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Archive for the ‘Diabetes’ Category

Metformin in breast cancer – Nature.com

Saturday, April 1st, 2017
Metformin in breast cancer
Nature.com
A new study published in the Journal of Clinical Oncology reports that metformin improves the prognosis of patients with HER2-positive, hormone receptor (HR)-positive breast cancer and diabetes mellitus. The phase III randomized ALTTO trial included ...

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Eat 3 Servings Of This a Week to Cut Your Diabetes Risk By 35% – Men’s Health

Saturday, April 1st, 2017

Men's Health
Eat 3 Servings Of This a Week to Cut Your Diabetes Risk By 35%
Men's Health
After analyzing the food consumption of 3,349 people at high risk of heart disease but without type 2 diabetes, they discovered that those who ate about 3 servings a week of lentils, chickpeas, beans, and peas were 35 percent less likely to develop ...
Eat legumes to reduce your risk of type 2 diabetes by 35%Daily Mail
Eat legumes to cut the risk of Type 2 diabetesHindustan Times
Suffering from diabetes? Eating legumes may helpEconomic Times
Malay Mail Online -Diabetes.co.uk
all 14 news articles »

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New therapies show promise in treating diabetes – ModernMedicine

Saturday, April 1st, 2017

Diabetes medications were the most expensive traditional therapy drugs in 2016, with an overall trend of 19.4%, according to the latest Express Scripts drug trend report. This positive trend is reflective of increases in both utilization and cost.

Heres how pipeline developments could change the landscape.

Pipeline treatments

Peterson

While I do not see any game-changing medications within the diabetes class that will reach the market within the next several years, there are a few updates that we are watching, says Chris Peterson, director in the emerging therapeutics department at Express Scripts.

He points to the continued growth of the sodium-dependent glucose cotransporter-2 (SGLT-2) inhibitor classsparked by the positive cardiovascular outcomes from empagliflozin (Jardiance, Boehringer Ingelheim/Eli Lilly), a previously approved SGLT2 inhibitor. Pipeline SGLT-2 inhibitors include investigational ertugliflozin (Merck and Pfizer) and bexagliflozin (Chugai Pharma), both in phase 3 development at press time. Sotagliflozin (Lexicon Pharmaceuticals),a first-in-class oral dual SGLT-1 and SGLT-2 inhibitor for type 1 and type 2 diabetes, also in phase 3. If approved, it will be the first oral drug approved for type 1 diabetes, a disease that typically has been managed by lifestyle modifications and insulins, says Farrah Wong, PharmD, director, pipeline and drug surveillance at OptumRx.

Wong

The glucagon-like peptide-1 (GLP-1) analog class is also expected to grow, says Peterson. This is driven by cardiovascular outcomes data with liraglutide (Victoza, Novo Nordisk) and the introduction of the fixed-dose combination GLP-1 agonist/long-acting insulin products, insulin glargine and lixisenatide injection (Soliqua 100/3, Sanofi) and insulin degludec/liraglutide (Xultophy, Novo Nordisk).

Semaglutide is a GLP-1 agonist in development for glycemic control in patients with type 2 diabetes. It is being developed as both subcutaneous formulation from Novo Nordisk and oral form from Novartis. If approved, it will be the first oral GLP-1 agonist on the market.

As oral drugs are easier to administer and less invasive than injectable drugs, oral semaglutide may offer these advantages over other GLP-1 agonists, says Wong. Furthermore, type 2 diabetics will have another oral therapeutic option in a class of drugs that thus far were only injectable drugs.

Exenatide osmotic mini-pump (ITCA 650, Intarcia Therapeutics, Inc.) is a subcutaneous implant that continuously delivers the GLP-1 agonist, exenatide, for three months (introductory dose) or six months (maintenance dose) to treat type 2 diabetes. Approval is expected in November 2017, says Peterson.

New insulin products are also expected to receive approval soon, including insulin tregopil (Biocon Ltd.), an oral insulin in phase 2 development for type 1 and type 2 diabetes.

Currently, insulins are either injected or inhaled, says Wong. If an oral insulin product is available, the ease of administration may drive some of the market share to shift from injectable/inhaled insulins to the oral product.

Insulin glargine injection (Basaglar, Eli Lilly/Boehringer Ingelheim) approved last year, was the first follow-on insulin glargine product to treat diabetes. Another follow-on insulin glargine product, known as MK-1293 (Merck/Samsung Bioepis), will be competing as a brand product within the market and is expected to be approved in the second quarter of 2017. Basalog is yet another insulin glargine product currently in phase 3 development; however, it is not yet clear whether the manufacturer, Mylan, will seek approval as a competing brand or as a generic to Lantus (Sanofi). Finally, Sanofi is developing SAR342434, a follow-on protein to Lilly's Humalog (insulin lispro), for the treatment of diabetes mellitus. If approved, it will compete as a brand with the other rapid-acting insulins.

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Have you checked yourself for diabetes? – Radio Iowa

Wednesday, March 29th, 2017

This is Diabetes Alert Day and Iowans are being urged to take a simple, on-line survey to determine if they might be headed down a hazardous path.

Katie Jones, program manager at the Iowa Department of Public Health, says it only takes a minute to complete the test. Jones says, This is really to see if youre at risk for a condition called prediabetes which is basically where blood glucose levels or blood sugar levels are higher than normal but not high enough yet to be considered diabetes.

The website is: DoIHavePrediabetes.org. Jones says about one in every three Iowans is prediabetic and most of them dont know it.

The test asks things like your age, because age is a big risk factor, Jones says. Simply getting older increases your risk. It also asks things like family history of diabetes, things like that. About one in 12 Iowans has diabetes and one in four has it and doesnt know it. By knowing your risk level, Jones says Iowans can make a few key lifestyle changes to stave off type 2 diabetes.

The good news is, if you do have prediabetes, you can take steps to help prevent developing type 2 diabetes and even getting rid of prediabetes, Jones says. The National Diabetes Prevention Program can help you actually curb that progression.

People with type 2 diabetes are at higher risk for heart disease, stroke and other serious complications. Prediabetes can often be reversed through modest weight loss 5 to 7 percent of body weight and making small changes to increase healthy eating and moderate physical activity.

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MIT Mathematician Develops an Algorithm to Help Treat Diabetes – Smithsonian

Wednesday, March 29th, 2017

Tools of diabetes treatment almost always include improved diet and regular exercise.

When people ask me why I, an applied mathematician, study diabetes, I tell them that I am motivated for both scientific and human reasons.

Type 2 diabetes runs in my family. My grandfather died of complications related to the condition. My mother was diagnosed with the disease when I was 10 years old, and my Aunt Zacharoula suffered from it. I myself am pre-diabetic.

As a teen, I remember being struck by the fact that my mother and her sister received different treatments from their respective doctors. My mother never took insulin, a hormone that regulates blood sugar levels; instead, she ate a limited diet and took other oral drugs. Aunt Zacharoula, on the other hand, took several injections of insulin each day.

Though they had the same heritage, the same parental DNA and the same disease, their medical trajectories diverged. My mother died in 2009 at the age of 75 and my aunt died the same year at the age of 78, but over the course of her life dealt with many more serious side effects.

When they were diagnosed back in the 1970s, there were no data to show which medicine was most effective for a specific patient population.

Today,29 million Americansare living with diabetes. And now, in an emerging era of precision medicine, things are different.

Increased access to troves of genomic information and the rising use of electronic medical records, combined with new methods of machine learning, allow researchers to process large amounts data. This is accelerating efforts to understand genetic differences within diseases including diabetes and to develop treatments for them. The scientist in me feels a powerful desire to take part.

My students and I have developed adata-driven algorithm for personalized diabetes management that we believe has the potential to improve the health of the millions of Americans living with the illness.

It works like this: The algorithm mines patient and drug data, finds what is most relevant to a particular patient based on his or her medical history and then makes a recommendation on whether another treatment or medicine would be more effective. Human expertise provides a critical third piece of the puzzle.

After all, it is the doctors who have the education, skills and relationships with patients who make informed judgments about potential courses of treatment.

We conducted our research through a partnership with Boston Medical Center, the largest safety net hospital in New England that provides care for people of lower income and uninsured people. And we used a data set that involved the electronic medical records from 1999 to 2014 of about 11,000 patients who were anonymous to us.

These patients had three or more glucose level tests on record, a prescription for at least one blood glucose regulation drug, and no recorded diagnosis of type 1 diabetes, whichusually begins in childhood. We also had access to each patients demographic data, as well their height, weight, body mass index, and prescription drug history.

Next, we developed an algorithm to mark precisely when each line of therapy ended and the next one began, according to when the combination of drugs prescribed to the patients changed in the electronic medical record data. All told, the algorithm considered 13 possible drug regimens.

For each patient, the algorithm processed the menu of available treatment options. This included the patients current treatment, as well as the treatment of his or her 30 nearest neighbors in terms of the similarity of their demographic and medical history to predict potential effects of each drug regimen. The algorithm assumed the patient would inherit the average outcome of his or her nearest neighbors.

If the algorithm spotted substantial potential for improvement, it offered a change in treatment; if not, the algorithm suggested the patient remain on his or her existing regimen. In two-thirds of the patient sample, the algorithm did not propose a change.

The patients who did receive new treatments as a result of the algorithm sawdramatic results. When the systems suggestion was different from the standard of care, anaverage beneficial changein the hemoglobin of 0.44 percent at each doctors visit was observed, compared to historical data. This is a meaningful, medically material improvement.

Based on the success of our study, we are organizing a clinical trial with Massachusetts General Hospital. We believe our algorithm could be applicable to other diseases, including cancer, Alzheimers, and cardiovascular disease.

It is professionally satisfying and personally gratifying to work on a breakthrough project like this one. By reading a persons medical history, we are able to tailor specific treatments to specific patients and provide them with more effective therapeutic and preventive strategies. Our goal is to give everyone the greatest possible opportunity for a healthier life.

Best of all, I know my mom would be proud.

Dimitris Bertsimas, Professor of Applied Mathematics, MIT Sloan School of Management

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How ESPN’s radio host Mike Golic controls his type 2 diabetes – Fox News

Wednesday, March 29th, 2017

As a former NFL player, ESPNS Mike Golic is used to talking sports news and game drama on his radio show Mike and Mike in the Morning. Now, he's discussing a more serious topic, type 2 diabetes. Since being diagnosed with the disease 12 years ago, Golic has been on a mission to raise awareness and help people learn how to manage their blood sugar.

My advice to people with type 2 diabetes is get everybody involved in your life. Its not something to run from, hide from, [and] keep it a secret from everybody else. Youve been diagnosed with it, you have to deal with it, Mike Golic, now 54, told Fox News.

Golic admitted that during his time as a defensive lineman he never thought anything could be physically wrong with him other than a few bruises or tears. But in the back of his mind, he knew his father had type 2 diabetes, which raised his risk.

While it was a, Oh man there was like a Yeah, OK, my dad was right about this age when he was diagnosed, so while it was surprising it wasnt shocking, he said.

According to the National Institute of Health (NIH), having a parent or sibling with the disease can increase your risk. Other risk factors include being overweight, having an unhealthy diet and high blood pressure.

Growing up, Golic said his father kept his condition to himself and didnt talk about it with his family.

It was just kind of his thing to deal with, he said. But I wanted to be very proactive and involve my wife, involve my family, I have three kids [and] two boys are large football players whose grandfather had type 2 diabetes and I have type 2 diabetes, so I wanted to keep them in the loop on this and what needed to be done."

After teaming up with Janssen Pharmaceuticals, Golic and his doctors came up with a game plan to keep his blood sugar levels in check. Type 2 diabetes can be treated with a variety of different medications. He turned to INVOKANA (canagliflozin), a prescription medicine his doctor recommended.

In addition to medicine, eating healthy and regularly exercising can also help manage the disease.

If left untreated, type 2 diabetes can cause serious and even deadly complications.

You can have retinopathy or eye disease, you can have kidney disease and ultimately it can lead to kidney failure and you can have neuropathy which is a disease of the nerve ending which ultimately can cause amputations, Dr. John Anderson, a board-certified Internist at Frist Clinic in Nashville, Tenn., told Fox News. Youre also a 2- to 3-fold increase risk of heart attack and stroke.

Early diagnosis should be accessible during routine exams or physicals when physicians check a patients blood sugar level. But other signs and symptoms may include thirst, frequent urination, blurred vision, fatigue and weight loss, Anderson said.

We have about 89 million people in the country with prediabetes, that means their numbers are not quite in the range that youd diagnose diabetes but theyre on their way, Anderson who is a long-time volunteer for the American Diabetes Association (ADA), and has served as Chair of National Advocacy said. Thats why you need to be seeing your health care professional, getting your screenings, getting your glucoses checked, being proactive.

Today, Golic gets his A1C1 test, a blood test that measures the average level of glucose in the blood,every three-to-four months and has kept his diabetes under control.

This is a situation that can have some complications in your life if you dont treat it the right way, so why not get people involved, why not start with your doctor OK this is the game plan, and then you go to the people in your family this is the game plan my doctor gave me, this is what I need to do and I need all your help to do it, Golic said.

For more information visit ICanImagine.com.

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Signs of Diabetes: Look to the Feet – PA home page

Wednesday, March 29th, 2017

SCRANTON, LACKAWANNA COUNTY (WBRE/WYOU) Today, Tuesday, March 28, 2017, is American Diabetes Association Alert Day. The goal is to bring awareness about a disease that affects tens of millions of Americans.

While 29 million Americans are dealing with diabetes, another 86 million have prediabetes yet only a fraction are aware of it. A doctor and a diabetic patient spoke about a part of the body that's often the first to signal you may be at risk of having the disease.

42-year-old DavidWanchisen visited his foot doctor Tuesday morning. The Scranton man didn't expect he'd end up here but it's the result of a diagnosis last year that took him by surprise. "I'm dealing with a diabetic ulcer that it's curing but it takes a lot of time and a little bit of pain."

He's wearing an orthowedge shoe to reduce pressure on that diabetic ulcer. Before he had the wound, the first physical sign he had Type 2 diabetes surfaced after a summer day at the beach. "Neuropathy on my feet caused the burning." That burning pain, weakness and numbness were a result of his diabetic condition. "I might have had it for quite some time."

Commonwealth Health Podiatrist Laura Virtue-Delayo, DPM said, "Oftentimes it's that they're getting tingling in their toes or burning." She added that many patients first learn of their diabetes by having a sore on their foot that's not getting better. "When you have a wound, the longer it's open the better chance of getting an infection in the soft tissue, in the bone, which can lead to amputation of the toes, the forefoot or even the lower leg."

Dave's treatment includes having the doctor debride, or scrape, his wound once a week while he has to apply a specialized ointment to that area every day. He's also eating healthier and lost 50 pounds in less than a year. "You have to make a lifestyle change to somewhat cure it or you know improve your lifestyle." Dr. Virtue-Delayo added, "He definitely is working on keeping his sugars in tact so they don't have to be a problem. You can be a diabetic without having foot problems or other problems that go along with diabetes."

Dr. Virtue-Delayo says a diabetic who notices a foot wound, even a blister, should call the doctor as soon as possible. She says delaying treatment even a few days could lead to amputation.

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Groups gather to fight diabetes – The Salinas Californian – The Salinas Californian

Wednesday, March 29th, 2017

Jeff Mitchell, Community Health Reporting Project Published 4:27 p.m. PT March 28, 2017 | Updated 12 hours ago

community health reporting project logo(Photo: Provided)

Realizing that the Salinas Valley, like much of America, is about to get hit with a tsunami of pre-diabetes and diabetes cases, a handful of local healthcare organizations joined Tuesday to fight the chronic disease that shortens lives and regularly robs people of limbs through amputation and dims or extinguishes their eyesight.

The countywide initiative is a partnership among Salinas Valley Memorial Healthcare System, Community Health Innovations, Montage Health, Monterey Independent Physicians Association and Central Coast YMCA.

The announcement was made at the Salinas Valley Medical Clinic Diabetes & Endocrine Center currently under construction at the Primecare Medical offices on Abbott Street.

The Diabetes Initiative was started in 2015 by Community Hospital, SVMH, Community Health Innovations (CHI) and the Monterey Bay Independent Physician Association to move the dial on diabetes.

The driver behind todays event is the bold effort by the partners to work together to move the dial on diabetes in Monterey County," said Dr. Anthony Chavis, chief medical officer of Montage Health, parent company of Community Hospital of the Monterey Peninsula.

The effort comes not a minute too soon. According to the UCLA Center for Health Policy Research Chronic Disease Program, diabetes and pre-diabetes in Monterey County affect:

57% of the population has diabetes and pre-diabetes

28,000, or 12% of the population, have diabetes

105,000, or 45% of the population, have pre-diabetes.

In 2015, about 13.8% of Monterey County Hispanics/Latinos reported having been diagnosed with diabetes, compared to 4.8% of Whites and 4.4% Asians (CHIS).

The partners supporting the initiative have increased the number of endocrinologists serving the community. The YMCA introduced a yearlong Pre-Diabetes Program for people considered pre-diabetes or are on the verge of becoming pre-diabetic.

This year, SVMHS is opening an expanded Diabetes & Endocrine Center in Salinas with a state-of-the-art kitchen and education room. Also this year, Montage Health is opening a new medical office building at Ryan Ranch ideally suited for diabetes care.

Construction of the expanded Salinas Valley Medical Clinic Diabetes & Endocrine Center will be completed this summer. The new Diabetes & Endocrine Center will be located on the second floor of the PrimeCare office building at 355 Abbott St.in Salinas.

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Yale’s Sabrina Diano is first woman to receive the Helmholtz Diabetes Award – Yale News

Wednesday, March 29th, 2017

Yale School of Medicine metabolism researcher Sabrina Diano has been selected to receive the Helmholtz Diabetes Award during the 6th annual Helmholtz Conference Sept. 26-28, 2018 in Munich, Germany. Diano is the first woman to receive the award, which recognizes outstanding contributions by a leading scientist in the field of diabetes research. She will deliver the Heimholtz Diabetes Lecture during the conference.

Diano is a professor in the Departments of Obstetrics, Gynecology & Reproductive Sciences, Neuroscience, and Comparative Medicine at Yale School of Medicine. She is also a member of the Program in Integrative Cell Signaling and Neurobiology of Metabolism, and director of the Reproductive Neuroscience Group at Yale School of Medicine.

Diano has published many studies in top research journals such as Cell, Nature, Cell Metabolism, Nature Medicine, and Proceedings of the National Academy of Sciences.

These studies have broadened understanding of how neurons in the brain that regulate appetite also affect systemic glucose levels. She has also helped to pinpoint a mechanism in part of the brain that is key to sensing glucose levels in the blood, linking it to both type 1 and type 2 diabetes.

Dianos research has important implications for understanding the pathogenesis of metabolic syndrome, obesity, and type 2 diabetes, disorders that are the leading cause of morbidity and mortality in the U.S., and the develop

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Livingston County News | Got a Minute?: What is your diabetes risk – The Livingston County News

Sunday, March 26th, 2017
Livingston County News | Got a Minute?: What is your diabetes risk
The Livingston County News
The theme is Take it, the ADA diabetes or pre-diabetes risk test; Share it, share this test with those you care about; and Learn it, find out if you are at risk for ...

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The dangers of diabetes – Carlsbad Current-Argus

Sunday, March 26th, 2017

Julio Munoz, M.D., FACP 1:04 a.m. MT March 25, 2017

Julio Munoz MD(Photo: Courtesy Photo)

Diabetes affects nearly 30 million people in the United States a stunning 10 percent of the overall population. And recent research reveals that diabetes is now the third leading cause of death, not the seventh, as was previously thought. Perhaps the most concerning statistic is that one in four persons living with diabetes is unaware that they have the disease.

The American Diabetes Association sponsors Diabetes Alert Day to serve as an annual wake-up call. The organization wants to remind Americans about the seriousness and prevalence of diabetes, particularly when the disease is left un-diagnosed or untreated. This year, Diabetes Alert Day is Tuesday, March 28.

The incidence of type 2 diabetes in this country has tripled in the last twenty years. The adoption of sugary diets and sedentary lifestyles has caused the disease to reach epidemic proportions. On the positive side, this condition doesnt have to be a death sentence. Its almost always avoidable, and even reversible, with serious lifestyle changes.

Researchers estimate that, if current trends continue, one in three Americans will have diabetes by the year 2050. Left untreated, diabetes can lead to kidney failure, limb amputations, blindness, and even death. Early diagnosis and treatment is critical to preventing irreversible damage to your health and longevity, so awareness and access to care are the key areas of focus.

Here are the top five ways to keep blood sugar at healthy levels, and to keep type 2 diabetes from impacting you and your loved ones:

If you have a family history of diabetes, you are at increased risk for developing type 2 diabetes yourself. Also, the condition is more common in African Americans, Hispanics, Native Americans, Asians and Pacific Islanders. Above-average body weight increases diabetes risk for people of all backgrounds.

Only your doctor can tell for sure if you are diabetic or pre-diabetic. As part of your annual health physical, be sure to talk to your doctor about the results of your fasting blood sugar and A1C tests. If your numbers are heading in the wrong direction, you can act quickly to get back on the right track.

If you need assistance in diagnosing or managing your metabolic health, or you just need to be connected with a primary care physician, contact Pecos Valley Internal Medicine at 575-234-9692 or visit http://www.PecosValleyDocs.com.

I would also like to take this opportunity to invite the public to a free Diabetes seminar on Thursday, March 30, at 3p.m. at Carlsbad Medical Center in the private dining room. The seminar will be presented by Susan Dade, RD, LD, CDE and Danielle Weathers, RD, LD, and will include information on healthy diets and eating habits for those living with Diabetes. For more information on the seminar, please call 575-628-5069.

Dr. Julio Munoz is a board certified internal medicine physician with over 30 years of experience.He received his medical degree from Autonomous University of Santo Domingo, Dominican Republic, and completed his residency at Bronx-Lebanon Hospital Center in Bronx, NY. In addition to being certified by the American Board of Internal Medicine, Dr. Munoz is also a Fellow of the American College of Physicians (FACP). He is a member of the medical staff at Carlsbad Medical Center.

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Is Diabetes the Disease or the Symptom – Huffington Post

Sunday, March 26th, 2017

Earlier this week I was told I was diabetic. When sharing it with people, some felt maybe this was not the type of news the founder of Less Cancer should broadcast.

I am sure that it is exactly the kind of thing to share. Since founding the organization in 2004, I have always been open about some of the lifestyle challenges and risks I have engaged in; from being a chain smoker as a child to having a diet so poor that as a college student at 661/2 and 168 lbs, I was diagnosed with malnutrition.

Since that time I have been far from saved. I did quit smoking twenty-one years ago when my son was born, as he had a respiratory issue that would have prevented me from ever holding him. Fortunately, the doctor that was treating him at the time used his agency to say that I would have to leave my clothes outdoors and take a shower before picking him up. With the help of the patch, I quit right away.

Pancreatic cancer and diabetes have been linked in patients who have had diabetes for less than five years, yet it is unclear if diabetes contributed to the cancer or if the pre-cancerous cells caused the diabetes. Also, research suggests that new-onset diabetes in people over 50 may be an early symptom of pancreatic cancer. (Pancan.org) My sister died of pancreatic cancer at a young age.

Type 2 diabetes has a stronger link to family history and lineage than type 1, although it too depends on environmental factors. If there is a family history of type 2 diabetes, it may be difficult to figure out whether it is due to lifestyle factors or genetic susceptibility. I only know of a few family members with type 2 diabetes, and they were all at an enviably healthy weight.(Diabetes.org)

However, for over twenty years I have been vigilant about eating and serving certified organic foods to my family. For me, sugar is the head-spinning devil. And no matter how healthily I eat around it, its just too tough to burn off a slice of cake. I walk at least a few times a week, and I have started running on the treadmill with a trainer when I am back home in Virginia.

When I heard the news of my diagnosis, I felt ashamed as to how I could not know better. Certainly, I had been warned. I was most angry with myself because, with my very non-profit salary, I understood that I would never really be able to afford the meds for a diabetic. My doctor has given me three months to turn things around.

However there is something even more insidious, and that is isolation.

In my work, without intention or awareness, I seem to have systematically built a wall around myself to the outside world and my own personal needs.

I am immensely grateful for the handful of amazing friends and my immediate family, with whom I am in touch daily. But something strange began happening as I heard from more and more people that I did not know and started connecting with on social media, and then through blogs. In the course of the day, I often speak to more strangers than people I know. I am on the road so much that I often eat alone and have little social contact.

After the United States Congressional Caucus and the Cancer Prevention Workshop this past February, on the only free day I had I met with a few of the cyclists for the bike ride to raise money for Less Cancer. The day of my birthday in Detroitmy big nightwas spent on my laptop, in my hotel. I took a moment to check Facebook and email only to notice an embarrassing amount of birthday wishesbetween social media and email it was well into the hundreds.

As I drove out of town the next day, hurrying to my next stop, I could not help but think how strange it felt to look at all these communications from so many people I did not know-despite being very appreciated. I meet kind and wonderful people each day and I am one of those people that love others more than myself.

As more people get to know me and the work of Less Cancer, I receive accolades but not always from people I know. I feel a need to protect myself by establishing boundaries, thus creating even greater distance between me and the world.

Somehow the more I connect and work with the masses my wall, unseen by the outside seemingly inches higher, insidiously moving further away from filling my metaphoric bucket or addressing some very basic needs.

With a focus outwards on the rest of the world, I move further and further away from my needs.

In trying to understand my diabetes diagnosis, I find myself asking what isolation means to human healthworking alone, traveling alone, and frequently not having any connections beyond people who want to talk to me about my work.

In a report by Soledad OBrien, Surgeon General Dr. Vivek Murthy said the greatest public health crisis (according to the surgeon general) isnt cancer or heart disease. Its isolationisolation and the affects of being socially disconnected.

I may never know if my diagnosis is hereditary or lifestyle, stress or isolation. You can count on me turning my sights inward as a matter of health. Watching diet and exercise, connecting with friends and asking for help with the work for Less Cancer.

I will be exploring more about isolation as it impacts human health, including diabetes. Diabetes can, in fact, be a cancer risk. Now more than ever, we need to get a handle on these preventable diseases, and it needs to start with me.

Is this my legacy to my children? Is this what I leave thema future knowing that the idea of Less Cancer will be a missed opportunity to turn the steadily increasing incidences of cancer around. A future with a cancer economy?

I am not giving up-if you want to help, please help the work of Less Cancer not because of me but rather because we are doing life-saving work that is making change.

First published in Thrive Global

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China Diabetes Market Report: Patients, Prevalence, Oral Antidiabetics, Insulin and Diagnostics – Yahoo Finance

Friday, March 24th, 2017

NEW YORK, March 23, 2017 /PRNewswire/ -- China currently has the highest number of diabetics in the world. The disease has presently reached epidemic proportions in the adult population. Around three decades ago, less than one percent of the Chinese adult population had diabetes. These levels, however, have increased to around 12 percent-making it the diabetes capital of the world.

The rise of diabetes in China can be attributed to a number of factors. Driven by a strong economic growth over the past few decades, the Chinese population has become richer, fatter and less mobile. Apart from urbanisation and sedentary lifestyles, Chinese people are also genetically more vulnerable to diabetes compared to Europeans and many other population groups. Other factors such as poor awareness of health issues, high consumption of white rice, poor healthcare infrastructure, etc. have also driven the prevalence of the disease.

China's diabetes statistics may ring alarm bells for the government and healthcare authorities, for drug and diagnostic manufacturers, however, it represents a goldmine. Fuelled by a continuous increase in healthcare expenditures, the market for diabetes drugs and diagnostics is expanding robustly in the country. This is creating lucrative opportunities for global healthcare companies at a time when growth rates in the more developed markets have declined.

IMARC's new report"China Diabetes Market Report: Patients, Prevalence, Oral Antidiabetics, Insulin and Diagnostics"provides an analytical and statistical insight into the Chinese diabetes market. The report provides both current and future trends in the prevalence, demographical breakup, diagnosis and treatment of diabetes in China. The research study serves as an exceptional tool to understand the epidemiology, market trends, therapeutic structure, competitive structure and the outlook of the Chinese diabetes market. This report can serve as an excellent guide for investors, researchers, consultants, marketing strategists and all those who are planning to foray into the China diabetes market in any form.

What we have achieved in this report?

Comprehensive situation analysis of the Chinese diabetes epidemiology and its dynamics: Focus of the Analysis: Historical, current and future prevalence of diabetes in China Historical, current and future prevalence of type-1 and type-2 diabetes in China Historical, current and future prevalence of diabetes in the urban and rural regions in China Historical, current and future prevalence of diabetes among males and females in China Historical, current and future prevalence of diabetes among various age groups in China Historical, current and future diagnosis rates for diabetes in China Historical, current and future drug treatment rates for diabetes in China

Comprehensive situation analysis of the Chinese Oral Antidiabetics market and its dynamics: Focus of the Analysis: Performance of the Oral Antidiabetics market in China Performance of key classes Performance of key players Market outlook

Comprehensive situation analysis of the Chinese Insulin market and its dynamics: Focus of the Analysis: Performance of the Insulin market in China Performance of key classes Performance of key players Market outlook

Comprehensive situation analysis of the Chinese diabetes diagnostics market and its dynamics: Focus of the Analysis: Performance of the diabetes diagnostics market in China Market Segmentation Key players Market outlook Read the full report: http://www.reportlinker.com/p03451748-summary/view-report.html

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China Diabetes Market Report: Patients, Prevalence, Oral Antidiabetics, Insulin and Diagnostics - Yahoo Finance

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Nonprofit roundup: Courses on managing diabetes begin March 28 in Missoula – The Missoulian

Monday, March 20th, 2017

The Resource Center at Missoula Aging Services (MAS) is partnering with the MSU Extension Office and others to offer a six-week course for older adults with diabetes or pre-diabetes. The Diabetes Empowerment Education Program (DEEP) is available free to Medicare participants and their caregivers.

Classes will help people with diabetes learn how to take charge of their health and get control of the disease. While they are designed for older adults with Medicare, anyone with diabetes or pre-diabetes is welcome to attend. Courses will be held Tuesdays from 10 to 11:30 a.m., beginning Tuesday, March 28, and continuing through May 2, at the Missoula County Extension Office, 2825 Santa Fe Court.

Please call MAS at 406-728-7682 for more information or to register, or go to deepclasses.eventbrite.com to register online. Additional partners include Mountain-Pacific Quality Health, Everyone with Diabetes Counts (EDC), and the Montana Geriatric Education Center.

The YWCA Missoula invites you to LUNAFEST, a local event hosted by the GUTS! (Girls using their strengths) Program. GUTS! partners with LUNAFEST, an exciting national film festival featuring short films by, for and about women, to highlight the capacity, strength and beauty of women in film and young women of Missoula. This event will raise funds for our Summer Outdoor Adventure Trips and a smaller percentage for the Breast Cancer Fund. LUNAFEST will be held on Wednesday, April 19, at the Wilma Theater in downtown Missoula. Doors open for our silent auction at 6 p.m. and the show starts at 7 p.m. Tickets are $15 in advance, $18 day of show.

Child Care Resources training: Spring Conference is set for Saturday, April 1. How do we create rich environments that meet early childhood standards and allow children and their teachers to flourish?

As an active participant, sharing photos and discussing and brainstorming environmental successes and challenges in your child care program. Youll also create a design for one learning center that you can immediately begin to create in your program.

This conference will be held from 9 a.m. to 4 p.m. on Saturday, April, 1. This training is $25, and is worth six training hours.

Application workshops for anyone interested in applying to build a home in partnership with Habitat for Humanity of Missoula will be held Sunday, April 2, at 2 p.m. and Wednesday, April 5, at 7 p.m.

Workshops will be held in the conference room at the YWCA located at 1130 West Broadway.

No child care will be available at either meeting.

Applications will be available at the meetings. Access to our applications on our website or to pick up at our office will be available on Tuesday, April 4. Completed applications must be submitted by 5 p.m. on Friday, April 21.

Call 406-549-8210 for more information.

To help older adultswho want to get better control of their diabetes, Mountain-Pacific Quality Health, the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Montana, Ag Worker Health & Services and the Montana Geriatric Education Center are partnering together to offer a series of six, free diabetes classes. These classes provide fun, informative and interactive ways to help people with diabetes or pre-diabetes (high blood sugar)

The classes support, not replace, professional diabetes self-management education. The classes are designed for people age 65 and older. Ag Worker Health & Services will make future announcements about any classes or events for those younger than 65.

The series kicks off Monday, April 17, from 5:30 to 6:30 p.m., at Ag Worker Health and Services at 9801 Valley Grove Drive #D, which is about a half mile north of Lolo on Highway 93. Classes will then meet every Monday through May 22. Anyone interested in attending theses classes can register by calling 406-273-4633.

Humanities Montana awarded a $900 grant to The Montana Racial Equity Project to support the Native American Race Relations and Healing Symposium. The day-long event will feature two panel discussions lead by authors, historians, language preservationists, and experts including John Robinson and Sterling HolyWhiteMountain. The first panel will focus on tribal sovereignty and the second will explore current issues facing the Native American population. The event will take place on Saturday, April 1, from 10 a.m. to 3 p.m., at the Native American Studies Building at the University of Montana.

Humanities Montana awarded a $1,000 grant to the Wedsworth Memorial Library to fund a monthly book discussion. Dr. Penny Hughes-Briant will host eight discussions from August 2017 to May 2018. All events will be held at the Wedsworth Memorial Library in Cascade.

Humanities Montana awarded a $1,000 grant to Columbus High School to fund the Yellowstone National Park Inquiry Project. Students will research and build projects on the impacts that visitors have on Yellowstone National Parks animals, ecosystem, environment, and cultural values.

Humanities Montana is the states independent, nonprofit state affiliate of the National Endowment for the Humanities.

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Nonprofit roundup: Courses on managing diabetes begin March 28 in Missoula - The Missoulian

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Colorado Springs family adapts to reality of Type 1 diabetes as, one after one, children are diagnosed – Colorado Springs Gazette

Monday, March 20th, 2017

Siblings Melanie, McGuire, Emily and Ashley, all of whom have type 1 diabetes, goof off as parents Julie and Bubba Hayes watch at their home on Wednesday, February 1, 2017. Julie and Bubba Hayes have four out of five children with type 1 diabetes. Photo by Stacie Scott, The Gazette

It was a cold, wet California winter and Julie Hayes, her husband, Bubba, and their five kids all were laid low by a nasty stomach virus. When a week went by and 3-year-old Ashley hadn't rallied like her twin sister and the rest of the family, Hayes started to worry. The toddler was wetting the bed, which she hadn't done in at least a year, and though she ate nonstop, never seemed to get full. She'd sleep half the day and wake exhausted.

Hayes explained the examples of uncharacteristic behavior to the emergency room doctor, who peered into Ashley's eyes, had her stick out her tongue, and asked if diabetes ran in the family.

"I looked at him and said, 'I don't even know what diabetes is," Hayes said.

That, and life as she knew it, was about to change.

Over the following eight years, three more of her children would be diagnosed with Type 1 diabetes, a scenario that - even among families with a history of the disease - defies medical odds and, in many ways, illustrates the mysteries at the heart of genetic dynamics.

"I can tell you that the great majority of families have only one patient. Maybe 10 percent have two patients (and) there's just a handful of families with more than two," said Dr. Robert Slover, the Hayeses' physician and director of pediatrics at the Barbara Davis Center for Diabetes at the University of Colorado Anschutz Medical Campus in Aurora. "That is an extremely unusual situation to have it happen to four children in a family."

For people with Type 1, formerly mislabeled "juvenile" diabetes, something - often a virus - kicks off a faulty immune system response that causes the body to attack the cells that produce the insulin needed to break down dietary carbohydrates and regulate blood sugar. As those cells die, the internal insulin machine becomes more and more compromised and eventually ceases to function.

"We are not exactly sure why the autoimmune process gets started, but the result is clear: The body turns on its own immune system to fight some common virus or agent and that destruction spills over," said Slover, whose center is home to one of the world's larger and more preeminent programs specializing in Type 1 diabetes research and care. "When that remaining group of cells shuts down, you go from maybe having enough (insulin) to be OK to not enough and having all the symptoms of diabetes."

A complex disease

As researchers stalk a cure and technological revolutions make management easier for those with the disease, the "why" of diabetes often remains elusive, the outcome of a complex equation and moving parts - genetic legacy and environmental influences - that, for now, can be answered only in theory.

"We know that people inherit a predisposition to the disease, then something in the environment triggers it ... but most who are at risk do not get diabetes," Slover said.

In people with a genetic risk of autoimmune ailments, research has identified a handful of factors that seem to affect the odds of them developing the disease, which emerges more often in winter and is more common in places with cold climates. Early diet may also play a role, as the disease is less common in people who were breastfed and who began eating solid foods at later ages. And though the evidence is more anecdotal than empirical, the increase in autoimmune diseases may have something to do with First World lifestyles, Slover said.

"In a less-sanitary America, there was a lot more exposure to animals, to foreign proteins and diseases, and people seemed to have almost a natural immunization," he said. "Statistics show that poorer nations that are less sanitary have a lower rate of developing Type 1 and other autoimmune diseases."

In the Hayeses' case, though, theories and statistics fall short.

"If a couple with the same genes had the same number of children, the odds are that most of the children wouldn't get all those same genes" that lead to the development of Type 1, Slover said. "The logic is backward - because it happened, it follows that the children must have inherited the predisposition."

Rising numbers

One thing Slover can say for certain is diabetes, and autoimmune diseases in general, are on the rise across the developed world. Over the past two decades, Type 1 diagnoses have increased at an annual rate of between 3 and 4 percent.

"Last year, we saw 450 newly diagnosed children. Ten years ago, it would have been more common to see 250," Slover said, adding that he's seen the greatest increase among toddlers and those over age 20, who today represent almost half of patients. "In pediatric populations, we used to talk about something of a peak in early adolescence - ages 7 to 13 - but these days I don't think that stands up."

Before insulin was discovered in 1921, diabetes had a grim prognosis. Most sufferers died in infancy or soon after manifesting symptoms; for those who didn't, a no-carb, starvation-level diet and rigorous exercise might buy an extra year. Today, pharmaceutical insulin is a miracle drug that allows an estimated 1.25 millions Americans to live out their otherwise natural clocks, so long as they adhere to a strict regimen of blood testing, injections and constant vigilance.

For a "D-mom" of four, it means life at DEFCON 2.

"You have to learn how to use insulin and regulate blood sugar when it's normally something your body does without you even thinking," said Hayes. "It makes you very nervous - can you even take care of your child?'"

On the ground, her and her husband's long-shot "bad collision of genes" is only vague context and background noise.

"Each child, each individual, this is their whole life," she said. "Each time . with each diagnosis . you're devastated all over again."

Telltale signs

A year after Ashley's diagnosis, the Hayes family was still adjusting to the new fulcrum of diabetes when her identical twin, Emily, began to exhibit similar symptoms.

She "just had this look," said Julie Hayes, who told her daughter she'd like to poke her finger, "like Ashley has to."

That evening, she called a family meeting to break the news. Ashley, who knew what it was like to have diabetes, immediately burst into tears; Emily's reaction, however, struck her mother as "kind of comical."

She was "just laughing and smiling and jumping up and down. Like, she got to be like her sister now," said Hayes, whose family moved to Colorado Springs in 2006. "It's terrible for them both to have it, but they have each other. It gave them a teammate and partner in diabetes, so it kind of seemed like it was meant to be."

The reception wasn't so enthusiastic when daughter Melanie was diagnosed, at age 11, after Hayes noticed telltale signs, such as extreme thirst, that her daughter's internal glucose regulation system was shutting down.

By the time McGuire was 14 and came downstairs complaining of feeling unwell and worried about his blood sugar, the hallmarks and lingo of diabetes were household knowledge. At the time, though, Mom chalked the complaint up to malingering. There was no way she had another child with Type 1.

"I was like, 'OK, whatever. Do your test, but as soon as you're done you're going to school,'" she said.

Constant vigilance

As parents to one, then two, then four children with Type 1 diabetes, Julie and Bubba Hayes learned to make do on a patchwork of sleep. Julie spent nights haunting the halls with a glass of juice and glucose monitor, poking fingers and checking blood sugar as her children slept. The kids got used to it; sometimes, they barely woke.

By the time Ashley and Emily were in their early teens and making a name for themselves on the bicycle motocross circuit, their mother thought everyone had a "pretty good handle" on diabetes. The twins, Melanie and McGuire all were on the insulin pump and had proven good stewards of their numbers. If they were feeling low at night, when the risk of blood sugar bottoming out is greatest, they'd wake up Mom so she could pour them some juice and tuck them back into bed.

In the fall of 2015, though, after a series of nights during which her blood sugar dropped to dangerous levels, daughter Emily had a hypoglycemic seizure.

"She was seizing and blue. I'd never experienced anything so scary in my whole life. Ashley was there, literally screaming her sister's name," said Hayes, who called for an ambulance to administer the life-saving injection of Glucagon, a substance that works quickly to raise blood sugar levels.

Hayes felt the old panic of uncertainty about her role, as parent - and sentry.

"It's a reality that people do die from this disease, from low blood sugar, and it happens mostly when they're sleeping," Hayes said. "Diabetes is so much scarier than we ever thought it was."

A better routine

Adolescence can be especially tough when compounded with the challenges of diabetes.

"Typically, worldwide, diabetes is hardest in the teenage years, not because teens are uncooperative but because they're growing and dealing with hormonal changes and that can be difficult," Slover said.

Today, all the Hayes children are teens except the oldest, 21-year-old Aubrey, who does not have diabetes (but, said Slover, remains at increased risk). New innovations play a vital part in managing day-to-day health.

After Emily's seizure, all began using a Dexcom continuous glucose monitoring system that keeps track of numbers using a subdermal sensor the size of two strands of hair and a 2-inch transmitter that can be worn for up to a week. In fact, the teens participated in trial research that helped usher the technology to federal approval late last year.

"Julie's incredible, and her interest in helping her own children - and helping us get a handle on that (diabetes in adolescence) - has been wonderful," said Slover, who continues to meet quarterly with the teens. "We owe a big debt of gratitude to all our patients helping us with that research."

With the new technology, rather than multiple finger-sticks each day the Hayes children need only test their blood sugar in the morning and at night, before bed, to calibrate the device. Results are transmitted to an iPhone app that issues alerts if blood sugar begins to move into critical ranges, low or high.

"You get a lot of alarms going off if it hits that point," Bubba Hayes said.

Not only does the technology help the Hayeses sleep more seamlessly, a feature allowing long-term tracking of glucose numbers has encouraged the children to improve their hemoglobin A1C, a measurement of blood sugar levels over a period of time.

The new setup expands the safety net for health maintenance into the digital realm. Users can chose up to five followers who also receive live data from their transmitter via a private social media app.

Seventeen-year-old Melanie Hayes' Dexcom network includes her mother, father, big sister and two best friends. "If I'm even slightly high, I start getting texts," she said. "My friend David will send me a text with an emoji for up or down. If I'm down, he'll say 'Hey, drink a juice.' That's really helpful."

-

Contact Stephanie Earls: 636-0364

Twitter: @earls_stephanie

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Colorado Springs family adapts to reality of Type 1 diabetes as, one after one, children are diagnosed - Colorado Springs Gazette

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Raising Awareness for Type One Diabetes in Naperville – Naperville Community Television

Monday, March 20th, 2017

Posted on March 19, 2017

12-year-old Naperville resident Paige Laurinec was diagnosed with type one diabetes when she was 8-years-old.

Everyday I wake up and I know what I have to do, during the day Ive adapted to carrying a purse with me to hold all my stuff, when lunch comes around I know I have to check and count all my carbs, explained Paige Laurinec.

Its what she and around 200,000 children who are diagnosed with type one diabetes endure everyday as the disease stops their pancreas from creating insulin. That means they need to replace it to maintain their health.

Insulin actually acts to lower your blood sugar it does a lot of different things to allow cells to uptake blood sugar and through multiple different activities it allows us to control our blood sugar, explained Dr. Jim Lengemann, Co-Medical Director of Edward Medical Group.

Local business owner Debbie Kliegl wanted to do her part to raise awareness of the disease and help find a cure. So she hosted a fundraiser donating 30% of all proceeds from Yogurt Beach on March 14 to help kids in our area that suffer from the disease.

We want to connect with our community and make a difference, we want people to understand were here for them, were a business, yeah,but were here to help the community. They help us and we help them, we want to work together, said Kliegl.

While doctors arent sure how long finding a cure may take, mothers of Paige and five-year-old Cayden, who also suffers from the disease, are hopeful more people will become educated about type one and help fund researchfor a cure.

A lot of people just dont know the difference, like oh if you eat too much sugar youll get diabetes, its really not true, especially with type one. I just pray for a cure everyday and I try to educate as much as I can and get involved as much as I can, said Sue Laurinec, Paiges Mom.

I know that were leaps and bounds further then we were years ago so were all hoping that for a cure. I dont know if were ever going to find it but we just choose to support it and hope that Cayden will see a cure in his lifetime, said Amy Nottke, Caydens Mom.

A sweet dream for the future.

Naperville News 17s Alyssa Bochenek reports.

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Raising Awareness for Type One Diabetes in Naperville - Naperville Community Television

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Wins for Kansas: Juvenile Diabetes Research Foundation – KAKE

Monday, March 20th, 2017

WICHITA, Kan. (KAKE) -

Type 1diabetes is an autoimmune disease that can strike suddenly. The Juvenile Diabetes Research Foundation is working toward finding a cure, to help boys like Josh Dinkle.

Dinkle looked like any other little boy. But by age 13, he started displaying symptoms thatturned out to be type 1diabetes.

"It's so much more than people realize," Dinkle's mother Kim said.

Everything he drinks, eats and even emotescan cause his blood levels to crash.Like any good parent, Kim Dinkle monitorsher son's blood levels. She calls it a full-time job.

"You can't have a day off, a moment off. You check every moment what's going on with your blood sugar," she explained.

Each year, 40,000 Americans are diagnosed with type 1. The national non-profit group JDRFis on the front lines in the battle, and itsbig fundraiser is the "One Walk" event. The Wichita walk draws thousands, and raiseseven more.

Those donations translate into breakthroughs, according to organizerDe White."There was a time type 1was a death sentence. Now we are looking for our children to have a life sentence," White said.

With that in mind, KAKE'spartners at Wins for Kansas want to help. DeVaughn James Injury Lawyers provided a $500 grant, "to turn type 1e into type none."

If you'd like to register for the One Walk on Saturday, April 1, it's not too late. Click on this link for details.

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Wins for Kansas: Juvenile Diabetes Research Foundation - KAKE

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The Affordable Care Act Helped With Type 2 Diabetes Treatments: One Woman’s Story – Reno Public Radio

Monday, March 20th, 2017

The nation is embroiled in the debate over the Affordable Care Act. The

Congressional Budget Office estimates that the GOP health bill could put 24 million Americans at risk of losing insurance. That has many local patients and doctors worried. Because of the ACA, more people were able to get health insurance and even access to life-saving treatments. One Reno woman shares her story with our reporter Anh Gray.

I meet Angela Siegfried at the Community Health Alliance Center For Complex Care on Wells Avenue in Reno. Its where she goes for health care. Siegfried has big, brown eyes and is full of optimism. Thats despite having to get around with the aid of an oxygen tank due to complications from Type 2 diabetes. These days Siegfried says shes grateful to have the oxygen. Before the Affordable Care Act, she was uninsured.

I would just get really sick and end up in the hospitals, emergencies, Siegfried explains, theyd keep me, get me a little bit well and send me on my way.

Siegfried says she was a loan officer but became too ill to work and eventually lost her insurance. Now shes receiving treatment at the community health center, which primarily serves low-income people.

Im an out of control diabetic; Im on insulin five times a day, pills, Siegfried says. Im on oxygen COP; Im ready to get a surgery thats called the sleeve so that my health will even be better. I wont be diabetic no more; I wont need oxygen.

Siegfried says her quality of life improved dramatically.

So as long as I have my oxygen, I go with my grandkids; I have three grandkidssix, seven, and eightlittle boys and they go to the park all the time and they wont go without me, Siegfried says about spending time with her grandsons. I get to go to soccer games, I get to go to church all the time. Im not just bedridden.

Oscar Delgado is a spokesman for Community Health Alliance where Siegfried receives her care. He also happens to be a City of Reno councilman.

Preventative care is all about getting ahead of it, right? Trying to make sure the person is taken care of and their health care needs are taken care of now or on the forefront, Delgado says.

In light of the current House Republican proposal to change the Affordable Care Act, Deglgado says hes concerned that some residents could lose access to care and the effect it would have on the community.

The ACA touches everything that we do here in the community one way or another, Delgado explains. In terms of, if peoples health care isnt taken care of, and they feel that they cant be taken of, the governments, the local governments starts to find a way of how they can provide a service.

Delgado says when people lack preventive care, problems persist. This could then trickle down to other areas like increasing the use of emergency care at hospitals, ambulatory care like REMSA, and even to other support services like the fire department.

Chuck Duarte, the CEO of Community Health Alliance, says hes worried that changes to the ACA would be a setback.

If it goes away, the chances are that those uncompensated costs are going to increase, Duarte points out, which means that those costs will shift to employer covered commercial insurance and their premiums will increase. It will affect everybody.

Duarte recalls a less than ideal health care environment prior to the ACA.

Its terrifying for a lot of families to have to face the fact that they may again be uninsured and have to face very large medical bills or not be able to pay for coverage, Duarte says.

Before Obamacare, almost a quarter of Nevadans were uninsuredthe second highest rate in the nation. Now were at about 11 percent.

For patients like Angela Siegfried, the possibility of losing coverage puts her on edge.

I dont ever want to be in this life without insurance. People who dont have insurance, I know what it feels like and its really sad because when youre sick and you cant go to the doctors and you cant get medications, Siegfried explains. Whats going to happen? The only thing, youre going to end up dying, and you probably could have prevented it. Yeah, Im a little nervous about it.

Helping Angela Siegfried get to her medical appointments is her daughter Nadine.

Back when we were without her having insurance, well, I almost lost her several times going to a diabetic coma. It became very serious. And me being an only child, I would have lost my mom, and I would have felt like Im in this world alone.

Siegfried plans to get healthy for her family. Nadine helps wheel her moms oxygen tank toward the medical front desk. Siegfried is eager to get her next medical appointment on the books.

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The Affordable Care Act Helped With Type 2 Diabetes Treatments: One Woman's Story - Reno Public Radio

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A Clinical Trial Just ‘Reversed’ Type 2 Diabetes in 40% of Participants – Futurism

Saturday, March 18th, 2017

Reversing Type 2 Diabetes

Type 2 diabetes, a disease wherein the body is incapable of producing sufficient levels of insulin or doesnt respond to insulin correctly, can be a lifelong disease. It leads to the build up of blood sugars andin the cells inability to receive the energy it needs to function correctly. Its also more likely to afflict people over the age of 40, those who are overweight, or anyone whose family has a history of diabetes.

Prior to this research, there was no definitive cure for type 2 diabetes, although experts have long hypothesized that it could be reversible. A team of Canadian scientists have demonstrated that this theory is indeed correct. In some patients, type 2 diabetes can be reversedthrough a combination of lifestyle changes, intensive medical treatment using oral medication, and insulin therapy. The researchers published their study in the Journal of Clinical Endocrinology & Metabolism.

They tested their theory in diabetic patients who had been symptomatic for up to three years. The subjects underwent a personalized exercise regimen, and a strict diet that closely watched and limited their calorie intake to just 500 to 700 a day, and pharmacological treatment withglucose-controlling drugs.

Four months after the intervention, the study revealed that 40 percent of the 83 subjects were able to effectively stop taking their medications, staying in partial or even complete remission.

The results of this pilot study suggest patients with type 2 diabetes have more options to treat their condition,said the studys first author, Natalia McInnes, of McMaster University.

The findings support the notion that type 2 diabetes can be reversed, at least in the short term not only with bariatric surgery, but with medical approaches, McInnes said in an Endocrine Society press release. The research might shift the paradigm of treating diabetes from simply controlling glucose to an approach where we induce remission and then monitor patients for any signs of relapse.

According to the Societys Endocrine Facts and Figures report, one out of 10 American adults suffer from type 2 diabetes.Raising the possibility of reversing the disease can prove to be strong motivation for patients to actually make lifestyle changes and maintain them, McInnes said. This new treatment could also give the patients pancreases a rest and lower fat stores in their bodies, thus improving insulin production in the long run.

Right now, the treatment has proven to be effective only in the short term, but further study and other drug combinations could ultimately lead to better results and higher remission rates.

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A Clinical Trial Just 'Reversed' Type 2 Diabetes in 40% of Participants - Futurism

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Roche Restructuring Shows Trouble in US Diabetes Biz (RHHBY) – Investopedia

Saturday, March 18th, 2017

Investopedia
Roche Restructuring Shows Trouble in US Diabetes Biz (RHHBY)
Investopedia
Amid increasing competition in the U.S. diabetes care market, Roche AG (RHHBY) plans to restructure its U.S. operations and reduce headcount by 10%. The company recently announced that it will lay off 157 employees in its U.S. diabetes care unit.

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Roche Restructuring Shows Trouble in US Diabetes Biz (RHHBY) - Investopedia

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