Archive for the ‘News For Diabetics’ Category

Check Out These Brilliant Resources And Links For New Info On 

These Highly Controversial Diabetes Cures:

  • Diabetes Surgery | United States Online News – Tagged: Diabetes breakthrough?, diabetes surgery, diabetes surgery annuals of surgery, diabetes surgery clinical trial, diabetes surgery complications, diabetes surgery cure, diabetes surgery financial assistance, diabetes …
  • Surgery as a Cure? | Globe University Blog – Today on National Public Radio, journalist Rob Stein discussed bariatric surgery as a proposed method to treat or even reverse diabetes. Obesity is considered an epidemic in this country. Do you think that surgery is the …

(Reuters Health) – Losing weight and improving fitness may ward off some of the mobility problems that older overweight people with type 2 diabetes often face, according to a new study.

The lifestyle changes helped mobile people stay that way and eased severe mobility problems in others, at least over the short term.

Lead author W. Jack Rejeski from Wake Forest University in Winston-Salem, North Carolina, said the trends show the importance of encouraging people to get their weight down and exercise sooner, rather than waiting until they develop problems getting around.

In the new study, published in the New England Journal of Medicine, the researchers calculated that a one-percent drop in weight cut the risk of mobility problems by more than seven percent, and the same increase in fitness level lowered mobility risks by between one and two percent.

“If you can change people’s lifestyles sufficiently, they’re going to get more mobile and, over time, this will have a tremendous impact on their lives,” said Dr. Vivian Fonseca, president of medicine and science for the American Diabetes Association, who wasn’t involved in the research.

“There has yet to be really a large study like this that says, ‘This really does make a difference,'” Rejeski told Reuters Health, adding that he hopes the results find a way into typical conversations between doctors and their diabetic patients.

The ADA estimates that nearly 26 million Americans have diabetes — most of them with type 2, the form of the disease often associated with being overweight — and 79 million more are at risk for developing the condition. Those numbers are expected to increase dramatically as the U.S. population ages.

Diabetics are twice as likely to have mobility problems as other people their age.

Rejeski and his colleagues tested a program in which volunteers were encouraged — through diet plans, eat-smart strategies, meal replacements and other techniques — to lose more than seven percent of their body weight. They were also encouraged to exercise at least three hours per week, primarily by walking.

Volunteers in a comparison group were asked to attend group meetings — focusing on nutrition, physical activity and support — three times a year.

The study involved more than 5,000 volunteers age 45 to 74, all overweight or obese. They reported their own mobility on health surveys given over four years and took fitness tests at different points during the study period.

After a year, participants in the intervention group had lost an average of six percent of their body weight, compared to less than one percent in the “control” group.

Fifteen percent of people in the no-intervention group had severe mobility problems at the start of the study. That rate increased to nineteen percent after a year, and continued to rise over the next three years.

In the diet and exercise group, thirteen percent started off with severe mobility problems. After a year that fell slightly to twelve percent — but after that, the likelihood of severe problems began to increase again.

“It’s difficult to drag yourself out of that hole,” said Rejeski.

For example, some people may regain the weight they lost, “but they also get older, and other things catch up with them,” Fonseca, who is also an endocrinologist at the Tulane University School of Medicine in New Orleans, told Reuters Health.

The researchers found that 33 percent of the control group started out with good mobility, a fraction that didn’t change much over the next few years.

On the other hand, 37 percent of volunteers in the intervention group started out with good mobility. With diet and exercise, that ratio rose to 41 percent at the one-year mark and, although it declined after that, never fell below the starting point.

Rejeski’s team calculated that all in all, the lifestyle changes led to a 48-percent drop in the chance of diabetic patients losing their mobility.

“You don’t need extreme amounts of weight loss or extreme lifestyle change to improve your outlook,” said Fonseca.

“It is achievable by many people who put their mind to it and who are given the right kind of tools to do that. The problem is, how do we translate this to people outside the study?” **

**SOURCE: New England Journal of Medicine, online March 28, 2012.

People Who Spend a Lot of Time Sitting May Be Up to 40% More Likely to Die From Any Cause, Study Finds

By Denise Mann

WebMD Health News Reviewed by Louise Chang, MD

March 26, 2012 — Don’t take this sitting down, but spending too much time in a chair is bad for your health — really, really bad.

New research published in the Archives of Internal Medicine shows that people who spend a lot of time sitting may be up to 40% more likely to die from any cause, compared to people who don’t sit as long.

The study tracked nearly 222,500 Australian adults for about three years. During that time, people’s odds of dying dovetailed with how much time they spent sitting.

Compared to people who spent less than four hours per day sitting, the odds of dying were:

15% higher for people who sat for at least eight hours

40% higher for people who sat for 11 or more hours a day

“Our findings add to the mounting evidence that public health programs should focus not just on increasing population physical activity levels, but also on reducing sitting time,” the researchers write.

Alpa V. Patel, PhD, has published studies on the health risks associated with too much sitting. She is an epidemiologist at the American Cancer Society in Atlanta. “We are continuing to demonstrate time and time again in different populations that there is something real to the association between sitting time and reduced longevity.”

Get Up Out of That Chair

What’s so bad about sitting for long periods? That’s not totally clear. But exercise and movement do have a positive effect on blood fats called triglycerides and other heart risks, and improves blood pressure, Patel says.

Her advice: Sit for five fewer minutes per hour. “Small changes can have a big impact,” she says.

Technology may fight that. It’s given us fewer reasons to move, says David A. Friedman, MD. He is the chief of heart failure services at North Shore Plainview Hospital in Plainview, N.Y.

Instead of texting or emailing a colleague, “walk down a few cubicles and say, ‘Hi, how are you?’ This is good face time and it’s also good exercise.”

Olveen Carrasquillo, MD, MPH, is the chief of the division of general internal medicine at the University of Miami’s Miller School of Medicine. “A sedentary lifestyle is not good for your health,” he says. “Today we don’t even have to leave the house to go to the bank or mail a letter.”

The new study doesn’t prove that sitting killed people. It’s not clear which came first –poorer health or spending more time in a chair.

Still, there’s no doubt that movement is good for many reasons. 

“It is hard to say whether someone is fairly sedentary because they are inactive or if they are inactive because of other things, such as an unhealthy lifestyle that includes smoking,” says Scott Kahan, MD, MPH. He is the director of the National Center for Weight and Wellness in Washington, D.C.

Still, there is no doubt that being active is healthy. “The key is to do something you like to do, whether it’s sports, going to the gym, walking, or gardening. “If it is terribly unenjoyable, the likelihood of sustaining it is pretty low.”*