Posts Tagged ‘type 2 diabetes’
Thursday, March 4th, 2010
Getting short-changed on sleep causes multiple harms. Here’s a paper just published in the journal Diabetes Care that assessed
“the relationship between habitual sleep disturbances and the incidence of type 2 diabetes.”
The authors analyzed 10 studies that included 107,756 male and female participants. Their clear-cut conclusion:
“Quantity and quality of sleep consistently and significantly predict the risk of the development of type 2 diabetes. The mechanisms underlying this relation may differ between short and long sleepers.”
The mechanisms include hormone dysregulation, low-grade chronic inflammation, and gastroesophageal reflux disease (GERD; see earlier post on how medication can worsen this association). For help with sleep disorders there are sound functional medicine resources that address the biological component, cognitive behavioral methods (see recent post about internet-based CBT for insomnia), and neurotherapies including neurofeedback and brain wave entrainment tools.
Tags: diabetes, insomnia, sleep, type 2 diabetes
Posted in General Science & Health, Insulin & Diabetes | No Comments »
Saturday, February 27th, 2010
Coffee is in the science news again, with two interesting papers that document its benefits. Both were recently published in the American Journal of Clinical Nutrition. The first paper adds more evidence that drinking coffee reduces the risk of type 2 diabetes. The study involved 69,532 French women who were observed over an 11 year period. The authors report an “inverse association [diabetes]…for both regular and decaffeinated coffee and for filtered and black coffee, with no effect of sweetening. Total caffeine intake was also associated with a statistically significantly lower risk of diabetes. Neither tea nor chicory consumption was associated with diabetes risk.” Interestingly, the authors also noted that the observed benefit was particularly pronounced with coffee consumed at lunch. Their conclusion: “Our data support an inverse association between coffee consumption and diabetes and suggest that the time of drinking coffee plays a distinct role in glucose metabolism.”
Considering the importance of inflammation in chronic disease, the second paper is especially interesting in that it documents reductions in subclinical inflammation and oxidative stress as mechanisms by which coffee lowers the risk of type 2 diabetes. Noting that “Coffee consumption is associated with a decreased risk of type 2 diabetes,” the authors state that their “aim was to investigate the effects of daily coffee consumption on biomarkers of coffee intake, subclinical inflammation, oxidative stress, glucose, and lipid metabolism.” They observed a number of interesting effects, including beneficial lowering of the LDL/HDL ratio and IL-18, and an increase in adiponectin. Meanwhile, no adverse changes were seen on the oral glucose tolerance test. They conclude: “Coffee consumption appears to have beneficial effects on subclinical inflammation and HDL cholesterol, whereas no [adverse] changes in glucose metabolism were found in our study.”
Tags: coffee, inflammation, oxidative stress, type 2 diabetes
Posted in Good Eating, Healthy Aging, Insulin & Diabetes | No Comments »
Monday, February 8th, 2010
An important study was just published in the journal Endocrine Practice (the journal of the American Association of Clinical Endocrinologists) that set out to determine if undiagnosed Vitamin B12 deficiency is common among people with type 2 diabetes, even when not taking Metformin (which itself causes B12 deficiency). Their findings: “Almost one-half of type 2 diabetes subjects not taking Metformin had biochemically proven vitamin B12 deficiency.” (And they used a very low benchmark, <200 microgram/dL, to qualify as “low”, which we would call severe deficiency.) Their important conclusion that needs to be more widely communicated: “We conclude that Vitamin B12 deficiency is common amongst type 2 diabetes subjects and is nutritional in nature…This indeed is an important finding, as taking oral Vitamin B12 supplementation is easy, convenient and readily accepted by patients. This is a novel finding and stresses the need for aggressive and early diagnosis and treatment to avoid complications of Vitamin B12 deficiency.” Why wait for type 2 diabetes to develop? Take care of any deficiency, a potential contributing cause, earlier at a preventive stage.

Tags: type 2 diabetes, vitamin B12
Posted in General Science & Health, Insulin & Diabetes | No Comments »
Monday, January 25th, 2010
This randomized controlled study recently published in the journal Diabetes Care (the journal of the American Diabetes Association) nicely validates the recommendation of qigong exercises as a treatment adjunct for type 2 diabetes. The investigators used fasting glucose, insulin, hemoglobin A1C and calculated insulin resistance as metrics to determine efficacy. Their conclusion: “Qigong therapy for 12 weeks resulted in significant reductions in fasting glucose levels in patients with type 2 diabetes and demonstrated trends toward improvement in insulin resistance and A1C. These results suggest that Qigong may be an effective complementary therapy for individuals with type 2 diabetes.”
Tags: diabetes, hemoglobin A1C, qigong, type 2 diabetes
Posted in Exercise, Insulin & Diabetes | 1 Comment »
Tuesday, January 5th, 2010
Yet more research, this time a meta-analysis published in Archives of Internal Medicine that accepted data from 18 studies with information on 457,922 patients. They found that “every additional cup of coffee consumed in a day was associated with a 7% reduction in the excess risk of diabetes…” They go on to conclude: “Similar significant and inverse associations were observed with decaffeinated coffee and tea and risk of incident diabetes. High intakes of coffee, decaffeinated coffee, and tea are associated with reduced risk of diabetes.” HOWEVER: those individuals who have a common Th2-type autoimmune disorder or severe sympathetic nervous system hyperarousal can be made worse from these beverages.
Tags: coffee, tea, type 2 diabetes
Posted in General Science & Health, Insulin & Diabetes | 1 Comment »
Saturday, December 26th, 2009
This paper published in the journal Diabetologia may contradict some assumptions. The investigators set out to “examine the association of consumption of coffee and tea, separately and in total, with risk of type 2 diabetes and which factors mediate these relations.” Their findings may be a surprise to some: “Total daily consumption of at least three cups of coffee and/or tea reduced the risk of type 2 diabetes by approximately 42%.” They go on to conclude: “Drinking coffee or tea is associated with a lowered risk of type 2 diabetes, which cannot be explained by magnesium, potassium, caffeine or blood pressure effects. Total consumption of at least three cups of coffee or tea per day may lower the risk of type 2 diabetes.” How can this be? There are compounds in both beverages that have anti-inflammatory and other beneficial effects. As you know, chronic inflammation plays an important role in type 2 diabetes. HOWEVER: bear in mind that caffeine can aggravate Th2-type autoimmune conditions, and it may be poorly tolerated by those with sympathetic nervous system hyperarousal.

Tags: coffee, tea, type 2 diabetes
Posted in General Science & Health, Good Eating, Insulin & Diabetes | 2 Comments »
Wednesday, December 23rd, 2009
Insulin receptors are found throughout the central nervous system. Fascinating fact: “insulin affects distinct cognitive processes, e.g. by triggering the formation of psychological memory contents.” As the authors of this paper published recently in the journal Diabetologia state: “metabolic and cognitive disorders such as obesity, type 2 diabetes mellitus and Alzheimer’s disease are associated with resistance of central nervous structures to the effects of insulin…” They go on to conclude: “Enhancement of central nervous insulin signalling…has yielded encouraging results that bode well for the successful translation of these effects into future clinical practice.” Targeted tests are available to determine how you can best take care of your brain by managing blood sugar and insulin.
Tags: Alzheimer's disease, cognitive dysfunction, insulin, obesity, type 2 diabetes
Posted in Brain Health, Insulin & Diabetes | No Comments »
Saturday, December 19th, 2009
This important paper recently published in the journal Diabetologia extensively highlights the central role of lifestyle-induced chronic inflammation in the development of type 2 diabetes. The authors share data revealing that people at risk for type 2 diabetes are those for whom the inflammatory responses to those factors are more pronounced and prolonged. They state: “Chronic low-grade inflammation will eventually lead to overt diabetes if counter-regulatory circuits to inflammation and metabolic stress are compromised because of a genetic and/or epigenetic predisposition. Hence, it is not the lifestyle change per se but a deficient counter-regulatory response in predisposed individuals which is crucial to disease pathogenesis.” Everywhere you turn you will see the importance of evaluating and treating tendencies to chronic inflammation—which may be symptomatic or silent.
Tags: inflammation, lifestyle, type 2 diabetes
Posted in Insulin & Diabetes | 1 Comment »
Tuesday, December 1st, 2009
This paper in Current Diabetes Reports discusses how the so-called ‘thrifty gene’ effect (the tendency to conserve calories in the form of fat during times of famine, established through gene selection over thousands of years) occurs not only through this selection process, but can also manifest as a ‘thrifty phenotype’ when eating too little during gestation is followed later by overnutrition. This means that eating too little during your pregnancy can promote obesity and type 2 diabetes in your child if they consume excess calories later. Like with most everything else, moderation is key.
Tags: obesity, pregnancy, type 2 diabetes
Posted in Children's Health, Insulin & Diabetes, Women's Health | 1 Comment »
Friday, November 13th, 2009
From the recent paper in The Lancet: “Prevalence of type 2 diabetes has rapidly increased in native and migrant Asian populations. Diabetes develops at a younger age in Asian populations than in white populations, hence the morbidity and mortality associated with the disease and its complications are also common in young Asian people. The young age of these populations and the high rates of cardiovascular risk factors seen in Asian people substantially increase lifetime risk of cardiovascular disease.”
Tags: Cardiovascular, type 2 diabetes
Posted in Cardiovascular, Insulin & Diabetes | No Comments »