Diabetes Archive

Articles

Sugar: Its many disguises

Excess sugar in the diet can cause a whole host of health problems, both physical and mental. If you’re concerned about cutting down on sugar, you might think you’re covered if you skip the soda and pastries. But there are plenty of hidden and added sugars lurking in all kinds of foods — even those traditionally considered “healthy.” Here, we’ve given you some tips on what to watch out for.

Why controlling your weight lowers your risk of diabetes

Inflammation is an important link between obesity, elevated blood sugar, and type 2 diabetes.


Weight loss can reduce inflammation—a major contributor to diabetes.
Image: tetmc/Thinkstock

We've known for a long time that being overweight is a major risk factor for developing type 2 diabetes. But only in the last 20 years have researchers determined that metabolism and immune responses are linked and that chronic inflammation plays an important role in the development of obesity, diabetes, and related metabolic diseases. "Inflammation is not only associated with obesity, diabetes, and cardiovascular disease, but also precedes and predicts these conditions," says Dr. Allison Goldfine, head of the Clinical Research section at Harvard-affiliated Joslin Diabetes Center.

Diabetes drug pioglitazone could get personal: Neither panacea, nor peril

Doctors are often hesitant to prescribe newer drugs. We simply can’t know everything about them until the experiences of early adopters tell us what they’re really like. Such is the case with thiazolidinediones. Some of the more recent diabetes drugs fell out of favor, but a new study suggests that may be helpful for very specific types of patients.

Why your gums are so important to your health

Periodontal disease, the leading cause of adult tooth loss, may increase the risk of diabetes, heart disease, and dementia.

Stronger hands linked to a healthier heart

The strength of your hands may hold clues to the health of your heart. A study in the December 2015 American Journal of Preventive Medicine found that people with stronger handgrips had more favorable findings on measures of their cardiovascular health than those with weaker grips.

The study included more than 4,200 adults ages 20 and older who were part of a nationwide health study. Researchers used a device called a dynamometer to measure each participant's hand strength, adjusting the readings based on body mass index. They found that higher handgrip strength was associated with lower blood pressure, lower triglycerides (a type of fat in the blood), lower blood sugar, and higher HDL (good) cholesterol.

Rethink your food and drink: Choices that may affect diabetes risk

If someone you know has been diagnosed with type 2 diabetes, you might be wondering about how you can lower your own risk. Fortunately, multiple studies have shown that many of the same healthy eating choices that can help your friend or loved one control their diabetes can also help you prevent it. The exact relationship between eating specific types of foods and the risk of developing diabetes remains somewhat controversial. But the study findings are consistent with what experts consider to be healthy eating habits for most adults.

So, if you're interested in lowering your risk of type 2 diabetes, it can't hurt to try getting more of the foods and nutrients that can lower your risk — and to avoid those that can raise it.

The changing landscape of heart disease and diabetes care


Image: Thinkstock

New guidelines and a novel diabetes drug point to new treatment approaches.

When it comes to the cardiovascular dangers from diabetes, the statistics are pretty disheartening: about two-thirds of people with type 2 diabetes ultimately die from heart disease or a stroke. But there's progress afoot. Recently updated guidelines and a novel diabetes drug with proven heart benefits offer promise for making a dent in that dire statistic. And in a nod to the importance of early detection, the U.S. Preventive Services Task Force recently recommended that adults ages 40 to 70 who are overweight be screened for diabetes (see "Diabetes screening tests").

Rising blood sugar: How to turn it around

Image: Thinkstock

Rising blood sugar signals a need for weight loss and more exercise.

Whenever you have routine blood tests at a physical exam, chances are one of the numbers will be a measurement of your glucose, or blood sugar. A normal blood sugar level is less than 100 milligrams per deciliter of blood (mg/dL) after an eight-hour fast. You have diabetes if your blood sugar is 126 mg/dL or higher. But between those two numbers lie many opportunities for action.

Getting to the heart of kidney disease

Controlling blood pressure and blood sugar will help both your heart and your kidneys.

On the surface, it's difficult to see how coronary artery disease and kidney damage might be related. But on the cellular level, the two conditions often go hand in hand. A closer look reveals the key. Underlying both conditions are two powerful risk factors: high blood pressure and diabetes, each of which damages the heart and kidneys independently.

Tight blood sugar control in type 2 diabetes linked to fewer heart attacks and strokes

Diabetes damages every part of the body, from the brain to the feet. High blood sugar, the hallmark of diabetes, wreaks havoc on blood vessels. It makes sense that keeping blood sugar under control should prevent diabetes-related damage — but how low to push blood sugar is an open question. A study published in The New England Journal of Medicine (NEJM) provides reassuring evidence that so-called tight blood sugar control is good for the heart and circulatory system. A 10-year follow-up of the Veterans Affairs Diabetes Trial showed that participants who aimed for tight blood sugar control had lower blood sugar and fewer heart attacks and strokes than participants whose blood sugar was allowed to float a bit higher. Although tight blood sugar control can help prevent diabetes-related damage, it can have drawbacks such as bouts of low blood sugar (hypoglycemia), which can be dangerous. Current guidelines from the American Diabetes Association recommend tight blood sugar control, but also recognize there’s no one-size-fits-all rule.

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