Archive for November, 2011

Lloyd Resnick
Patrick J. Skerrett

Implants, tattoos, and tears could measure blood sugar without pain

Today, the only reliable way to check blood sugar is by pricking a finger, squeezing out a drop of blood, and placing it on a small test strip attached to a meter. For some people, this means five to ten finger sticks a day. Researchers across the country are exploring pain-free ways to measure blood sugar. University of California, San Diego researchers have developed a titanium sensor the diameter of a quarter that would be implanted under the skin and wirelessly send blood sugar readings to an external monitor. At Northeastern University in Boston, researchers are working on a blood sugar “tattoo” by injecting glucose-detecting nanosensors under the skin. Arizona State University researchers are working to perfect a device that measures blood sugar using tears instead of blood.

Peter Wehrwein

Medications most likely to put older Americans in the hospital

Some medications are well known for being risky, especially for older people. Certain antihistamines, barbiturates, muscle relaxants—take too much of them, or take them with certain other medications, and you can wind up in serious trouble (and possibly in the back of ambulance). But researchers from the federal Centers for Disease Control and Prevention (CDC) […]

Peter Wehrwein

Yoga may help feet, ease migraine

If exercise is good medicine, then yoga is, too. Research published recently suggests that yoga can be a useful therapy for lower back pain. An article in the November 2011 Harvard Health Letter indicates that yoga may also be a good way to keep feet strong and flexible, and so prevent falls. It can also help people who suffer from migraines. In The Migraine Solution, which will be published in January by Harvard Health Publications and St. Martin’s Press, coauthor Paul B. Rizzoli, M.D., says that yoga can be a useful treatment for migraine because it is widely available, affordable, and very likely has benefits beyond migraine.

Patrick J. Skerrett

Avastin loses FDA approval for breast cancer

The FDA today revoked its 2008 approval of the drug Avastin to treat breast cancer, concluding that the drug does little to help women with breast cancer while putting them at risk for potentially life-threatening side effects. Avastin will remain on the market (and so be potentially available to women with breast cancer) because it has also been approved to treat other types of cancer.

Howard LeWine, M.D.

Whole-body vibration doesn’t slow bone loss

Good vibrations may work for dancing on the beach or for romance, but they don’t seem to do much to strengthen bones. Results of a clinical trial published in the Annals of Internal Medicine showed that older women who stood on a vibrating platform for 20 minutes a day experienced just as much bone loss over the course of the year-long trial as women who didn’t use the platform.

Carolyn Schatz

The dangers of hospital delirium in older people

Many older people develop delirium when they are hospitalized. Delirium is a sudden change in mental status characterized by confusion, disorientation, altered states of consciousness (from hyperalert to unrousable), an inability to focus, and sometimes hallucinations. Hospital delirium is especially common among older people who’ve had surgeries such as hip replacement or heart surgery, or those who are in intensive care. Inflammation, infection, and medications can trigger hospital delirium as can potentially disorienting changes common to hospital stays, including sleep interruptions, unfamiliar surroundings, disruption of usual routines, separation from family and pets, and being without eyeglasses or dentures. Although delirium often recedes, it may have long-lasting aftereffects, including premature death and poorer outcomes, such as dementia and institutionalization.

Anthony Komaroff, M.D.

Three reports to help with holiday health and emotional challenges

With Veterans Day and Halloween behind us, we are moving full steam ahead to the holidays, the stretch from Thanksgiving to New Year’s Day (or Super Bowl Sunday, depending on your perspective). The holidays can be a wonderful time, full of friends, family, and fun. But they can also generate pressures and situations that undermine health. To help you enjoy a healthy and happy holiday season, Harvard Health Publications is offering three Special Health Reports that focus on common holiday challenges: depression, overuse of alcohol, and healthy eating.

Patrick J. Skerrett

Diabetic neuropathy—the agony of da feet

More than half of people who live with diabetes eventually develop diabetic neuropathy, or damage to nerves. It can range from merely aggravating to disabling or even life threatening. The first nerves to be affected tend to those in the toes and feet. Diabetic neuropathy can be felt as a tingling in the toes and feet, a constant burning feeling in the feet, sharp pain that may be worse at night, or extreme sensitivity to touch. In some people, it robs the feet of their ability to sense pain. So far, there isn’t a cure for diabetic neuropathy. Controlling blood sugar is the most important step to preventing or managing it. Controlling blood pressure, not smoking, and staying active also help. People with diabetes should have a doctor examine their feet at least once a year, and should check their feet every day or so.

Patrick J. Skerrett

Honor a veteran; understand PTSD

One of the challenges faced by many servicemen and servicewomen returning from war is post-traumatic stress disorder, or PTSD. This a lasting and exaggerated reaction to a terrifying or life-threatening event. It makes a person feel like he or she is living through the event over and over again. PTSD shows itself in three main ways: re-experiencing, avoidance, and arousal. Traumatic events can create memories that are stronger, more vivid, and more easily recalled than normal events. These haunting memories activate brain circuits that are responsible for instantly responding to potentially life-threatening situations. Good treatments are available for PTSD. A type of talk therapy known as cognitive-behavioral therapy appears to be the most effective. Antidepressants and other medications can also help.