Cleveland Clinic (May 25, 2023) – What you eat matters. You may be able to prevent insulin resistance, which can lead to Type 2 diabetes by eating a well-balanced diet. This video shares 7 tips to help prevent or manage insulin resistance.
Chapters:0:00 What is insulin resistance? 0:34 Pick low calorie foods 0:41 Lean meats and fish 0:53 Look for high fiber ingredients 1:04 Swap full fat for low-fat 1:20 Use olive or sesame oils 1:35 Choose whole grains 1:46 Consider a low-glycemic diet 1:50 Small changes over time
Insulin resistance is a complex condition in which your body does not respond as it should to insulin, a hormone your pancreas makes that’s essential for regulating blood sugar levels. Several genetic and lifestyle factors can contribute to insulin resistance.
Even before COVID-19 increased the risks of cognitive impairments, it had been estimated that 152.8 million people globally would be living with dementia by 2050. Yet treatment for Alzheimer’s disease has hardly improved since it was discovered in 1901, notes neurologist and dementia specialist Sara Manning Peskin. Now, most clinical trials tackling dementia are “deeply rooted in molecular data”. Peskin’s powerful study — immersed in her patients’ stories — analyses neurology’s attempt to reach oncology’s molecular understanding.
The Insect Crisis
Oliver Milman Atlantic (2022)
Insect decline is obvious — but hard to quantify. Environmental journalist Oliver Milman suggests a drop of more than 90% in some places, in his vivid alarm call. The causes are unclear, but include habitat destruction by intensive farming, pesticide use and climate change. Insects’ “intricate dance” with Earth’s environment makes them crucial to human food supplies. We should learn to eat them, not meat, suggests Milman: that will help to save them by freeing farmland from crops needed to feed livestock.
Insulin — The Crooked Timber
Kersten T. Hall Oxford Univ. Press (2022)
Insulin was first used to treat human diabetes 100 years ago, after it was isolated by two medical scientists in 1921. Historian of science Kersten Hall describes this transformative event, together with insulin’s development as the first drug produced by genetic engineering and its lucrative exploitation — using a blend of profound research, lively writing and personal knowledge of diabetes. He argues that the history is a tale not of geniuses or saints, but rather one of “monstrous egos, toxic insecurities and bitter career rivalry”.
How to Solve a Crime
Angela Gallop Hodder & Stoughton (2022)
More than a century ago, criminologist Edmond Locard established forensic science on the principle that “every contact leaves a trace”. The field’s current sophistication and contribution to justice would be beyond his “wildest imaginings”, writes forensic scientist Angela Gallop. She tells gripping stories from her own and others’ experience, beginning with thirteenth-century Chinese investigator Sung Tz’u. He identified a farmer’s killer by asking fellow villagers to put their sickles on the ground; flies alighted on one blade bearing traces of blood.
The Sloth Lemur’s Song
Alison Richard William Collins (2022)
Anthropologist and conservationist Alison Richard has been absorbed by Madagascar for half a century. She writes that the country’s “animals and plants offer a wonderful array of rabbit holes down which a person fascinated by the natural world could disappear for a lifetime”. Why, for example, does its largest lemur sing spellbindingly across the treetops with its mate for many minutes? And what environmental conditions created the island’s unique — now disastrously threatened —
Type 1 and type 2 diabetes are characterized by increased blood glucose levels. They affect almost half a billion people around the globe, and this number is projected to rise as we reach the middle of the century. In most individuals, blood glucose levels are kept within a healthy range by a hormone called insulin, which is secreted by the pancreas, but this fine-tuned regulation can go wrong in type 1 and type 2 diabetes. In this animation, we lay out our current understanding of these diseases and explore active areas of research that aim to restore the body’s blood glucose control.
Nearly 100 years since insulin was first used in the treatment of diabetes, Professor Chantal Mathieu, Professor of Medicine at the Katholieke Universiteit Leuven, Belgium, takes us through the history, development and future of this life saving drug. Read more in https://www.nature.com/articles/d4285…
2020 American Diabetes Association (ADA) guidelines recommend that after a trial of metformin, doctors add additional drugs based on the presence of cardiovascular and kidney-related comorbidities, risk of weight gain and hypoglycemia, and cost. In this video, Irl B. Hirsch, MD, of the University of Washington in Seattle, explains the rationale for starting insulin next for patients with persistent HbA1c elevation above 9-9.5% despite lifestyle changes and metformin.
Technology is finally innovating diabetes management. With the advancement in technologies like continuous glucose monitors, traditional insulin pumps are evolving into smarter devices that can automate insulin delivery.
Medtronic and Tandem Diabetes are the only two companies to offer hybrid closed loop systems. A community of diabetics are also hacking pumps to do the same thing. CNBC’s Erin Black just switched from the hacked system to Tandem’s Control-IQ and takes a look at how insulin pumps are getting smarter.
Cellular Cleanup Crew Fasting and caloric restriction both can ramp up autophagy, a kind of cellular housekeeping. When cells are in famine mode and don’t have to break down food, they pause their usual tasks and stop dividing. Instead, they work on repairing and recycling damaged components, and cleaning out dead or harmful cell matter. Alison Mackey/Discover
…It seems fasting triggers a dramatic switch in the body’s metabolism, according to a paper Mattson and colleagues published in February in the experimental biology journal FASEB. In humans, fasting for 12 hours or more drops the levels of glycogen, a form of cellular glucose. Like changing to a backup gas tank, the body switches from glucose to fatty acids, a more efficient fuel. The switch generates the production of ketones, which are energy molecules that are made in the liver. “When the fats are mobilized and used to produce ketones, we think that is a key factor in accruing the health benefits,” says Mattson.
In people with Type 1 diabetes, the pancreas can’t make insulin. Those with the condition require several doses of insulin a day and spent $5,705 per person on it in 2016, an increase of $2,841, or 99%, per person since 2012, according to the nonprofit Health Care Cost Institute.
(Podcast interview “This Weekend With Gordon Deal”, 12-14-19)
Costs continue to rise, so much so that almost half of people with diabetes have temporarily skipped taking their insulin, according to a 2018 survey by UpWell Health, a Salt Lake City company that provides home delivery of medications and supplies for chronic conditions.
“Insulin prices doubled in a four-year period,” said Cathy Paessun, the director of the Central Ohio Diabetes Association. “They continue to go up, and the infuriating thing is that there is no change in the process for creating the product.”