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Earlier puberty onset in both girls, boys with diabetes: Study | Health

Diabetes News


Research has discovered earlier puberty onset in both girls and boys with diabetes.

Earlier puberty onset in both girls, boys with diabetes: Study(Freepik)

Puberty in both girls and boys with type 1 diabetes has shifted forward over the last two decades, according to research presented at the 61st Annual European Society for Paediatric Endocrinology Meeting in The Hague.

Furthermore, longer diabetes duration, larger waistlines, and lower blood sugar levels were linked to even earlier puberty development.

The most frequent type of diabetes in children is type 1 diabetes. Puberty causes hormonal changes that can have an impact on metabolic regulation in diabetes. For example, the body can grow more resistant to insulin, raising blood sugar levels. Many studies have found earlier puberty onset around the world in recent years, notably in healthy girls. Diabetes, on the other hand, has been linked to a delay in pubertal onset in children.

ALSO READ: 5 reasons sleeping late at night is increasing your diabetes risk

Researchers from Germany examined data from the German DPV registry on the onset of puberty and pubic hair development of 65,518 children aged 6 to 18 years who were all diagnosed with type 1 diabetes between 2000 and 2021.

In this study, researchers from Germany analysed data on the onset of puberty and pubic hair development of 65,518 children aged 6-18 years, all diagnosed with type 1 diabetes between 2000 and 2021, from the German DPV registry.

They discovered that over the last two decades, both girls and boys have reached puberty six months earlier than before. This outcome was more pronounced in children who had diabetes for a longer period of time, were overweight, or had lower blood sugar levels.

“While the findings for girls align with previous research, our study is groundbreaking in revealing a similar trend in boys with type 1 diabetes for the first time,” said lead researcher Dr Felix Reschke from the Children’s Hospital Auf Der Bult in Hanover.

“As a result, we now anticipate that the average onset of puberty in boys with diabetes will occur just before the age of 12 (11.98 years).”

He added: “Our study demonstrates that children with diabetes are also experiencing this trend towards earlier puberty, which is already known in healthy girls, but not evident in boys yet. It’s also important to note that previous research indicated that type 1 diabetes may lead to delayed pubertal onset, thus our study provides new insights into the complex relationship between type 1 diabetes and puberty onset.”

Many factors that alter puberty in children, such as healthy girls, have been associated with early puberty. However, early puberty often does not have an obvious cause.

“Our research not only sheds light on the evolving landscape of puberty timing in children with type 1 diabetes but also underscores the intricate interplay between metabolic factors, hormones, and environmental influences,” said Dr Reschke. “Further investigations are warranted to explore these dynamics comprehensively and inform targeted interventions for this vulnerable population.”

This story has been published from a wire agency feed without modifications to the text. Only the headline has been changed.



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Dealing with diabetes

Diabetes News


The concern about the number of diabetics is not restricted to our country though. The International Diabetes Foundation predicts that by the year 2040, over 642 million people worldwide will be diagnosed with the disease. Lee Callakoppen, Principal Officer at Bonitas Medical Fund, together with the Scheme’s clinical team talks about diabetes and why a proactive and holistic approach to management of the disease is essential.

What is diabetes?

It is a disease that occurs when your blood glucose, also called blood sugar, is too high. Insulin – a hormone made by the pancreas – helps glucose from food get into your cells to be used for energy. 

An overview

  • Type 1 diabetes. Results from the body’s failure to produce insulin, the hormone that unlocks the cells of the body, allowing glucose to enter and fuel them
  • Type 2 diabetes. With Type 2 diabetes, the more common type, your body does not make or use insulin well
  • Pre-diabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. If you are at risk for Type 2 diabetes, you may be able to delay or prevent developing it by making some lifestyle changes
  • Gestational diabetes. Is diabetes diagnosed, for the first time, during pregnancy (gestation)

10 early signs of diabetes:

The symptoms of diabetes are usually so mild that they can easily go unnoticed. This results in many diabetics being unaware of their condition until they are diagnosed with Type 2 diabetes. Fortunately, diabetes is a manageable condition, especially if diagnosed early. Here are 10 early signs you can look out for:

1. Frequent urination

When your blood sugar is elevated, the kidneys can’t keep up with the amount of glucose in your system, allowing some of it to go into your urine. This results in you having to urinate more often than usual.

  2. Increased hunger and thirst

Diabetics usually don’t get enough energy from their food, which leads to a craving for more food. The frequent urination is also likely to cause dehydration and lead to you feeling thirstier than normal.

  3. Pain and numbness

If you have Type 2 diabetes, you might experience numbness in your hands and feet. This is usually a sign of nerve damage or diabetic neuropathy and is usually after years of living with diabetes.

4. Dry Mouth

A dry mouth is one of the most common symptoms of diabetes. Symptoms may include: Trouble chewing, swallowing or speaking, dry, cracked lips, sores or infections in the mouth or a furry, dry tongue.

  5.  Blurred vision

High sugar levels in the blood can damage the tiny blood vessels in the eyes, causing fluid to seep into the lens of the eye, potentially causing blurry vision.

  6. Yeast infections

Yeast feeds on glucose, so having plenty of glucose around makes it thrive. Yeast infections usually grow in warm, moist areas of skin, like between fingers and toes, under breasts and in or around sex organs.

7. Slow healing cuts and wounds

Over time, high blood sugar levels narrow your blood vessels, slowing blood circulation and restricting much needed nutrients and oxygen from getting to the wounds. As a result, even small cuts and wounds may take weeks or months to heal.

8. Skin discolouration

Insulin resistance can cause patches of darker skin to form on creases of the neck, armpits, groin area or over the knuckles. This condition, known as acanthosis nigricans, can be a result of diabetes. The skin in the affected area also becomes thickened.

 9. Fatigue

Diabetes-related fatigue is caused by fluctuating blood glucose levels resulting in not enough glucose for the body’s energy supply.

10. Weight loss

Losing weight without trying to, can be a warning sign of diabetes. When your body can’t get energy from your food, it will start burning muscle and fat for energy instead, resulting in weight loss even though you haven’t changed your eating habits.

Holistic treatment and management of diabetes critical

Over the past few years, the Council for Medical Schemes (CMS) cited an increased prevalence of chronic conditions, diabetes in particular, as one of the key contributors to a rising disease burden and escalating healthcare costs. ’To offset this growing disease burden and proactively empower patients with diabetes to take control of their health, Bonitas has developed an integrated, holistic programme that is based on the specific needs of members with diabetes,’ says Callakoppen.

Diabetic co-morbidities – a higher risk

Individuals with diabetes often have other chronic conditions (co-morbidities) – such as high blood pressure, high cholesterol, heart disease and depression. This fact greatly increases the risk of diabetics developing complications such as nerve damage, eye problems, kidney damage as well as problems in pregnancy. To manage diabetes effectively, all the other conditions and complications must be managed as well. A key feature of the Bonitas diabetes programme is that it manages each individual’s unique mix of disease and lifestyle factors, rather than a standard approach to managing a specific disease.

Diabetes Management

Complications of diabetes must be prevented by ensuring access to proper treatment such as specialised diabetes’ doctors, paediatricians, podiatrists, diabetic educators to help manage the diabetes. Diabetics need to understand their condition and be empowered to make the right decisions to stay healthy.

Containing the risk

‘We believe the way forward is an increased focus on prevention, lifestyle changes, coordination of care by doctors and the utilisation of evidence-based disease management interventions,’ says Callakoppen. ‘The Bonitas clinical team uses an innovative Emerging Risk predictive model and screening algorithms to identify pre-diabetics as well as members likely to develop complications and other serious conditions.

‘We work with healthcare professionals to create an environment that supports them to optimise clinical outcomes. Together we can help members at high risk so that they can proactively improve their health and reduce the chances of developing complications and additional conditions.’ DM

Author: Lee Callakoppen, Principal Officer, Bonitas Medical Fund

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Night owls have a higher risk of Type 2 diabetes, says study. How can night-shifters control blood sugar? | Health and Wellness News

Diabetes News


If you are at a desk job, move around or take a small walk every two hours during the shift. Don’t go near the vending machine and slot an exercise schedule in your functional cycle, says Dr Anoop Misra, Chairman, Fortis C-DOC Hospital for Diabetes and Allied Sciences

diabetes night owlsNight owls may need to pay more attention to their lifestyle because their chronotype may increase the risk for Type-2 diabetes (Source: Getty Images)

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Are you a night owl? Then you are likely to have a higher risk of developing Type-2 diabetes. A recently published study from the US shows that people with “evening chronotype” or those who prefer to be active in the evening, sleep and wake up late are 19 per cent more likely to develop diabetes, even after the researchers accounted for lifestyle factors. This means that unhealthy habits may explain away a large proportion of the risk but not all of it.

“Night owls may need to pay more attention to their lifestyle because their chronotype may increase the risk for Type-2 diabetes,” say the study’s corresponding author and associate epidemiologist from Brigham and Women’s Hospital, Boston, Tianyi Huang. Chronotype refers to a person’s preferred timing of sleeping and waking up, which is partly determined by genetics, and cannot be changed easily. The study, based on data from over 63,000 women nurses, found that those who prefer to stay up and work at night are more likely to consume alcohol in higher quantities, have low-quality diet, smoke and have less physical activity.

Why does the evening chronotype increase the risk of diabetes?

First, the evening chronotype is likely to develop more unhealthy lifestyle habits. “Those who go to bed late at night are much more likely to snack after dinner. When they wake up, they are unlikely to have time for exercise before heading out for work or through afternoons and evenings when they are at work,” says Dr Anoop Misra, Chairman, Fortis C-DOC Hospital for Diabetes and Allied Sciences. Those with evening chronotype are also much more likely to have an irregular sleep pattern that leads to increased glucose intolerance.

The chronotype can also impact hormones. As Dr Misra explains, “The secretion of melatonin depends on the light. Exposure to a lot of light during the night is likely to reduce melatonin secretion, which is known to regulate insulin secretion. The sleep-wake cycle also affects the cortisol levels in the body, which in turn leads to insulin resistance and obesity.”

How can I protect myself?

Dr Misra says even those with evening chronotype can reduce their risk of diabetes by following a good routine and remaining disciplined. “If a person makes time for a workout in the evening, if they do not snack at night and follow a proper routine within their functional cycle, they can have a reduced risk of diabetes.” Those with evening chronotype may also try to retrain themselves by waking up and going to bed 15 to 30 minutes earlier each day, experts say.

The US researchers found the increased risk associated with evening chronotype in nurses who worked day shifts, not those who worked overnight shifts. “When chronotype was not matched with work hours, we saw an increase in Type 2 diabetes risk. That was another very interesting finding, suggesting that more personalised work scheduling could be beneficial,” say researchers.

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What can I do if I work on a night shift?

If you cannot avoid a night shift, Dr Misra suggests some practical ways you can remain healthy. If you are at a desk job, you should move around or take a small walk every two hours during the shift. He advises that people consume healthy snacks at night and avoid going to vending machines. People must avoid colas that may be more readily available at night than healthier beverages. Most importantly, those working night shifts should also make time for regular exercise in their routine.

“The good thing about the current study is that it has a big sample size. However, the study is based on a single questionnaire. Multiple questionnaires over a period of time would have given more details on whether the participants stuck to a particular lifestyle,” says Dr Misra.

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First published on: 14-09-2023 at 12:42 IST



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Depression a direct cause of type 2 diabetes. How can it be managed?

Diabetes News


A recent genetic study from UK scientists suggests that depression may be a direct cause of type 2 diabetes, which could support attempts to prevent the disease.

Over 500 million individuals worldwide have type 2 diabetes, which has been linked to depression through shared genetics and a causal association, according to The Guardian.

Following the study, suggestions have been made for depression to be added to the list of type 2 diabetes risk factors, along with other variables including obesity, inactivity, and a family history of the disease.

Both diseases have historically been associated with one another as people having type 2 diabetes are twice as likely to be diagnosed with depression than the general population. According to Dr Shaunak Ajinkya, Consultant, Psychiatrist, Kokilaben Dhirubhai Ambani Hospital, Mumbai, depression and type 2 diabetes have a bidirectional relationship, meaning they can influence each other and increase the risk of the other condition.

Although it was never made clear whether type 2 diabetes led to depression or vice versa, or if other factors, including obesity, were also at play. This research suggests that depression causes diabetes, rather than the other way around.

What is the relationship between depression and type 2 diabetes?

Depression can be a risk factor for type 2 diabetes because it can affect various aspects of a person’s life that are closely related to diabetes development.

Chronic stress and depression can lead to unhealthy behaviors like overeating, physical inactivity, and poor sleep, which can contribute to obesity and insulin resistance, both of which are a major risk factor for type 2 diabetes, explained Dr Sanjay Singh, General Physician, Cygnus Laxmi Hospital.

A person with a history of depression or a family history of type 2 diabetes are at higher risk. (Source: Freepik)

Additionally, depression can impact the body’s stress response system and lead to dysregulation of hormones involved in glucose metabolism, such as cortisol, insulin, and glucagon, as per Dr Ajinkya, who added that this dysregulation also contributes to the development of insulin resistance.

On the other hand, type 2 diabetes can also be a risk factor for developing depression. “The burden of managing a chronic illness, the stress associated with it, and the potential for complications can significantly affect a person’s mental health and increase the risk of depression,” Dr Ajinkya said.

What are the risk factors of developing type 2 diabetes in individuals with depression?

Assessing the risk can be done through a combination of factors, according to the experts, including:

Medical history

A person with a history of depression or a family history of type 2 diabetes are at higher risk.

Lifestyle factors

Assessing the person’s lifestyle habits, including diet, physical activity levels, and substance abuse, can help determine their risk.

Physical examination

Checking for signs of obesity or other metabolic abnormalities can provide an indication of diabetes risk.

Blood tests

Assessing fasting blood glucose levels and HbA1c (average blood glucose levels over the past few months) can help determine if a person has diabetes or is at risk of developing it.

Managing depression to reduce the risk of developing diabetes involves a multi-faceted approach. (Source: Getty Images/ Thinkstock)

If someone with depression is identified to be at risk of developing type 2 diabetes, interventions such as lifestyle modifications, regular physical activity, and mental health assessment and support may be recommended to reduce the risk and improve overall well-being.

Apart from depression, these experts say that several other risk factors can increase the likelihood of developing type 2 diabetes:

  • Family history of diabetes
  • Obesity or excess body weight, especially around the abdomen
  • Sedentary lifestyle
  • Poor diet high in sugar and unhealthy fats
  • High blood pressure
  • Age (risk increases with age)
  • Ethnicity (certain ethnic groups are at higher risk)

How to manage depression so that it doesn’t end up in the development of diabetes?

Managing depression to reduce the risk of developing diabetes involves a multi-faceted approach, as per the experts, such as:

Seek professional help and build a support system

Consult with a mental health expert or therapist to address and manage your depression. This may include therapy, such as cognitive-behavioral therapy (CBT), if necessary.

Seek support from friends, family, or support groups. Sharing your feelings and experiences with others who understand can help alleviate symptoms of depression.

Adopt a healthy lifestyle

Focus on regular exercise, a balanced diet, and weight management to improve insulin sensitivity and overall health. Alcohol and certain substances worsen symptoms of depression and increase the risk of developing diabetes, so it’s best to avoid their use.

Depression can be a risk factor for type 2 diabetes because it can affect various aspects of a person’s life that are closely related to diabetes development. (Source: Pixabay)

Get enough sleep

Prioritise a regular sleep schedule and aim for 7 to 9 hours of quality sleep every night. Poor sleep can worsen symptoms of depression and increase the risk of developing diabetes.

Stress management

Practice relaxation techniques such as mindfulness, yoga, or meditation to reduce stress levels. Find healthy ways to cope with stress like engaging in hobbies or activities which you enjoy.

Medication, if needed

In some cases, medication may be necessary to treat depression, and it’s essential to follow a healthcare provider’s guidance. If you are taking medication for depression, it’s important to take it as prescribed and attend regular follow-up appointments with your healthcare provider.

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Regular monitoring

If you’re at risk, maintain regular check-ups with your healthcare provider to monitor your blood sugar levels and overall health.

Remember that a collaborative approach involving mental health professionals, primary care physicians, and lifestyle modifications is crucial to manage both depression and reduce the risk of type 2 diabetes effectively.

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Rhumbline Advisers Trims Stock Holdings in Tandem Diabetes Care, Inc. (NASDAQ:TNDM)

Diabetes News
Tandem Diabetes Care logo


Rhumbline Advisers decreased its stake in Tandem Diabetes Care, Inc. (NASDAQ:TNDMFree Report) by 6.3% in the first quarter, according to the company in its most recent Form 13F filing with the Securities & Exchange Commission. The institutional investor owned 177,613 shares of the medical device company’s stock after selling 11,895 shares during the quarter. Rhumbline Advisers owned approximately 0.27% of Tandem Diabetes Care worth $7,213,000 as of its most recent SEC filing.

A number of other hedge funds and other institutional investors have also bought and sold shares of the stock. PNC Financial Services Group Inc. increased its position in Tandem Diabetes Care by 2.7% in the first quarter. PNC Financial Services Group Inc. now owns 6,246 shares of the medical device company’s stock worth $726,000 after buying an additional 164 shares in the last quarter. Canada Pension Plan Investment Board boosted its stake in shares of Tandem Diabetes Care by 3.4% in the first quarter. Canada Pension Plan Investment Board now owns 5,616 shares of the medical device company’s stock worth $654,000 after acquiring an additional 184 shares during the period. State of Wyoming boosted its stake in shares of Tandem Diabetes Care by 45.8% in the fourth quarter. State of Wyoming now owns 821 shares of the medical device company’s stock worth $37,000 after acquiring an additional 258 shares during the period. Quadrant Capital Group LLC boosted its stake in shares of Tandem Diabetes Care by 53.5% in the fourth quarter. Quadrant Capital Group LLC now owns 841 shares of the medical device company’s stock worth $38,000 after acquiring an additional 293 shares during the period. Finally, Legal & General Group Plc boosted its stake in shares of Tandem Diabetes Care by 0.3% in the second quarter. Legal & General Group Plc now owns 97,817 shares of the medical device company’s stock worth $5,790,000 after acquiring an additional 318 shares during the period.

Tandem Diabetes Care Price Performance

NASDAQ:TNDM opened at $27.25 on Wednesday. The firm has a market capitalization of $1.77 billion, a price-to-earnings ratio of -7.83 and a beta of 0.87. Tandem Diabetes Care, Inc. has a 1 year low of $23.60 and a 1 year high of $59.91. The business has a 50 day simple moving average of $29.10 and a 200-day simple moving average of $32.91. The company has a debt-to-equity ratio of 0.86, a current ratio of 4.38 and a quick ratio of 3.53.

Tandem Diabetes Care (NASDAQ:TNDMGet Free Report) last issued its quarterly earnings results on Thursday, August 3rd. The medical device company reported ($0.30) earnings per share for the quarter, topping the consensus estimate of ($0.54) by $0.24. Tandem Diabetes Care had a negative return on equity of 20.29% and a negative net margin of 28.40%. The firm had revenue of $195.92 million for the quarter, compared to the consensus estimate of $201.62 million. Equities analysts forecast that Tandem Diabetes Care, Inc. will post -1.49 EPS for the current year.

Analysts Set New Price Targets

TNDM has been the subject of a number of recent analyst reports. Robert W. Baird dropped their price objective on Tandem Diabetes Care from $33.00 to $32.00 and set a “neutral” rating for the company in a research note on Monday, August 21st. TD Cowen dropped their price objective on Tandem Diabetes Care from $52.00 to $34.00 and set an “outperform” rating for the company in a research note on Friday, August 4th. Citigroup dropped their price objective on Tandem Diabetes Care from $33.00 to $31.00 and set a “neutral” rating for the company in a research note on Monday, August 21st. StockNews.com initiated coverage on Tandem Diabetes Care in a research note on Thursday, August 17th. They set a “hold” rating for the company. Finally, Barclays dropped their price target on Tandem Diabetes Care from $71.00 to $62.00 and set an “overweight” rating for the company in a research note on Friday, August 4th. One analyst has rated the stock with a sell rating, seven have issued a hold rating and five have assigned a buy rating to the company. According to MarketBeat.com, Tandem Diabetes Care presently has a consensus rating of “Hold” and a consensus price target of $46.80.

View Our Latest Stock Report on TNDM

About Tandem Diabetes Care

(Free Report)

Tandem Diabetes Care, Inc, a medical device company, designs, develops, and commercializes various products for people with insulin-dependent diabetes in the United States and internationally. The company’s flagship product is the t:slim X2 insulin delivery system, a pump platform that comprises t:slim X2 pump, its 300-unit disposable insulin cartridge, and an infusion set.

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Institutional Ownership by Quarter for Tandem Diabetes Care (NASDAQ:TNDM)

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Struggling With Diabetes? How Drinking Dry Ginger Water On An Empty Stomach Can Help

Diabetes News


Diabetes is a condition that affects millions worldwide, where the body’s ability to regulate blood sugar levels is compromised. Diabetes, a widespread health concern, occurs when the body struggles to maintain optimal blood sugar levels. Two main types of diabetes exist: type 1 and type 2. Type 2 diabetes, the more common form, typically develops due to lifestyle factors such as a poor diet, lack of exercise, and genetics. Managing diabetes requires vigilance, a balanced diet, and sometimes the aid of natural remedies. One such remedy gaining attention is dry ginger, celebrated for its potential to help control high blood sugar.
Also Read: 5 Best Morning Drinks For Diabetics To Add To Your Routine

Dry Ginger: A Natural Aid for Diabetes

Dry ginger has the potential to balance blood sugar levels. Photo Credit: iStock

Dry ginger, derived from the drying process of fresh ginger, offers a potential natural remedy for managing blood sugar levels. The off-white, powdered form of dried ginger has found its way into our kitchens, not just for its culinary prowess but also for its possible health benefits.
Also Read: Fruit Juices For Diabetics: Yes Or No? Here Are 3 Key Takeaways

Benefits Of Ginger For Diabetes:

1. Role of Ginger in Blood Sugar Control

A study published in the Journal of Ethnic Foods found that ginger consumption may lead to a reduction in A1C levels and fasting serum glucose levels. A1C is a test that measures average blood sugar levels over a few months, helping with overall diabetes control.

2. Ginger’s Potential Mechanism for Blood Sugar Control

Another study, published in the journal ‘Nutrients,’ proposes that ginger possesses a blood-sugar-controlling mechanism. Ginger may inhibit enzymes responsible for carbohydrate metabolism and improve blood biochemical parameters and lipid profiles. This mechanism has the potential to benefit individuals striving for blood sugar regulation.

3. Gingerols and Blood Sugar Management

The major active component of ginger, gingerols, is believed to improve glucose uptake into muscle cells independently of insulin. This action may assist in managing high blood sugar levels, as reported in the Iranian Journal Of Pharmaceutical Research.

Dry ginger water can be a good way to add this ingredient to your diabetes diet. Photo Credit: iStock

Aside from its potential in diabetes management, ginger offers a range of other health benefits. Macrobiotic Nutritionist and Health Practitioner Shilpa Arora highlights ginger’s advantages, including aiding digestion, treating cold and flu infections, and even assisting people with asthma. The anti-inflammatory properties of ginger are said to be comparable to potent antibiotics.
Also Read: Diabetes Diet: 10 Hot And Cold Drinks That Can Help Manage Blood Sugar Levels

Now that we understand the potential benefits of dry ginger for diabetes, let’s explore how to incorporate it into your daily routine:

Ginger Water Recipe for Diabetes Management:

Mix 2 grams of ginger powder into warm water. Add a pinch of salt if desired. Consume this ginger water in the morning on an empty stomach.

Incorporating this simple home remedy into your daily routine, when combined with proper medical guidance, may contribute to your overall well-being and diabetes management. However, consult with a healthcare professional before making significant dietary changes or adding new supplements to your routine.

Also Read: Why Moong Dal Is Great For Diabetes, And 8 Healthy Recipes For Your Diet

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.



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Insulet sues rival for allegedly stealing trade secrets on diabetes tech

Diabetes News


Insulet filed a lawsuit this month against its rival EOFlow, accusing it of stealing trade secrets in a case that could shake up the diabetes technology market and throw a wrench in Medtronic’s planned $738 million acquisition of EOFlow.

Insulet alleges that the South Korea-based EOFlow copied the design for its only product, a patch pump, called the Omnipod that delivers insulin to people with diabetes. Experts said the lawsuit reflects the threat that Medtronic’s acquisition of EOFlow poses to Insulet. If the deal goes through, and regulators approve EOFlow’s pump for the U.S. patients, Insulet may struggle to maintain its strong position on the market. But the lawsuit could put a pin in those plans, either by forcing Medtronic to rethink or delay its acquisition.

“If Medtronic actually had a good patch pump, a good tubeless option, that would be tough to fight against,” said Debbie Wang, medical device analyst at Morningstar.

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Continuous Glucose Monitoring vs. Capillary Blood Glucose in Hospitalized Type 2 Diabetes Patients

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Paralyzing hit, diabetes can’t slow Davis down | Sports

Diabetes News


It’s not that Gavin Davis takes football for granted. He’s been hurt before, suffered stingers and the like.

He’s always known the inherent risks of playing the game. Still, it sometimes takes a direct confrontation with those dangers to develop a true appreciation.

For Davis, that moment came on Sept. 23, 2022, on his home field at Shady Spring. He was running in to make a tackle, as he had done so many times before, when his life took what ended up being a miraculously brief detour.

The final two minutes were winding down on the Tigers’ game against PikeView. Shady was comfortably ahead by three touchdowns, but PikeView was moving the ball, trying to finish on a high note.

Peyton Mounts caught a pass and took it into the red zone, where he was met by Davis from behind with Adam Richmond charging in ahead.

“(Mounts) catches the ball and he’s running to the outside. When he does, he tries to slow down,” Davis said. “I stop and I end up grabbing him from the back. When I do, you can tell he sees Adam coming at him so he’s trying to go down. When he does, I’m going down with him and Adam’s shoulder hits my head. When it does, you can see in the video it kind of jars it and literally just turns my body off and I just fall down.”

Video of the play provides most of what Davis is able to go on, because he has little recollection of the moment.

“I remember grabbing the kid, and after I grabbed the kid I just remember falling down,” Davis said, “and then that’s it.”

But it wasn’t just that Davis was knocked unconscious. With the clock reading a mere 59 seconds, the hit also left Davis paralyzed, setting into motion tense moments for everyone who was there — especially his mom and dad.

“The whole time I’m going down to the field, I’m just praying to God and asking Him to help him be OK,” mom Jennifer said. “Just help everything be OK. And then just seeing him there, obviously that was scary. Then when our family was coming down and they were all crying. I’m having to console them and be the strong one, letting his buddies know he’s OK. That’s just what I kept telling myself. ‘He’s fine. He’s OK. God will take care of him.’”

“I remember when it first happened that everybody in the stands kind of took a gasp, and then it got quiet,” dad Chris said. “I remember thinking he’s knocked unconscious because of the way his body laid.

“I remember the stillness of how quiet it was. It was Coach Phil (Culicerto) who looked at me, and I believe he said, “Get out here.’ So I went out there and by the time I get there to him, the paramedic is trying to communicate with him.”

It was only then that Chris knew exactly how serious the situation was.

“I remember coming to and I was laying there and the paramedic was grabbing my hand, and he said, ‘Hey, hey, hey, hey, hey. Squeeze my hand. Squeeze my hand,’” Gavin said. “I was just very confused (about) what was happening. He was like, ‘Squeeze my hand. Come on, squeeze it!’”

Gavin was not responding, no matter how much he thought he was.

“I just kept hearing him say that and I told him — because I was laying and I couldn’t look down — I was like, ‘I’m squeezing as hard as I can,’” he said. “And I just remember the paramedic saying, ‘No, we have to get him off this field.’”

Gavin was eventually stabilized and placed in an ambulance to be transported to Raleigh General Hospital. Jennifer rode in the ambulance; Chris followed right behind them.

The ambulance actually had to pull over as consideration was given to flying Gavin to either Morgantown or Charleston. He was given a specialized IV and continued to Raleigh General, where his pads and helmet were carefully removed and multiple scans were performed, which confirmed a concussion.

But soon — very soon, considering the circumstances — the miracle happened. Gavin had suffered no injury to his spine, and things were only getting better.

“At that point in time, he’s starting to get feeling back in his extremities,” Chris said. “Within three or four hours, they’re going to let him stand.

“He grabs my arm, stands up and I say, ‘Praise God.’”

l l l

Relying on God for strength and giving Him praise is nothing new for the Davis family. Neither, unfortunately, is battling adversity.

They have plenty of experience with both.

Gavin was diagnosed with diabetes when he was only 7 years old. Immediately, frequent daily finger sticks to monitor his blood glucose level became a regular part of life.

By the time he became interested in sports — a journey that has included youth basketball, football at the middle and high school levels and baseball — just getting ready for a game has been a challenge that has nothing to do with practice and weight room sessions.

Prep can start well over 24 hours prior to game time, and it’s all monitored by his mom.

“Mom’s texting the trainer and saying, ‘OK, he needs a Gatorade,’” Jennifer said with a smile.

“He will drink several Pedialytes in order to try to stack up those electrolytes and calcium and sodium,” Chris said. “And last year his endocrinologist also ordered that he take a bag of IV fluids before every game. That sometimes is difficult to get administered and get that done.”

That order came after Gavin twice was hospitalized when he went into full body cramps and stopped breathing, once after practice and once after a game. That one occurred on the team bus and he had to be carried out by his dad.

“All the muscles seized, from toe to neck,” Chris said.

During games, Chris and Jennifer get regular readings of Gavin’s sugar levels from his continuous glucose monitor that is located in his thigh. He also wears an insulin pump that is protected by a band and a padded arm sleeve.

If his levels are too high, he has to be rehydrated, but with no carbs — usually with a Powerade Zero. If they are too low, he still has to be hydrated but with enough carbs to where he is medically safe enough to compete. That’s where the Gatorade comes in.

Gavin’s glucose level even played a part as he lay motionless on the field that night, not responding to the paramedic’s pleas to squeeze his hand.

“I was afraid he was panicking as well, so the first thing I was trying to get was a blood sugar (reading), because that also determines how he is communicating with us,” Chris said. “If his blood sugar is too high, sometimes his rationale is not there, and if it’s too low his rationale’s not there.”

There is nothing easy about what Gavin goes through, but he keeps it in stride. He even adds a bit of levity to it.

“I get IVs a couple hours before the game. Sometimes, the IV, I have to take it with me on the bus to road games,” he said. “I’ll be sitting on the bus with the pole with my IV hanging off of it and I’ll get off the bus. Normally I go last because I don’t want to bang it or anything. So all these players get off the bus and they have their shoulder pads, and I get off the bus with my little IV.

“I’ve had a couple friends from other schools that are like, ‘Who’s the hospital patient getting off the bus?’ and a bunch of stuff like that.”

“‘This should be an easy game,’” Jennifer quips.

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There are certainly difficulties, like the tingly feeling he gets in his legs when his sugar runs too low.

And, ironically, he confesses to being “very terrified of needles” despite the multiple times he has had to face them.

“It’s definitely gotten easier over the years, just adapting to it and getting used to it,” he said.

Through his strong faith in God and a lot of hard work, Gavin overcomes it all. Amazingly, he only missed one game after the hit. Of course, he was placed in concussion protocol. And conditioning was modified and his practice work was monitored by team trainer Faye Gray.

“She would be like, ‘You sure about this? No headache? You can see? Everything’s good?’” Gavin said. “And I was like, ‘Yep.’ She was like, ‘All right, I guess I’ve got to turn you loose now.’ I was very happy that day, to go back and practice with them.”

He returned against Man on Oct. 7, although some people may have missed it.

“I had to actually wear a different jersey, because they had to cut my jersey off (after the injury),” he said. “So I wore No. 85 instead of 45.”

The rest of the season went well, and he was a member of the basketball team that played in the Class AA state title game for the third straight year.

With his senior year about to start, Gavin stands to play an even bigger role in the Tigers’ plans. Head coach Vince Culicerto said Gavin will start at running back, he and quarterback Brady Green providing a formidable duo.

“He played a lot of receiver last year, ran the ball towards the end of the year a little more. We’ve run him a bunch over the last couple of years, but (he will) run more this year,” Culicerto said. “And boy he can catch the ball when we slip him out and do that kind of stuff.”

No matter his role, he considers every moment on the field a blessing. He was touched and encouraged that both teams came together to pray for him after he was hurt.

And he now truly understands why teams are required to watch a film on concussions before the season.

“Nothing’s really changed. I still love playing. I wouldn’t say (I’m) more cautious, but definitely a thought in the back of my mind since it happened,” Gavin said. “Throughout my years of playing, they talk about concussions and getting knocked out, and you don’t really think about it. You just play football. … It is something I look back and reflect on, but it’s part of the game so I’ve kind of accepted it, moved on and played ball.

“Concussions are no joke. I do take them more seriously since that day.”

Chris looks at a photo of Gavin with his neck in a brace, then another of him walking at the hospital that same night.

“You don’t go from that to that without God,” Chris said. “It’s impossible.”



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Diabetes and weight loss drug Wegovy could also cut cardiovascular risk

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Diabetes and weight loss drug Wegovy could also cut cardiovascular risk – CBS News


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The maker of diabetes and weight loss medication Wegovy said a trial found that the drug can also cut the risk of cardiovascular disease by 20%.

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