Dr. House

Dr. House
Dr. House

Friday, March 30, 2018

FDA Commissioner Announces New Nutrition Policies.

reports that “the Trump Administration will encourage the food industry to reduce the salt in processed foods and will take steps to overhaul some food labels to make them easier to understand, Food and Drug Administration Commissioner Scott Gottlieb announced” yesterday. The agency “will also move forward with Obama-era plans to require calorie labeling on restaurant menus and new ‘Nutrition Facts’ panels on food products, two rules the agency had delayed.” The Post adds, “The wait had alarmed consumer watchdogs and public health advocates, who have long feared that nutrition would suffer under a White House that has championed industry deregulation and criticized concerns about child obesity.” https://www.washingtonpost.com/news/wonk/wp/2018/03/29/one-year-after-delaying-obamas-food-reforms-trumps-fda-says-it-will-embrace-them/

Some US Adults Taking More Calcium Supplements Than They Need

https://www.reuters.com/article/us-health-supplements-calcium/many-in-u-s-take-more-calcium-supplements-than-necessary-idUSKBN1H52WY

Chronic Fatigue Syndrome May Be Associated With Low Circulating Levels Of T3 Hormone,

“Some people with the condition known as chronic fatigue syndrome (CFS) have low circulating levels of the thyroid hormone triiodothyronine (T3) and normal levels of thyroid-stimulating hormone (TSH),” researchers found in a study involving “98 patients with CFS and 99 age- and sex-matched controls.” The findings were published online in Frontiers in Endocrinology.

Bariatric Surgery Linked to Relationship Changes Up to 15% divorced, 21% married in the 4 years after surgery

https://www.medpagetoday.com/endocrinology/obesity/72057?xid=nl_mpt_DHE_2018-03-30&eun=g721819d0r&pos=3&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%202018-03-30&utm_term=Daily%20Headlines%20-%20Active%20User%20-%20180%20days

Flawed Vaccine Not to Blame for Whooping Cough Resurgence

Increase in cases signals end of vaccine 'honeymoon period,' study suggests https://www.medpagetoday.com/infectiousdisease/vaccines/72078?xid=nl_mpt_DHE_2018-03-30&eun=g721819d0r&pos=1&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%202018-03-30&utm_term=Daily%20Headlines%20-%20Active%20User%20-%20180%20days

Thursday, March 29, 2018

Physician Says Diabetes Is Most Expensive Health Condition In US.

We must heed the warnings of the scientific evidence before us – diabetes is our nation’s most expensive health condition.” Dr. Cefalu argues, “We must take action to reduce both the incidence and prevalence of diabetes, thereby reducing its costs.”

Declining Androgen Levels May Be Linked To Deteriorating Physical Function, Increased Frailty In Aging Men

reports that research suggests “declining androgen levels are associated with deteriorating physical function and increased frailty in aging men.” The findings were presented at the annual meeting of the Endocrine Society. According to the article, these “findings provide more evidence of the relationship between function and lower levels of androgens such as testosterone and introduce the possibility of using hormones to offset frailty in older patients.” https://www.mdedge.com/clinicalendocrinologynews/article/161931/mens-health/declining-androgen-levels-correlated-increased

Infectious Disease Death Rates Mostly Down Across U.S. But deaths from diarrheal diseases have increased since 1980

https://www.medpagetoday.com/infectiousdisease/generalinfectiousdisease/72024?xid=nl_mpt_DHE_2018-03-28&eun=g721819d0r&pos=4&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%202018-03-28&utm_term=Daily%20Headlines%20-%20Active%20User%20-%20180%20days

Risk Of Developing Additional Autoimmune Conditions Rises With Age At Onset Of T1D, Research Suggests.

reports that research suggests “the risk of developing 1 or more additional autoimmune conditions rises with age at onset of type 1 diabetes, particularly among women who develop diabetes in adulthood.” In the study of more than 1,100 adults with type 1 diabetes, investigators found that “the mean age of type 1 diabetes onset was 20.1 years for those without other autoimmune conditions compared with 23.3 years for those with 1 or more other autoimmune conditions.” Meanwhile, “the mean age of type 1 diabetes onset rose with the number of subsequent autoimmune diagnoses, up to 32.3 years for those with 4 or more autoimmune conditions.” The findings were presented at ENDO 2018: The Endocrine Society Annual Meeting.

Scientists Identify Interstitium As An Organ For First Time.

reports scientists have proposed there is an organ called the interstitium “that may play a critical role in how many tissues and other organs do their jobs, as well as in some diseases like cancer.” The article explains that the interstitium “is a series of connected, fluid-filled spaces found under skin as well as throughout the gut, lungs, blood vessels and muscles.” http://time.com/5217273/human-body-organ-interstitium/

Hormone Replacement Therapy May Be Associated With Reduced Abdominal Fat Tissue In Postmenopausal Women,

reports that “the mean percentage of body fat in women undergoing” hormone replacement “therapy was 34.6%, compared with 36.2% for women who had therapy in the past and 35.9% for women who never had hormone therapy.” The study indicated that “mean visceral fat mass, measured as the fat deep in the abdomen around the internal organs, not subcutaneous abdominal fat, was 0.42 kg for women undergoing therapy, compared with 0.48 kg both for women with past therapy and those who never received it.” Meanwhile, “the mean body-mass index (BMI) was 24.9 for current users of menopausal hormone therapy, versus 25.6 for past users and 25.8 for never users.” Endocrine News (3/27) also covers the story. https://www.cnn.com/2018/03/27/health/hormone-replacement-belly-fat-study/index.html

Wednesday, March 28, 2018

Poll Indicates 44% Of Consumers Skip Physician Visits Due To Cost.

that due to “the high cost of healthcare, 44% Americans didn’t go see a physician last year when they were sick or injured,” according to a survey conducted by the West Health Institute/NORC at the University of Chicago. Japsen says these findings come as experts are predicting that premiums and out-of-pocket costs will rise, especially for consumers with ACA plans. He adds that Congress did not include legislation which sought to provide some relief in the $1.3 trillion spending bill. https://www.forbes.com/forbes/welcome/?toURL=https://www.forbes.com/sites/brucejapsen/2018/03/26/poll-44-of-americans-skip-doctor-visits-due-to-cost/&refURL=&referrer=

Eating Within A Certain Time Window Each Day Can Lead To Weight Loss

reports that “biologist Satchin Panda thinks we’re missing a key variable” in the fight against obesity: rather than “focusing so much on what we eat, he says, we should pay more attention to when we eat.” He “argues that eating within a certain time window each day can help people lose weight and may help prevent illnesses including diabetes, heart disease and cancer.” Panda and others have shown, “in animal studies...that limiting food intake to a period of eight to 12 hours can boost cognitive and physical performance, and may even lengthen life span.” https://www.washingtonpost.com/national/health-science/timing-your-meals-may-help-with-weight-loss-thats-what-it-seems-to-do-in-mice/2018/03/23/14672fc0-f718-11e7-a9e3-ab18ce41436a_story.html

Monday, March 26, 2018

Nearly 40 Percent Of American Adults Were Obese In 2015 And 2016, Data Indicate.

reports that data published in JAMA indicate that “nearly 40 percent of” American adults “were obese in 2015 and 2016, a sharp increase from a decade earlier.” The data also indicate that “7.7 percent of American adults were severely obese in the same period.” https://www.nytimes.com/2018/03/23/health/obesity-us-adults.html

Most Food Products Shown In Ads Promoting A Sports Organization Sponsorship Are Unhealthy,

reports that research published in Pediatrics “sheds light on just how intertwined sports and unhealthy foods really are.” Researchers at NYU discovered that “76% of food products shown in ads promoting a sports organization sponsorship are unhealthy and that 52.4% of beverages shown in sports sponsorship ads are sugar-sweetened.” https://www.cnn.com/2018/03/26/health/sports-sponsorship-food-ads-study/index.html

Friday, March 23, 2018

Reducing Calories By 15% For Two Years May Slow Metabolic Process That Leads To Aging

reports investigators found that “people who reduced their caloric intake by just 15 percent over two years...developed a lower core body temperature, lower blood sugar and insulin levels, and significant drops in hormones that moderate metabolism.” The researchers also found that the study participants “had a significant reduction in oxidative stress related to their lowered metabolism.” that researchers found that “cutting calories by 15% for two years can slow the metabolic process that leads to aging and protect against age-related diseases.” The study was published in the journal Cell Metabolism. The National Institute on Aging supported the study. https://www.cnn.com/2018/03/22/health/calorie-restriction-longer-life-study/index.html

Exclusive Breastfeeding For First Six Months Of Life May Reduce Risk For Childhood Overweight And Obesity

ports that babies “with a high birth weight were less likely to develop overweight or obesity in childhood if they were exclusively breast-fed for the first six months of life,” researchers found after analyzing “data from 38,089 children who underwent all health check-ups from birth through age six years between January 2008 and December 2016” in South Korea. The findings were presented at ENDO 2018: The Endocrine Society Annual Meeting. https://www.healio.com/endocrinology/obesity/news/online/%7B28dbaa30-be4d-4bee-8cc1-772e5298f99f%7D/exclusive-breast-feeding-reduces-risk-for-childhood-overweight-obesity

Thursday, March 22, 2018

Some Health Experts Already Calling UK’s Soda Tax A Success.

says some experts are already calling the UK soda tax a success because it “has prompted some the country’s largest soda-makers to slash the sugar in their beverages.” Politicians and public health experts have applauded the news, which they say will reduce obesity and diabetes. Some health advocates say the UK’s tax could be a model for other countries. https://www.washingtonpost.com/news/wonk/wp/2018/03/21/why-the-british-soda-tax-might-work-better-than-any-of-the-soda-taxes-that-came-before-it/?utm_term=.7b2c4e24ad57

Taking Menopausal Hormone Therapy Shortly After Menopause Begins May Help Maintain Thinking And Memory Skills,

“Taking menopausal hormone therapy shortly after menopause begins can help maintain the brain’s thinking and memory skills and reduce memory loss,” researchers concluded in a “randomized, placebo-controlled trial” that included “75 healthy women aged between 42 and 56 years who were 5 to 36 months past menopause.” The findings were published online in the journal Neurology. reports that “one common formulation” of estrogen replacement therapy, the transdermal patch, “was associated with long-term preservation of the volume of the dorsolateral prefrontal cortex, the region primarily responsible for working memory and executive functions, researchers” found. Working memory, however, “did not significantly differ among those taking oral hormone replacement, a transdermal patch, a placebo pill, or patch.” https://www.healio.com/internal-medicine/neurology/news/online/%7B37217f07-71ed-4878-b890-159ea8ff00a6%7D/menopausal-hormone-therapy-benefits-the-brain

Freezing Hunger-Signaling Nerve May Help Lower A Person’s Appetite

reports that “in a new pilot study,” physicians “have shown that freezing the nerve that carries hunger signals to the brain may be able to lower a person’s appetite and help them lose weight.” The findings were presented at Society of Interventional Radiology’s 2018 Annual Scientific Meeting. The researchers sedated the participants “and inserted a needle into their backs; using CT guidance, they directed the needle to the posterior vagal trunk.” This “needle was filled with a gas that froze the needle and the surrounding nerve – a process that degenerates the part of the nerve connected to the brain and stops the signaling between the two.” http://time.com/5206249/weight-loss-freeze-hunger-signals/

Wednesday, March 21, 2018

Obesity In Mice Associated With Decrease In Number Of Taste Buds

reports a new study on mice by Cornell University researchers suggests obesity is associated with a duller sense of taste. Researchers fed mice a high fat diet that caused rapid weight gain and then counted the number of taste buds on a portion of the tongue that normally has a high density. Data show that “the obese mice wound up with 25% fewer taste buds than lean mice that were fed a normal diet.” Investigators speculate that “the chronic inflammation that obesity triggers throughout the body,” not the high fat diet by itself, was responsible for the association. The findings were published in PLOS Biology. https://www.usnews.com/news/news/articles/2018-03-20/study-finds-obesity-robs-the-tongue-of-taste-buds-in-mice

Bariatric Surgery Alters Gene Expression Inflammatory, metabolic pathways overexpressed as 'hungry intestine' remodels gut

https://www.medpagetoday.com/meetingcoverage/endo/71879?xid=nl_mpt_DHE_2018-03-21&eun=g721819d0r&pos=1&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%202018-03-21&utm_term=Daily%20Headlines%20-%20Active%20User%20-%20180%20days

Artificial Sweeteners Impact Metabolic Health Even on Cellular Level Not as healthy as consumers may think, researcher says

https://www.medpagetoday.com/meetingcoverage/endo/71882?xid=nl_mpt_DHE_2018-03-21&eun=g721819d0r&pos=0&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%202018-03-21&utm_term=Daily%20Headlines%20-%20Active%20User%20-%20180%20days

Monday, March 19, 2018

Physicians Debate How Low To Go With LDL Cholesterol In Patients With Diabetes.

reports that at ENDO 2018: The Endocrine Society Annual Meeting, Steve Nissen, MD, and Henry N Ginsberg, MD, debated “the benefits of ultra-low, low-density lipoprotein (LDL) cholesterol versus a more reasonable, but still low, level among patients with diabetes.” Dr. Nissen “claims that LDL levels of 25 mg/dL ‘are good,’ and in the IMPROVE-IT trial with ezetimibe...levels were driven as low as 15 mg/dL ‘and we saw massive regression of atherosclerosis.’” However, Dr. Ginsberg “maintained that the biggest benefit in LDL lowering is seen when patients with very high levels get down to moderate levels – even, for example, dropping from 200 to 100 mg/dL, as seen in the 4S trial.”

Male Contraceptive Pill Found To Be Safe, Appears To Work,

reports that a male contraceptive “pill could be on the horizon after early trials showed a once-daily tablet was safe and appeared to work, according to” investigators who presented research on the pill at the Endocrine Society’s annual conference. The “pill is known by the chemical name dimethandrolone undecanoate, or DMAU.” The Guardian adds that “like most female contraceptive pills, it contains a combination of hormones – an androgen such as testosterone, and a progestin.” https://www.theguardian.com/society/2018/mar/18/male-pill-on-horizon-trials-yield-positive-results-contraceptives

Men With Low Sperm Counts May Be More Likely To Have Certain Health Issues That Put Them At Higher Risk Of Illness

reports that a study suggests “men with low sperm counts are more likely to have a number of health issues that put them at increased risk of illness.” The study of more than 5,000 “men found those with low sperm counts were 20% more likely to have more body fat, higher blood pressure and more ‘bad’ cholesterol.” Additionally, “they were...much more likely to have low testosterone levels.” The study was to be presented at ENDO 2018. http://www.bbc.com/news/health-43429153

Regular Exposure To Lavender Or Tea Tree Oil May Be Linked To Abnormal Breast Growth In Young Boys,

reports that research suggests “young men who are regularly exposed to lavender or tea tree oil may be at risk of developing large breasts.” Newsweek adds, “Researchers from the National Institute of Environmental Health Sciences (NIEHS) found that eight chemicals in the oils disrupt hormones.” In a statement, J. Tyler Ramsey, lead study author and postbaccalaureate research fellow at NIEHS, said in a statement, “Our society deems essential oils as safe,” but “they possess a diverse amount of chemicals and should be used with caution because some of these chemicals are potential endocrine disruptors.” The findings are to be presented at the Endocrine Society’s annual meeting. http://www.newsweek.com/essential-oils-large-breasts-850459

Friday, March 16, 2018

No Such Thing As A Single “Best” Diet, Research Indicates.

reports that an increasing “body of evidence” indicates “there’s no such thing as a single ‘best’ diet – and that nutrition is a whole lot simpler than our fascination with fads would suggest.” For example, on March 6, “the Endocrine Society released a scientific statement saying that people can lose weight on any of roughly a dozen diets assessed by its researchers.” TIME goes on to detail other studies that examined diets focusing on obesity management and heart health. http://time.com/5183371/which-diet-is-best/

Thursday, March 15, 2018

FDA to Lower Nicotine in Cigarettes

https://www.medpagetoday.com/pulmonology/smoking/71778?xid=NL_breakingnews_2018-03-15&eun=g721819d0r

Fecal Profiling May Predict Dietary Response in IBS Baseline VOCs correlate with symptom relief in patients on low-FODMAP diet

Fecal profiling of volatile organic compounds (VOCs) may provide a low cost, non-invasive tool to predict the responses of irritable bowel syndrome (IBS) patients to probiotics and diets low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs), according to British researchers. Modeling baseline fecal VOCs, and using key features of VOC profiles, correctly predicted response to a low-FODMAP diet in 100% of patients and in 89% of patients receiving a probiotic, reported Megan Rossi, PhD, RD of King's College in London, and colleagues. https://www.medpagetoday.com/gastroenterology/irritablebowelsyndrome/71777?xid=NL_breakingnews_2018-03-15&eun=g721819d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=MorningBreak_031518&utm_term=Morning%20Break%20-%20Active%20Users%20-%20180%20days

Americans Getting More Exercise, But Are Also Increasingly Obese

reports a new study from the National Center for Health Statistics found that 31.4 percent of Americans over the age of 20 were obese in 2017, up from 19.4 percent who were obese in the 1997 version of the study. Meanwhile, the number of Americans getting regular exercise has increased, with 53.8 percent of Americans meeting physical activity guidelines recommended by the federal government in 2017, up from 41 percent who met those guidelines as recently as 2005. Scientists at the National Center for Health Statistics “said there is no way to decipher whether the figures show that those who are obese are working out more, or if it is only those who do not qualify as obese who tend to get more exercise.” http://thehill.com/policy/healthcare/378478-study-americans-getting-more-exercise-but-increasingly-obese

Wednesday, March 14, 2018

US STILL Spends Nearly Twice As Much On Healthcare As Some Other Wealthy Countries,

the study authors found that “Americans used health care at similar rates as their peers,” but healthcare spending accounted for almost 18% of US GDP compared to 10-12% in the other countries studied – Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, Sweden, Switzerland, and the UK. The researchers also found that the US “had the highest pharmaceutical spending per capita among its peers at $1,443...compared with an average of $749 for all 11 countries.” “The Upshot” blog reports the researchers found that the US healthcare system was similar to those in the other countries studied in many ways, but were “quite different” in two areas. The investigators concluded that the US pays “higher prices for medical services, including hospitalization, doctors’ visits and prescription drugs,” and the US also has higher “administrative costs.” The Los Angeles Times (3/13, Kaplan) reports the researchers used “newly available data from the Organisation for Economic Co-operation and Development and the Commonwealth Fund” to compare the US to 10 other countries with high health spending and “populations with similar demographic characteristics that have similar burdens of illness.” https://www.cnbc.com/2018/03/13/us-health-care-spending-is-twice-the-rate-of-other-high-income-nations.html

Soy-Based Formulas May Cause Differences In Newborns’ Reproductive System Cells And Tissues

eports researchers have “found that infants who are fed soy-based formulas as newborns show differences in some reproductive-system cells and tissues, possibly due to exposure to estrogen-like compounds found in this type of milk.” The findings were published in the Journal of Clinical Endocrinology & Metabolism. https://www.yahoo.com/news/soy-based-formulas-could-cause-subtle-changes-babies-145620434.html

HPV Screening Results Changed Depending on Test Used Could change follow-up recommendations

https://www.medpagetoday.com/obgyn/cervicalcancer/71737?xid=nl_mpt_DHE_2018-03-14&eun=g721819d0r&pos=0&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%202018-03-14&utm_term=Daily%20Headlines%20-%20Active%20User%20-%20180%20days

Tuesday, March 13, 2018

Daytime Sleepiness Linked to Amyloid Accumulation Without Dementia

"It remains unclear whether excessive daytime sleepiness is a result of greater sleep instability, synaptic or network overload, or neurodegeneration of wakefulness-promoting centers. However, participants with excessive daytime sleepiness were more vulnerable to AD pathologic processes." https://www.medpagetoday.com/geriatrics/alzheimersdisease/71728?xid=NL_breakingnews_2018-03-13&eun=g721819d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=MorningBreak_031318&utm_term=Morning%20Break%20-%20Active%20Users%20-%20180%20days

Higher Daily Protein Intake May Not Improve Lean Body Mass Or Physical Strength In Older Men,

reports, “A higher daily protein intake did not improve lean body mass or physical strength in older men,” researchers found. The 92-participant study did reveal “a decrease in fat mass among men who consumed the higher amount of protein,” however. The findings were published online in JAMA Internal Medicine. https://www.medpagetoday.com/endocrinology/steroids/71708

Higher Concentration Of Vitamin D May Correlate With Lower Risk For Overall Cancer, Liver Cancer

https://www.healio.com/hepatology/oncology/news/online/%7B7e11ee17-6de4-42e8-b0f2-08f5063d4c52%7D/higher-vitamin-d-concentration-lowers-risk-for-overall-liver-cancer

Bariatric Surgery May Be Better Than Medical Therapies For Severely Obese Teens With T2D,

reports that researchers found, after “comparing participants from the Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) versus Treatment Options of Type 2 Diabetes in Adolescents and Youth (TODAY),” that “adolescents who underwent bariatric surgery had several improved health outcomes compared to those who received either stand-alone metformin, combination therapy or lifestyle intervention.” The data indicated that “after 2 years, mean HbA1c significantly dropped from 6.8% to 5.5% (95% CI 6.4%-7.3%) in those who had surgery compared with an increase from 6.4% to 7.8% in nonsurgical patients (6.1%-6.7%).” Meanwhile, “BMI had similar outcomes, with an average drop of 29% (24%-34%) from baseline BMI for surgical patients versus a 3.7% (0.8%-6.7%) increase in those involved in the TODAY trial.” https://www.medpagetoday.com/endocrinology/diabetes/71709

Great Recession May Have Raised Blood Pressure And Blood Sugar Levels

To Your Health,” researchers found that blood pressure and blood sugar levels significantly increased after the Great Recession, according to a study published in the Proceedings of the National Academy of Sciences. The researchers found “that those hardest hit by the trauma of the recession showed the greatest signs of worse health.” https://www.washingtonpost.com/?utm_term=.904289a9cbb9

Monday, March 12, 2018

The Mysterious Case Of 'Vanishing Bone' And Hip Replacements Gone Wrong

https://www.npr.org/sections/health-shots/2018/03/11/591694876/the-mysterious-case-of-vanishing-bone-and-hip-replacements-gone-wrong

Aspirin May Be Associated With Lower Mortality In Patients With Type 2 Diabetes And Heart Failure,

reports that “in a large study of older patients with type 2 diabetes and heart failure,” investigators “found those taking aspirin for primary prevention had a lower mortality, specifically all-cause mortality with or without HF hospitalization over 5-year follow-up, but were paradoxically more likely to have a nonfatal myocardial infarction (MI) or stroke.” Medscape adds, “Surprisingly, bleeding risks were similar in both groups.” The findings are to be presented at the American College of Cardiology 2018 Scientific Session. https://login.medscape.com/login/sso/getlogin?urlCache=aHR0cHM6Ly93d3cubWVkc2NhcGUuY29tL3ZpZXdhcnRpY2xlLzg5MzcxMQ==&ac=401

Friday, March 9, 2018

Hormone-Replacement Therapy May Benefit Hearts Of Postmenopausal Women,

reports that research suggests “hormone-replacement therapy in postmenopausal women may be good for heart health.” Investigators “found that 3+ years of the treatment, now referred to as menopausal hormone therapy (MHT), was tied to significantly lower left ventricular end-diastolic volume...compared with women who had never used MHT.” The research also indicated “that MHT was associated with notably lower left ventricular stroke volume...as well as left atrial maximal volume.” https://www.medpagetoday.com/obgyn/hrt/71635

Study Pinpoints Good Gut Bacteria That Ferment Fiber Into Acids, Ultimately Improving Insulin Regulation.

reports “new research” published online in the journal Science “suggests that dietary fibers actually play a critical role in feeding the trillions of microbes that reside in our bodies, known collectively as the microbiome.” What’s more, “specifically for people with type 2 diabetes, a high-fiber diet along with a favorable gut microbiome can keep patients’ blood sugar and body weight under control,” the study found. Chinese researchers even pinpointed “the specific ‘good’ bacteria that ferment fiber into acids, and ultimately improve insulin regulation https://www.statnews.com/2018/03/08/fiber-microbiome-diabetes/

Thursday, March 8, 2018

Fructans Suspect in Non-Celiac Gluten Sensitivity Randomized double-blind trial casts doubt on need for gluten-free diets

In a randomized, double-blind crossover trial of 59 patients with self-reported intolerance to wheat, rye, and barley, but no celiac disease, the overall symptom score was highest after challenge with the carbohydrate fructan. Fructan is a member of the fermentable oligo-di-monosaccharides and polyols (FODMAPs) family, and is often found in gluten-containing foods such as wheat. https://www.medpagetoday.com/gastroenterology/generalgastroenterology/71617?xid=NL_breakingnews_2018-03-08&eun=g721819d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=MorningBreak_030818&utm_term=Morning%20Break%20-%20Active%20Users%20-%20180%20days Fructans consist of soluble fibre (4). Adding fructans to processed food is a growing trend in the food manufacturing industry. This is because fructans (especially inulin) are considered a functional ingredient that can increase fibre content of processed food (4). The fermentable fibre is meant to help the growth of ‘friendly’ gut bacteria because they act like prebiotics (1 4), which is great for normal people but not so great for people who can’t tolerate FODMAPs! This means you should check the labels of processed foods and supplements for inulin, added fibre, and other fructans. Where are fructans found? Plants use fructans as storage carbohydrates. This means fructans can be found in a wide range of fruits, vegetables and cereals (1). Most types of beans/pulses/legumes and some nuts are also high in fructan containing oligosaccharides (3). One of our major sources of fructans is wheat, which means cutting out wheat can dramatically decrease our fructan intake (1 4). Below is a table of high FODMAP foods that contain fructans. This table is by no means intended to provide a full list of fructan-containing foods, but to show how many different foods contain fructans. For a more comprehensive list of fructan-containing foods and their FODMAP levels, please refer to the Monash University phone app or low FODMAP booklet.https://alittlebityummy.com/fructans-the-low-fodmap-diet/

Vitamin D May Offer Protection Against Cancer,

reports a new study from researchers at the Center for Public Health Sciences at the National Cancer Center in Tokyo suggests “vitamin D may offer protection against cancers.” However, study “authors note that the study has limitations, including that levels of vitamin D were only taken at one point in time, that participants might have been more health-conscious than the general public and that the number of cases of rare cancers was small.” The findings were published in the BMJ. https://www.theguardian.com/science/2018/mar/07/vitamin-d-may-offer-protection-against-cancers-study-says

Wednesday, March 7, 2018

Mindful Eating May Improve Weight-Loss Efforts, Combat Obesity,

reports that “three recent studies have suggested that mindful eating can improve weight-loss efforts and combat obesity.” The studies appeared in Current Obesity Reports, BMJ Open, and the Journal of the American Medical Association. https://www.washingtonpost.com/lifestyle/wellness/more-and-more-research-points-to-mindfulness--not-certain-foods--for-weight-loss/2018/03/05/2aa25d48-1c00-11e8-b2d9-08e748f892c0_story.html?utm_term=.3e945242c07c

Specially Trained Dogs Alert Kids With T1D In Advance Of Low Or High Blood Sugar Events.

reports that for some children with type 1 diabetes, a specially trained dog may help warn them “in advance of low or high blood sugar events before they become dangerous.” This allows children to “take steps to return their blood sugar to normal.” https://apnews.com/066e5b4255544adab7b3590e1df0b76d/Alert-dogs-help-children-manage-diabetes

Adults Pressured By Their Parents To Diet During Adolescence May Have Higher Risk Of Obesity, Eating Disorders

“Adults who were pressured by their parents to diet during adolescence may have a higher risk of obesity and eating disorders as adults than people who weren’t urged to lose weight as teens,” researchers found after examining “data from eating surveys that 556 participants completed in school when they were 15 years old on average, as well as results from online surveys they completed as adults 15 years later.” The findings were published online in Pediatrics. The study provides “fresh evidence that even well-intended efforts by parents to encourage kids to slim down can backfire, said” the “co-author of an accompanying editorial.” HealthDay (3/6, Gordon) also covers the study. https://www.reuters.com/article/us-health-teens-parents-dieting/dieting-pressure-in-teen-years-tied-to-food-and-weight-problems-later-idUSKCN1GI2OC

Tuesday, March 6, 2018

Biologics in Pregnancy: Are They Safe? Study shows no increased risk for preterm delivery or small for gestational age

https://www.medpagetoday.com/rheumatology/arthritis/71553?xid=NL_breakingnews_2018-03-06&eun=g721819d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=MorningBreak_030618&utm_term=Morning%20Break%20-%20Active%20Users%20-%20180%20days

Company Allows Teens Access To Oral Contraceptives.

reports that in 17 states, a company called Nurx allows people, including teens, to use “a website or app where” they “can get a prescription for oral contraceptives to be delivered to” their homes. The service also allows people to order “day-after pills, sometimes called emergency contraception, and a drug that cuts the risk of contracting HIV.” https://www.deseretnews.com/article/900012016/its-getting-easier-for-young-teens-to-get-birth-control-is-this-a-good-thing.html

Group Issues New Guidance Saying Patients With Type 2 Diabetes Can Relax Their Blood Sugar Control.

reports the American College of Physicians issued new guidance yesterday recommending people with type 2 diabetes can relax their blood sugar control, suggesting the current standard is causing too much harm without enough benefit. However, the American Diabetes Association “said it disagrees with the new recommendation from the American College of Physicians and would not change its advice that” patients with type 2 diabetes “pursue tighter blood glucose control.” The physicians group reviews research on the subject and “said the harms include hypoglycemic events,’ commonly known as low blood sugar, which, in the short term, can cause people with diabetes to feel woozy, lose track of their surroundings or lose consciousness.” https://www.washingtonpost.com/

Gut Hormones Appear To Mediate Impaired Bone Turnover Markers In NAFLD With Type 2 Diabetes,

“Adults with nonalcoholic fatty liver disease and type 2 diabetes had impaired collagen type 1 C-telopeptide suppression in response to an oral glucose tolerance test but not after an IV glucose infusion, study data show.” Researchers said, “Our findings suggest that NAFLD is a comorbidity that could explain variation in studies regarding bone health in [type 2 diabetes].” They added, “We show that suppression of bone resorption (measured as CTX) is more pronounced when glucose is administered orally vs. intravenously (isoglycemic conditions) in healthy individuals, which supports the role of gut hormones as mediators of postprandial suppression of bone resorption acting either directly or perhaps via gut-mediated increases in insulin secretion.” The findings were published in the Journal of Clinical Endocrinology & Metabolism. https://www.healio.com/endocrinology/bone-mineral-metabolism/news/in-the-journals/%7Be768a255-2f5d-464a-a1e7-b6791bf9c869%7D/gut-hormones-appear-to-mediate-impaired-bone-turnover-markers-in-nafld-with-type-2-diabetes

Friday, March 2, 2018

Researchers Propose New Way To Classify Adult-Onset Diabetes.

reports researchers outlined a new classification system for adult-onset diabetes which would eschew “the usual type 1 and type 2 designation in favor of five subgroups” that distinguish between “unique disease progression and risk for related complications.” The authors from Lund University in Sweden wrote in the Lancet Diabetes & Endocrinology, “[T]he results of our study suggest that this new clustering of patients with adult-onset diabetes is superior to the classic diabetes classification because it identifies patients at high risk of diabetic complications at diagnosis and provides information about underlying disease mechanisms, thereby guiding choice of therapy.” https://www.medpagetoday.com/primarycare/diabetes/71477