Wednesday, October 3, 2018

Counting 10 major breakthroughs in diabetes prevention in 2017

In 2017, a major breakthrough was made in the management of diabetes.
Counting 10 major breakthroughs in diabetes prevention in 2017
1. Control your weight, type II diabetes or reversible

According to a study published in the British Medical Journal, blood glucose levels in patients with mild type 2 diabetes who have reduced calorie intake by at least 30 pounds have returned to the diagnostic criteria for clinical diabetes.

Virta Health's ketogenic diet is said to safely reverse type 2 diabetes, a diet that prioritizes the intake of healthy fats and proteins while limiting the daily intake of less than 50g of carbohydrates. Adjust the body's energy metabolism.

In the regular diet, carbohydrates are the main part, and the ketogenic diet is based on fatty acids. But not all diabetics are suitable for this diet.

2. Antioxidants reduce the risk of diabetes

We all know that the most important thing to prevent and treat diabetes is to control the intake of carbohydrates and monosaccharides in the diet, and new research finds that an antioxidant-rich diet is also important: women who have the most antioxidants in their studies have diabetes The risk is reduced by 27%. Previous studies have suggested that certain antioxidants such as lycopene reduce the risk of diabetes, but the above studies indicate that an antioxidant-rich diet reduces overall risk.



Foods rich in antioxidants include:

Berries, blueberries, strawberries and any other type of berries contain antioxidants, vitamins and fibres and have a low glycemic index;

Cherries, which have a low glycemic index and are rich in antioxidants, may help fight heart disease, cancer and other diseases, as well as fight inflammation;

Apple, rich in antioxidants, vitamin C;

Tea, tea contains antioxidants and polyphenols that are good for heart health.

3. Continuous blood glucose monitor, monitoring blood sugar for 24 hours

The Continuous Blood Glucose Monitor (CGM) places the microsensor under the skin of the abdomen (convenient and usually painless) and measures the amount of glucose in the body fluid. The transmitter on the sensor can transmit information to the wireless monitor, which can be clipped to the belt at ordinary times. The time interval during which the monitor displays blood glucose levels can be 1 minute, 5 minutes, or 10 minutes. If the blood sugar is too low or too high, the monitor will automatically alarm.

In July 2017, CGM's Android G5 mobile app was approved by the FDA and can be combined with the monitor to monitor blood glucose status in real time. According to statistics, the user's hemoglobin A1C is reduced.

4. Instant blood glucose monitoring system attached to the arm

In September 2017, the FDA approved the FreeStyle Libre Instant Scanning Blood Glucose Monitoring System, which consists of a sensor applied to the arm (with a flexible probe inserted into the skin) and a handheld reader that provides painless blood glucose measurement. The sensor can be applied for up to 10 days, is waterproof, and can be measured through clothing.

5. The insulin pump can adjust the insulin dose according to the blood sugar level.

In the past, most of the insulin pumps used in patients with type 1 diabetes were administered every hour, but the new insulin pump was combined with a blood glucose monitor and dynamically adjusted for dose based on blood glucose levels.

The FDA approved the Medtronic MiniMed 670G hybrid closed-loop pump in the second half of 2016, and patients started using it in early 2017.

6. The listing of heart-friendly sugar control drugs

According to the American Heart Association, people with diabetes are four times more likely to die from heart disease than healthy people. Therefore, the use of heart-friendly sugar control drugs is essential for diabetic patients.

In 2017, Victoza received FDA approval to reduce the risk of major cardiovascular accidents, heart attacks and strokes in adults with type 2 diabetes and cardiovascular disease. At the end of 2016, Jardiance was also approved to reduce the risk of death from cardiovascular disease in people with type 2 diabetes.

7. Once a week, new sugar control drugs

The US Food and Drug Administration (FDA) has approved Novo Nordisk's new drug, Ozempic (semaglutide), as an aid to diet and exercise to improve glycemic control in adults with type 2 diabetes. This is a weekly glucagon-like peptide-1 (GLP-1) receptor agonist that is expected to improve blood sugar levels in patients with type 2 diabetes while maintaining a lower risk of hypoglycemia.

8. The new version of the "control sugar guide" released

Diabetes is a chronic disease that relies on self-management and control. The patient is the core of disease control. In addition to advanced blood glucose monitoring equipment-assisted management, self-educational knowledge updates are also critical. In 2017, the American Diabetes Education Association (AADE) and the American Diabetes Association (ADA) updated the Diabetes Self-Management Education and Support Standards.

Emphasize that patients are at the heart of the health care team. After all, patients may only see the doctor for 1 year in a year (A1C check every quarter).

9. Diabetes is related to genes, and prevention and treatment of diabetes is expected to start with genes.

We all know that poor eating habits and lack of exercise increase the risk of developing type 2 diabetes, but genes also play an important role. Louis Philipson, director of the Kovler Diabetes Center at the University of Chicago, said, "Genetics can affect how the body uses sugar, maintains weight, and affects metabolism and appetite, all of which affect the onset of diabetes." After analyzing the genome sequence of 250,000 people, the researchers identified 16 genetic variants associated with diabetes, some of which are related to cardiovascular disease. These findings help to develop drugs that reduce the risk of disease from a genetic perspective.

10. Diabetes will increase the risk of cancer

A study published in "Lancet Diabetes and Endocrine" published a set of terrible numbers: nearly 800 million new cancer cases are associated with diabetes and obesity. Although cancer is also associated with other factors, nearly a quarter of liver cancer and nearly 40% of endometrial cancer are associated with diabetes.

To reduce the risk of cancer, in addition to controlling blood sugar, there are eight things to do in daily life:

Regular screening for cancer, such as skin cancer, breast cancer, colon cancer, cervical and prostate cancer, can be prevented by regular screening;

Inject vaccine to prevent infection, such as hepatitis B vaccine, HPV vaccine, etc.

Do a good job of sun protection, prevent skin cancer, use sunscreen with a sun protection factor of 15 (more than 30 in summer), apply in time and avoid exposure to strong sunlight in the afternoon;

Quantitative and balanced diet, choose healthy fruits such as fruits and vegetables, whole grains, high-fiber foods, nuts and white meat with high nutritional value;

Keep exercising, exercise gently for 30 minutes every day, and exercise for at least 5 days a week.

Keep away from dangerous behaviors such as sharing needles, unsafe sex, etc.

Smoking cessation, smoke will increase the risk of various cancers such as lung cancer;

With the use of supplements with caution, many health supplements that claim to have anti-cancer effects have not been validated and may be in conflict with the drugs being used, which may be harmful to your health, so consult your doctor before using any supplements.

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