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In the News... Does food-as-medicine work for T2D? fake Ozempic warning, new Tzield research, My Cause My Cleats and more!

Diabetes Connections Type 2

Release Date: 12/29/2023

From Restrictive Diets to Realistic Solutions with Dr. Mike Roussell show art From Restrictive Diets to Realistic Solutions with Dr. Mike Roussell

Diabetes Connections Type 2

What you eat is an important part of managing diabetes. By now, we all know being super restrictive doesn’t work, so let’s talk about some easier ways to work in more healthy foods without turning your life upside down. My guest this week is , an author and nutrition consultant who holds a degree in biochemistry and a PHD in nutrition.  We’ll also define insulin resistance and explain why this is an important part of understanding diabetes. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider. Please visit our...

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In the News.. Tandem Mobi released, surprising outcomes for type 2 surgery, exercise and diabetes studies, T1D at the Super Bowl, and more! show art In the News.. Tandem Mobi released, surprising outcomes for type 2 surgery, exercise and diabetes studies, T1D at the Super Bowl, and more!

Diabetes Connections Type 2

It’s In the News, a look at the top stories and headlines from the diabetes community happening now. Top stories this week: Tandem announces it's taking orders and starting to ship the Mobi pump, Insulet gets European approval for the Abbott Libre integration with Omnipod 5, new study looks at type 2 remission and gastric bypass surgery, one type of medication seems to do a much better job preventing kidney stones in people with type 2, big new grant to look at exercise and type 1 and a look back at diabetes at the Super Bowl. Find out more about  Please visit our Sponsors &...

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A new CGM made for people with type 2 - Learn about Dexcom's Stelo show art A new CGM made for people with type 2 - Learn about Dexcom's Stelo

Diabetes Connections Type 2

Dexcom is planning a new CGM system called Stelo, aimed at people with type 2 diabetes who don't use insulin. This week, we're talking to the Chief Operating Officer Jake Leach all about this. Dexcom is the leading CGM used with insulin pumps, so this is an interesting new direction for them. What’s the difference between this device and those made for people who dose insulin? plus a lot more information about their existing product lines. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider. Our previous episodes with...

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Need a CGM? Ask your pharmacist. A new pilot program aims to improve access show art Need a CGM? Ask your pharmacist. A new pilot program aims to improve access

Diabetes Connections Type 2

Getting a CGM is, more and more, becoming a routine part of a diabetes diagnosis. But figuring out if your insurance will pay can be anything but routine. A new pilot program is recruiting pharmacists to be a big part of this process, helping educate patients about their options, even writing prescriptions. Plus, with all the talk about CGM, you may have heard about time in range. What is that and why is it inching out A1C as a gold standard measurement. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider. More about ...

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In the News.. weight loss & cancer study for T2D, new pump submitted, Summer Olympic hopeful with T1D and more! show art In the News.. weight loss & cancer study for T2D, new pump submitted, Summer Olympic hopeful with T1D and more!

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It’s In the News, a look at the top stories and headlines from the diabetes community happening now. Top stories this week: a look at how weight loss might lower cancer risk in people with type 2, a new study that says BG spikes are good(?!), Modular Medical submits a new insulin pump the FDA, another look at COVID-19's effects on people with diabetes, a marathoner with type 1 heads to the last trial for this summer's Olympics, and more! Find out more about Please visit our Sponsors & Partners - they help make the show possible! from extreme temperatures Learn more about Here's where...

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Adjusting to a Type 2 Diabetes Diagnosis - PR Pro Matt Friedman show art Adjusting to a Type 2 Diabetes Diagnosis - PR Pro Matt Friedman

Diabetes Connections Type 2

My guest is Matt Friedman, an expert in public relations who lives with type 2 – we get his take on what’s going on in PR these days – with social media, crisis control, and even CHatGPT and AI – and of course we’ll talk about diabetes, and the bone Matt has to pick with restaurants. I love talking abou technology and the majority of these episodes will be about management tools and techniques, but I’ve also learned that personal stories – talking to people JUST living with diabetes – can be extremely helpful. This episode is one of those people focused ones. We'll also talk...

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Insulin Use with Type 2 Diabetes: Navigating Solutions, Avoiding Stigma show art Insulin Use with Type 2 Diabetes: Navigating Solutions, Avoiding Stigma

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Let’s talk about using insulin. For some, that can feel like a huge failure or that they have the bad type of diabetes. But sometimes, diet and exercise isn’t enough to manage type 2 diabetes. My guest this week is Dr. Arthi Thangudu and she’s going to talk about how she approaches these conversations with her patients and some of the newer options out there for administering insulin. Also this week, as long as we’re talking about insulin, we’ll define the different kinds. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health...

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In the News... Spray insulin tested, Dexcom T2D sensor submitted, A1C period pads... and more! show art In the News... Spray insulin tested, Dexcom T2D sensor submitted, A1C period pads... and more!

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It’s In the News, a look at the top stories and headlines from the diabetes community happening now. Top stories this week: Vertex pauses their stem cell transplantation trials after a patient death, spray insulin is tested, learning more about Dexcom's sensor for type 2, measuring A1C through menstrual blood and more! Find out more about Please visit our Sponsors & Partners - they help make the show possible! from extreme temperatures Learn more about Here's where to find us: Learn more about everything at our home page Reach out with questions or comments:...

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Get Kitchen Confident! The Happy Diabetic's Recipe for Living Well with Type 2 Diabetes show art Get Kitchen Confident! The Happy Diabetic's Recipe for Living Well with Type 2 Diabetes

Diabetes Connections Type 2

When you get a diabetes diagnosis, eating well is usually at the top of the “to-do” list. But then you get home and look around the kitchen and – let’s face it – most of us aren’t sure where to start. What’s easy to cook that will taste good? What will my family actually eat? This week I’m talking to Chef Robert Lewis, who calls himself the happy diabetic. He lives with type 2 and he’ll explain why he started off very unhappy! And what changed.. Also this week, we’re explaining the term post prandial  blood sugar. What does it mean and why is your doctor so concerned...

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Diabetes + Weight Loss: Inside the new partnership between WeightWatchers and Abbott show art Diabetes + Weight Loss: Inside the new partnership between WeightWatchers and Abbott

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More Episodes

It’s In the News, a look at the top stories and headlines from the diabetes community happening now. Top stories this week: a new study looks at food-as-medicine for type 2, another FDA warning about fake Ozempic, new research says gut markers may help predict who Tzield will work best for, JDRF partners with NFL and more...

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Episode transcript:

 

Hello and welcome to Diabetes Connections In the News! I’m Stacey Simms and every other Friday I bring you a short episode with the top diabetes stories and headlines happening now.

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In the news is brought to you by Edgepark simplify your diabetes journey with Edgepark

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Our top story this week…

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You often hear people say food is medicine.. but an intensive program trying to show that’s the case did NOT improve glycemic control in adults with type 2 diabetes any better than usual care.

This was a randomized clinical trial. After 6 months, both groups had a similar drop in HbA1c -- 1.5 percentage points among program enrollees and 1.3 percentage points with usual care, with no significant differences in other metabolic lab values between the groups either, the researchers wrote in JAMA the food-as-medicine participants even gained some weight compared with the usual care group over 6 months (adjusted mean difference 1.95 kg, P=0.04).

"I was surprised by the findings because the program is so intensive," Doyle told MedPage Today. "The health system built brick-and-mortar clinics, staffed them with a dietitian, nurse, and community health worker, had weekly food pick-up for 10 meals per week for the entire family, and participants spend a year in the program."

 

Costing an estimated $2,000 annually per participant, the food-as-medicine program allowed participants to choose from a variety of vegetables, fruits, and entrees each week -- enough food for two meals a day, 5 days a week. They were also provided recipes and cooking instructions and met with dietitians to track goals. On the other hand, the control group was only provided usual care, a list of local food bank locations, and the option to join the program after 6 months.

 

 

The trial was conducted at two sites, one rural and one urban, in the mid-Atlantic region. It recruited 465 adults with type 2 diabetes who completed the study, all of whom started with an HbA1c of 8% or higher. All participants were also self-reported as food insecure. The average age was 54.6 years, 54.8% of participants were female, 81.3% were white, and most resided in the urban location. Of note, all participants also resided in the program's service area and were affiliated with the health system that ran it.

 

"One study should not be over-interpreted," said Doyle. "It is possible that such a program could work in other contexts, among patients less connected to a health system, or in other formats. The main alternative to providing healthy groceries and education is to provide pre-made 'medically tailored meals.'"

 

"I hope the study raises awareness of the potential for food-as-medicine programs to increase healthcare engagement and to push researchers and policymakers to generate more evidence on ways such programs can improve health."

It’s worth noting that there is very little study – much less clinical trial level study on this type of thing. The researchers say they hope it spurs more research to find methods that will have a large impact.

https://news.mit.edu/2023/food-medicine-diabetes-study-1227

https://www.medpagetoday.com/primarycare/dietnutrition/107998

 

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New information about moderate low carb diets for people with type 1.

The study published in The Lancet Regional Health - Europe is the largest of its kind to date. Participants were for different periods randomly assigned in a crossover manner to eat a traditional diet with 50% of the energy from carbohydrates, or a moderate low-carbohydrate diet with 30% of the energy from carbohydrates.

 

The 50 participants all had type 1 diabetes with elevated mean glucose, long-term blood sugar, and injection therapy with insulin or an insulin pump. Half were women, half men. The average age was 48 years.

Participants on a moderate low-carbohydrate diet were found to spend more time in what is known as the target range, the range within which people with type 1 diabetes should be in terms of glucose levels. The increase in time within the target range was an average of 68 minutes per day compared to the traditional diet, while the time with elevated values ​​was reduced by 85 minutes per day.

The researchers saw no evidence of adverse effects.

https://www.news-medical.net/news/20231220/Moderate-low-carb-diet-safe-and-effective-for-adults-with-type-1-diabetes.aspx

 

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Researchers at Case Western Reserve University and University Hospitals have identified an enzyme that blocks insulin produced in the body—a discovery that could provide a new target to treat diabetes.

 

Their study, published Dec. 5 in the journal Cell, focuses on nitric oxide, a compound that dilates blood vessels, improves memory, fights infection and stimulates the release of hormones, among other functions. How nitric oxide performs these activities had long been a mystery.

 

The researchers discovered a novel “carrier” enzyme (called SNO-CoA-assisted nitrosylase, or SCAN) that attaches nitric oxide to proteins, including the receptor for insulin action.

Given the discovery, next steps could be to develop medications against the enzyme, he said.

https://thedaily.case.edu/new-cause-of-diabetes-discovered-offering-potential-target-for-new-classes-of-drugs-to-treat-the-disease/

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The Food and Drug Administration on Thursday warned consumers not to use counterfeit versions of Novo Nordisk's diabetes drug Ozempic that have been found in the country's drug supply chain.

 

The FDA said it will continue to investigate counterfeit Ozempic 1 milligram injections and has seized thousands of units, but flagged that some may still be available for purchase.

The agency said the needles from the seized injections are counterfeit and their sterility cannot be confirmed, which presents an additional risk of infection for patients.

 

Other confirmed counterfeit components from the seized products include the pen label and accompanying information about the healthcare professional and patient, as well as the carton. The FDA urged drug distributors, retail pharmacies, healthcare practitioners and patients to check the drug they have received and to not distribute, use or sell the units labeled with lot number NAR0074 and serial number 430834149057.

 

People who have Ozempic injections with the above lot number and serial number can report it directly to the FDA Office of Criminal Investigations.

https://www.nbcnews.com/health/health-news/fda-warns-ozempic-counterfeit-diabetes-weight-loss-rcna130871

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New research indicates that information in the gut may predict how well a person responds to Tzield. That’s the medication approved earlier this year to delay the onset of type 1.  These findings reported in the journal Science Translational Medicine, casts a new spotlight on the immune system's relationship with the microbiome, revealing how gut microbes can shape the progression of type 1 diabetes. With this new knowledge in hand, clinicians may better pinpoint patients who are most likely to respond to teplizumab.

https://medicalxpress.com/news/2023-12-gut-microbes-patients-response-drug.html

 

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Experts are advocating for universal screening for type 1 diabetes. With the availability of Tzield and other medications on the horizon, there's a stronger push for screening earlier in life. At least 85% of people who are newly diagnosed do not have a family history of diabetes.

Testing for autoantibodies can be completed at home through the TrialNet clinical trial program, or at a doctor’s office or lab. For instance, JDRF’s T1Detect program provides at-home testing for $55, with lower-cost options for people in financial need.

The 2024 American Diabetes Association (ADA) Standards of Care recommend more intensive monitoring for the progression of preclinical type 1 diabetes. The Standards of Care also recommend using Tzield to delay the onset of diabetes in people at least 8 years old with stage 2 type 1 diabetes.

https://diatribe.org/type-1-diabetes-it%E2%80%99s-time-population-wide-screening

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https://www.healthline.com/health-news/the-years-biggest-medical-advancements-in-diabetes-treatment

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DRF, the leading global funder of type 1 diabetes (T1D) research, is recognizing the NFL stars who showcased their creativity and a remarkable show of support as part of the highly anticipated annual "My Cause My Cleats" (MCMC) campaign.

 

The My Cause My Cleats initiative allows NFL players to wear custom-painted cleats during selected games to raise awareness and funds for the charitable causes closest to their hearts. The unofficial start of the campaign begins on Giving Tuesday with unboxing day events showcasing the players' cleats and the stories behind them. It continues through weeks 13 and 14 of the season, culminating with the players donning their cleats on game day. After the games, some players donate their cleats to their chosen charities or the NFL auction, with all proceeds going toward their selected causes.

 

Type 1 Diabetes is a life-threatening autoimmune condition that affects people of all ages, regardless of family history or lifestyle choices. To live, people with T1D must carefully balance injecting or infusing insulin with their carbohydrate intake throughout the day and night. T1D impacts approximately 1.6 million people in the U.S. It is unpreventable, and there is currently no cure.

 

This year, JDRF is thankful for the support of several players who have T1D or are advocating for their loved ones with T1D, including Mark Andrews of the Baltimore Ravens, Orlando Brown, Jr. of the Cincinnati Bengals, Blake Ferguson of the Miami Dolphins, Collin Johnson of the Chicago Bears, Chad Muma of the Jacksonville Jaguars, Nate Peterman of the Chicago Bears, and Kevin Radar of the Tennessee Titans.

 

"The NFL players who support JDRF through the My Cause My Cleats exemplify the passion and determination at the heart of the type 1 diabetes community," said Kenya Felton, JDRF Director of PR and Celebrity Engagement. "They serve as inspirations for many adults and children affected by T1D, demonstrating that with an understanding of T1D, effective management, and a good support system, you can overcome the challenges of the disease. Their support helps to increase awareness and is significant in helping JDRF advance life-changing breakthroughs in T1D research and advocacy initiatives."

 

Since its inception in 2016, the MCMC campaign has provided a platform for many NFL players and affiliates to support JDRF's mission, including Beau Benzschawel, David Carr, Will Clarke, Keion Crossen, DeAndre Carter, Reid Ferguson, Jaedan Graham, Jarvis Jenkins, Collin Johnson, Henry Mondeaux, Jaelan Phillips, Adam Schefter, Brandon Wilds, and Jonah Williams.

https://www.prnewswire.com/news-releases/nfl-stars-support-jdrf-and-champion-type-1-diabetes-awareness-through-the-my-cause-my-cleats-campaign-302022060.html

 

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