{"title":"Sarcopenia reversible by diet","authors":"H. Gao-Balch Y","doi":"10.15761/du.1000133","DOIUrl":"https://doi.org/10.15761/du.1000133","url":null,"abstract":"Optimal health for older people depends on maintaining muscle mass. Science indicated the potential importance of diets of adequate quality, to ensure sufficient intakes of protein, vitamin D, and antioxidant nutrients by the food. Optimizing diet and nutrition throughout life may be vital in preventing sarcopenia and promoting functional ability in older age. Furthermore, nutrition science faces the challenge to design a balanced meal, which includes these nutrients to guarantee daily intake but a supplement. *Correspondence to: Ying H Gao-Balch, Department of Human Science, University of Arkansas at Pine Bluff, 1200 North University Drive, Pine Bluff, Arkansas 71601, USA, E-mail: gaobalchy@uapb.edu","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"43 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115756830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Moraes Nm, Souza Gfp, Brito Fi, Antonio Júnior Me, Cipriano Ae, Costa Nsv, Rezende Tm, S. Aj, Gomes Lc
{"title":"Knowledge and self-care in diabetes mellitus and their correlations with sociodemographic, clinical and treatment variables","authors":"Moraes Nm, Souza Gfp, Brito Fi, Antonio Júnior Me, Cipriano Ae, Costa Nsv, Rezende Tm, S. Aj, Gomes Lc","doi":"10.15761/du.1000145","DOIUrl":"https://doi.org/10.15761/du.1000145","url":null,"abstract":"Objective: To assess knowledge and self-care in diabetes mellitus, and to verify their correlations with sociodemographic, clinical and treatment variables. Methods: Cross-sectional and correlational study, involving 33 adults with type 2 diabetes mellitus in a city in the interior of Minas Gerais, Brazil. For data collection, instruments validated for Brazilian culture were used, applied through individual interviews. Results: Satisfactory knowledge about diabetes was obtained and self-care dimensions with the best performance were \"general food\" and \"physical activity\". There were correlations between knowledge and schooling time, income and insulin treatment, “general diet” with income, “medication” and “blood glucose monitoring” with insulin treatment, and monitoring was also correlated with the time of diagnosis. Conclusion: Identifying the interfering variables in the self-care process is essential for the success of educational actions in controlling the disease and promoting quality of life.","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122156395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Empagliflozin in paroxysmal or persistent atrial fibrillation: a possible antiarrhythmic effect","authors":"F. G, S. P","doi":"10.15761/du.1000151","DOIUrl":"https://doi.org/10.15761/du.1000151","url":null,"abstract":"Background: Many studies have highlighted an increased risk of developing atrial fibrillation (AF) in diabetic patients. The SGLT2 inhibitors, in addition to glycaemic control, have shown pleiotropic effects on the cardiovascular system, proving to be particularly advantageous in patients with heart failure. In this study we evaluated a group of patients with paroxysmal AF (PAF) or persistent AF (PeAF) affected by type 2 diabetes and treated with empagliflozin. Methods: This is a case-crossover study obtained from our database of patients affected by PAF or PeAF. We extracted 23 consecutive subjects ICD wearers and affected by diabetes that started treatment with empagliflozin during the follow-up. Results: All enrolled patients were ICD wearers because at high risk of sudden cardiac death and received amiodarone; empagliflozin was added during follow-up for the treatment of diabetes. We evaluated the recurrence of PAF and the days free from AF one year before and one year after starting treatment with empagliflozin. The recurrence of AF was significantly lower after starting empagliflozin than before the treatment (p: 0.001). Conclusion: Our data suggest that empagliflozin is able to reduce the recurrences of AF in diabetic patients with PAF or PeAF. Further studies might demonstrate an antiarrhythmic effect of empagliflozin and change the therapeutic approach in subjects at high risk of AF.","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126390555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Yakubu, Y. Kaoje, Tahoma Jabbe, Aliyu Abdullahi Abubakar
{"title":"Best anthropometric predictors of fasting blood sugar, prediabetes, and diabetes","authors":"I. Yakubu, Y. Kaoje, Tahoma Jabbe, Aliyu Abdullahi Abubakar","doi":"10.15761/du.1000149","DOIUrl":"https://doi.org/10.15761/du.1000149","url":null,"abstract":"Background: The association between obesity and type 2 diabetes is well-known. The measure of obesity that best predicts fasting blood sugar levels remains a subject of debate. The objective of the study was to determine the best anthropometric predictor of FBS, prediabetes, and diabetes among apparently healthy bank workers in Nigeria. Methods: This study analyzed dataset of a cross-sectional survey of apparently healthy 1191 bank workers in 18 state capitals across the six geopolitical regions of Nigeria. The dataset was processed and analyzed with SPSS. Correlation and discriminant analysis were performed to determine the best anthropometric predictors of FBS, prediabetes, and diabetes. Results: The 1191 subjects were aged 22-59 years old, 80.2% were males, and 19.8% females. The average FBS was 5.2 ± 1.2 mmol/l, BMI 26.7 ± 4.6 kg/m 2 , WC 80.1 ± 25.1 cm, HC 88.9 ± 26.7 cm, WHR 0.9 ± 0.09, and WHtR 0.47 ± 0.15. The prevalence of diabetes was 4%, prediabetes 7%, overweight 42%, and obesity 23%. The best anthropometric predictor of FBS was WC (r=0.231, p<0.0001), while the best predictor of diabetes was WHR (AUC 0.64, 95% CI 0.55-0.73) and HC for prediabetes (AUC 0.64, 95% CI 0.58-0.69). The best predictors of all the three outcomes combined were WC and WHtR at cut-off values of 87 cm and 0.5 in both sexes. Conclusions: Both WC and WHtR at cut-off values of 87 cm and 0.5 are appropriate as discriminative anthropometric indices for both prediabetes and diabetes in both sexes. The finding of HC as the best predictor of prediabetes calls for further research in this direction.","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127116466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cheong Yh, H. Park, Jung Ih, Chae Yn, Kim Th, Lee Br, Kim Mk
{"title":"A dipeptidyl peptidase inhibitor, evogliptin, directly prevents nephrin loss and podocyte damage via post-transcriptional regulation","authors":"Cheong Yh, H. Park, Jung Ih, Chae Yn, Kim Th, Lee Br, Kim Mk","doi":"10.15761/du.1000139","DOIUrl":"https://doi.org/10.15761/du.1000139","url":null,"abstract":"Background: Loss of podocytes due to podocyte damage leads to impairment of renal filtration function, thereby bringing about proteinuria in glomerular diseases. Dipeptidyl peptidase 4 (DPP4) inhibitors are reported to protect against podocyte damage in preclinical animal models. However, the direct effects of DPP4 inhibitors on podocytes are not yet fully understood. Methods: Streptozotocin-induced diabetic mice and db/db mice were provided with evogliptin, linagliptin, or irbesartan for 12 weeks. Mouse and human podocytes were treated for 72 h and cell lysate and medium were analyzed. Results: In diabetic mice with renal impairment, evogliptin treatment was more efficacious than linagliptin in blocking urinary nephrin excretion, with preserved renal nephrin and phospho-nephrin levels observed regardless of glucose control. In differentiated murine podocytes and primary human podocytes, evogliptin also outperformed linagliptin in preserving nephrin protein levels under high glucose and angiotensin II conditions that mimicked diabetic nephropathy conditions. Intriguingly, after 72 h of treatment, evogliptin effectively blocked the increase in cellular DPP4 activity without altering DPP4 expression levels, while linagliptin did not. Blocking protein synthesis or clathrin-mediated endocytosis eliminated the nephrin-preserving effects of evogliptin, but nephrin gene expression was not altered by any treatments, suggesting potential post-transcriptional regulation. In podocytes, evogliptin directly reduced the stress-induced cellular signals, pro-apoptotic protein cleavage and shedding of membrane DPP4 that increased under diabetic nephropathy-mimicking conditions. Conclusions: Our findings suggest a direct protective effect of evogliptin against podocyte damage through maintenance of nephrin levels, alleviation of stress responses and a reduction in apoptotic cell death.","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132504024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On the mechanisms of endogenous synthesis of xanthurenic acid a possible cause of human diabetes mellitus","authors":"Meyramov Gg, Meyramova-Abdraimova Ag, Shaybek As","doi":"10.15761/du.1000120","DOIUrl":"https://doi.org/10.15761/du.1000120","url":null,"abstract":"","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114232299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Religion's impact on Ramadan fasting for patients with diabetes mellitus: A review of evidence","authors":"Imad R. Musa","doi":"10.15761/du.1000143","DOIUrl":"https://doi.org/10.15761/du.1000143","url":null,"abstract":"Introduction: Ramadan is the holy moon month for Muslims during which they fast from predawn to after sunset. Ramadan is a divine duty for all healthy Muslim adults. There is a large number of Muslims with type 2 diabetes mellitus, who have the low-to-moderate risk that is associated with fasting. Aim: This study aims to explore the role of the Islamic religion in promoting safe Ramadan fasting for Muslim patients of diabetes mellitus. Method: A systematic search of studies relating to diabetes mellitus during Ramadan fasting was conducted between the 1st of January 1990 and the end of February 2019 for relevant studies, using the following databases: PubMed and Google search engine. The words “religious”, “fasting”, “Ramadan” and “diabetes mellitus were used. Result: A total of 153 citations were initially identified. One hundred four were removed for failing to address the aim of the study, duplication, lack of proper citation, and poor use of language. After screening titles and abstracts, 49 full-text articles were retrieved for eligibility analysis. Nine studies focused on the importance and positive effects of religion on fasting for these patients, fifteen studies concentrated on the exemptions during Ramadan, six studies evaluated the reasons for fasting among exempted persons, seven studies corrected some wrong ideas about fasting, religious education (five studies) (lack of knowledge and its importance) and the effect of cooperation between religion scholars and healthcare providers (thirteen studies). Six studies covered more than one item. Conclusion: Islamic religious teachings and medical recommendations can strengthen each other to promote safe adherence to divine duty for patients with diabetes mellitus during Ramadan. *Correspondence to: Imad eddin Rahamtalla Musa, Royal Commission Hospital at Jubail Industrial City, P.O.B. 11994, zip code 31961, KSA, E-mail: irthesudanese@hotmail.com","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128899214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sulfonylureas as treatment choice in Diabetes Mellitus : Where are we now?","authors":"Manta A, Peppa M","doi":"10.15761/DU.1000124","DOIUrl":"https://doi.org/10.15761/DU.1000124","url":null,"abstract":"Received: March 21, 2019; Accepted: April 01, 2019; Published: April 04, 2019 Sulfonylureas (SUs) constitute a hallmark in the treatment of Diabetes Mellitus Type 2 (DM2) and have remained the main pharmacological approach for many decades. Tolbutamide and the rest of the first-generation SUs were originated in Germany in the 1950s, while the second-generation agents such as glyburide and glipizide were released in the United States in 1984 [1]. Glimepiride, a thirdgeneration SU, became available in the United States in 1995 [2]. In 1997, SUs was the most prescribed class of oral antidiabetic agents, corresponding to over 60% of all treatment visits [3].","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131533550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Forskolin alleviates diabetic nephropathy via inhibition of aldose reductase and advanced glycation end products formation","authors":"S. Damera, Ajmera Rr, Ciddi","doi":"10.15761/du.1000127","DOIUrl":"https://doi.org/10.15761/du.1000127","url":null,"abstract":"Objectives: Various mechanisms including polyol pathway along with a complex integrating paradigm with Aldose reductase (AR) and advanced glycation end products (AGE) formation have been implicated in the pathogenesis of diabetic nephropathy. Methods: The present study was aimed at investigating a well-known antioxidant, Forskolin for its therapeutic role in streptozotocin-induced diabetic nephropathy in rats. The effect of Forskolin was investigated by assessing the key markers of kidney function along with the morphological changes in the kidney. Further, the effect of Forskolin on the formation of AGEs and AR inhibition and lipid peroxidation was compared with that of a standard AR inhibitor, fidarestat. Results: The results revealed that Coleus forskohlii methanolic extract and Forskolin significantly (P<0.05) decreased the blood glucose levels, urinary protein excretion, serum creatinine and blood urea nitrogen in diabetic rats. Administration of Forskolin to diabetic rats decreased kidney lipid peroxides and nitrate levels along with decrease in AGEs formation. In addition, Forskolin was found to inhibit kidney AR activity. Conclusion: Thus, the results obtained in this study underline the potential of Forskolin as a possible therapeutic agent against diabetic complications such as nephropathy. *Correspondence to: Ciddi Veeresham, Professor of Pharmacy, University College of Pharmaceutical Sciences, Kakatiya University, Warangal, Telangana, India 506009, E-mail: ciddiveereham@yahoo.co.in","PeriodicalId":309709,"journal":{"name":"Diabetes Updates","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134603697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}