabetes are overweight or obese. Marked by high levels of sugar in the blood, type 2 diabetes boosts the risk of heart disease, kidney disease, eye and nerve complications, and other serious health problems.
Currently, weight-loss surgery is considered appropriate for two groups of people: those with extreme obesity (a body mass index, or BMI, of 40 or higher; see www.health.harvard.edu/bmi for a calculator) or those only with moderate obesity (BMI of 35 or higher) who also have an obesity-related health problem, such as type 2 diabetes, high blood pressure, or sleep apnea.
But even people with mild obesity (a BMI between 30 and 35) who have trouble controlling their blood sugar levels should be considered candidates for weight-loss surgery (also known as bariatric surgery). That's according to a joint statement endorsed by 45 international diabetes organizations, published in the June 2016 issue of Diabetes Care.
Weight-loss surgeries: What are they?
The two most common weight-loss procedures are the gastric bypass procedure and the gastric sleeve. Most are done through several small belly incisions.
Gast Continue reading

Rate this article
Total 1 ratings
Fitbit has a new partnership to help wearers manage diabetes with the Ionic smartwatch

Fitbit has a new partnership to help wearers manage diabetes with the Ionic smartwatch

Image: lili sams/mashable
Fitbit is looking to expand its health monitoring capabilities beyond just fitness tracking, so the company is teaming up with a major medical device maker to help people manage diabetes directly on their wrists.
Fitbit just announced a new partnership with glucose monitoring device company Dexcom. The first initiative to come from the deal will bring Dexcom's data to the upcoming Ionic smartwatch, where glucose levels will be accessible right alongside steps, heart rate, and other stats tracked by the device.
The partnership won't give the Ionic continuous glucose monitoring capabilities on its own — patients will need to connect one of Dexcom's devices to their Fitbit app — but putting the data right on the smartwatch should make keeping track throughout the day an even more seamless experience.
The new functionality isn't just big news for Fitbit fans with diabetes — the company's shareholders have reason to be excited, too. Fitbit shares jumped up 13 percent immediately following the announcement, according to MarketWatch. The prices were the highest for the company since January, when it laid off six percent of its staff and first declared its plans to make a smartwatch.
The Ionic will be released sometime next month, but it won't launch with the Dexcom functionality. The two companies say they're "aiming for 2018" to roll out the connectivity, and more areas of collaboration are also in the works.
Fitbit isn't Dexcom's first wearable deal. The company's tech was also named as an upcoming feature for the Apple Watch at WWDC back in June. Continue reading

What is Hyperglycemia (High Blood Sugar)? Causes, Symptoms, Treatment, Prevention

What is Hyperglycemia (High Blood Sugar)? Causes, Symptoms, Treatment, Prevention


What is Hyperglycemia (High Blood Sugar)? Causes, Symptoms, Treatment, Prevention
What is Hyperglycemia (High Blood Sugar)? Causes, Symptoms, Treatment, Prevention
Hyperglycemia is a medical condition which describes adversely high blood sugar, which is a major concern and can affect patients with prediabetes , type 1 and type 2 Diabetes . There are two main types of hyperglycemia
Fasting hyperglycemia This level of blood sugar exceeds 130 milligrams per deciliter (mg/dL) after skipping drinking or eating for up to 8 hours.
After-meal or postprandial hyperglycemia This level of blood sugar exceeds 180 mg/dL after two hours of meals. Without diabetes, blood sugar rarely reaches 140 mg/dL after having meals.
Current or frequent high blood sugar may lead to damage to blood vessels , nerves, and organs. It can also cause various severe conditions. Patients with type 1 diabetes are vulnerable to build-up of acids ketoacidosis in blood.
If you are vulnerable to type 2 diabetes or you have, your body will become unable to produce sugar, a deadly condition caused by very high blood sugar. It is known as HHNS or Hyperglycemic, Hyperosmolar Nonketotic Syndrome. In this condition, you will get natures call more often initially, and then less frequently later, but your urine may get dark and you could be severely dehydrated. To prevent complications, be sure to cure symptoms of high blood sugar quickly.
Intestinal and stomach problems like diarrhea or chronic constipation
Nerve damage which causes insensitive or cold feet, erectile dysfunction , or loss of hair
In order Continue reading

News Flash: The FDA Just Approved a Breakthrough Diabetes Device

News Flash: The FDA Just Approved a Breakthrough Diabetes Device

Diabetes is often referred to in the medical community as the "silent killer." Affecting more than 30 million people in the U.S. (9.4% of the population), diabetes was listed the cause of death for nearly 80,000 people in 2016, according to the Centers for Disease Control and Prevention. Its comorbidities, such as hypertension, heart disease, and kidney disease, can also cause lifelong problems and themselves lead to death. Though it may not inspire the same fear in patients as a cancer diagnosis, it's a very serious disease.
Diabetes is also a costly disease to treat. The CDC's National Diabetes Statistics Report released earlier this year estimated the direct and indirect estimated costs of diagnosed diabetes at $245 billion as of 2012. Mind you, nearly 24% of the 30.3 million people with diabetes in the U.S. are undiagnosed, meaning this $245 billion estimate is probably conservative and underrepresenting the actual costs of treating diabetic patients. It probably also fails to fully account for the lost worker productivity as a result of diabetics missing work or passing away earlier than people who don't have diabetes.
These statistics demonstrate why research into new medicines and devices designed to improve the quality of life of diabetics is so important.
The FDA green-lights another breakthrough diabetes device
Well, folks, I have some good news to report. Last week, the Food and Drug Administration approved a breakthrough diabetes device from Abbott Laboratories (NYSE:ABT) that should make life considerably better, and less painful, for diabetics.
The device, kno Continue reading

Renal Handling of Ketones in Response to Sodium–Glucose Cotransporter 2 Inhibition in Patients With Type 2 Diabetes

Renal Handling of Ketones in Response to Sodium–Glucose Cotransporter 2 Inhibition in Patients With Type 2 Diabetes

OBJECTIVE Pharmacologically induced glycosuria elicits adaptive responses in glucose homeostasis and hormone release, including decrements in plasma glucose and insulin levels, increments in glucagon release, enhanced lipolysis, and stimulation of ketogenesis, resulting in an increase in ketonemia. We aimed at assessing the renal response to these changes.
RESEARCH DESIGN AND METHODS We measured fasting and postmeal urinary excretion of glucose, β-hydroxybutyrate (β-HB), lactate, and sodium in 66 previously reported patients with type 2 diabetes and preserved renal function (estimated glomerular filtration rate ≥60 mL · min−1 · 1.73 m−2) and in control subjects without diabetes at baseline and following empagliflozin treatment.
RESULTS With chronic (4 weeks) sodium–glucose cotransporter 2 inhibition, baseline fractional glucose excretion (<2%) rose to 38 ± 12% and 46 ± 11% (fasting vs. postmeal, respectively; P < 0.0001) over a range of BMIs (range 23–41 kg/m2) and creatinine clearance (65–168 mL · min−1 · m−2). Excretion of β-HB (median [interquartile range]: 0.08 [0.10] to 0.31 [0.43] µmol · min−1), lactate (0.06 [0.06] to 0.28 [0.25] µmol · min−1), and sodium (0.27 [0.22] to 0.36 [0.16] mEq · min−1) all increased (P ≤ 0.001 for all) and were each positively related to glycosuria (P ≤ 0.001). These parameters changed in the same direction in subjects without diabetes, but changes were smaller than in the patients with diabetes. Although plasma N-terminal pro–B-type natriuretic peptide levels were unaltered, plasma erythropoietin c Continue reading

No more pages to load

Popular Articles

  • Can An Add-on Pill for Type 1 Diabetes Improve A1c and Weight Loss?

    Trial results testing sotagliflozin and Farxiga in type 1 diabetes show greater A1c lowering and weight loss, plus continued conversation about small risk of DKA Potential “add-on” (adjunctive) treatments for type 1 diabetes played a starring role at the 2017 EASD conference. Key trial results were announced for two non-insulin drugs that come in pill form, offering people with type 1 diabetes ...

  • Diabetes And Weight Loss for Type 2

    Obesity and diabetes are intimately linked. In particular, abdominal obesity can be a major culprit in the development of diabetes and cardiovascular disease. Research shows that if you are overweight and have been diagnosed with Diabetes Type 2, losing weight will significantly lower your blood sugar levels and also improve your overall health. So, yes. Diabetes and weight loss makes immense sens ...

  • Type 2 diabetes may be reversible with weight loss, study finds

    A British study has found that type 2 diabetes could potentially be reversed through weight loss and with the long-term support of a medical professional. The initial findings come from an ongoing trial study called DiRECT (Diabetes Remission Clinical Trial), which aims to find an effective accessible way to put type 2 diabetes into remission long-term. Led by Prof. Roy Taylor, from Newcastle Univ ...

  • Differential Weight Loss Effects on Type 2 Diabetes Remission Among Adults

    An analysis of nationally representative survey-based data finds that 5.2% of adults with type 2 diabetes were in remission, without bariatric surgery, at the end of the second year. INTRODUCTION: Little is known about the variation in the effect of nonsurgical weight loss among obese and nonobese individuals on the incidence of type 2 diabetes (T2D) remission. METHODS: Using data from a nationall ...

  • New UK Study Ties Remission of Type 2 Diabetes to Weight Loss

    possible to reverse Type 2 diabetes through a low calorie diet program, without any help from medications. The study, which was funded by Diabetes UK, was led by Professor Roy Taylor from Newcastle University and Professor Mike Lean from the University of Glasgow. They presented their findings at the International Diabetes Federation Congress in Abu Dhabi on December 5. The study is published in T ...

  • How Weight Loss May Reverse Type 2 Diabetes

    The benefits of weight loss in treating diabetes have always been at the forefront of diabetes care, particularly for those people with type 2 diabetes who are overweight or obese. Excess weight can increase inflammation and make blood sugars harder to control by causing insulin resistance. The American Diabetes Association states that, "There is strong and consistent evidence that modest persiste ...

  • Weight loss: Type 2 diabetes sufferer cures condition with 6.99 hypnosis app | Express.co.uk

    A woman who developed type 2 diabetes after gorging her way to 17-and-a-half stone on gourmet sandwiches in her works American-style diner has managed to ditch insulin and drop four dress sizes thanks to a 6.99 hypnosis app. Previously fit and slender, Tracey Hoffs waistline began to balloon in her twenties, when she landed a job at The Body Shops head office in Littlehampton, West Sussex, wol ...

  • Why the Most Powerful Treatment for Diabetes Turns Out to Be Surgery

    Surgery that shortens intestines gets rid of the illness, and new evidence shows the gut—not simply insulin—may be responsible When I began training as a surgeon about two decades ago, I was eager to treat tumors, gallbladder stones, hernias and all other conditions within reach of a scalpel. Surgery seemed like a direct solution to some serious problems. This is a preview. Make a selection be ...

  • Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)

    Abstract Objective To compare the effectiveness of insulin pumps with multiple daily injections for adults with type 1 diabetes, with both groups receiving equivalent training in flexible insulin treatment. Design Pragmatic, multicentre, open label, parallel group, cluster randomised controlled trial (Relative Effectiveness of Pumps Over MDI and Structured Education (REPOSE) trial). Setting Eight ...

Related Articles