Research has discovered earlier puberty onset in both girls and boys with diabetes.
Earlier puberty onset in both girls, boys with diabetes: Study(Freepik) {{^userSubscribed}} {{/userSubscribed}} {{^userSubscribed}} {{/userSubscribed}}
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.
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.
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
Night owls may need to pay more attention to their lifestyle because their chronotype may increase the risk for Type-2 diabetes (Source: Getty Images)
Listen to this article Your browser does not support the audio element.
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?
You have exhausted your monthly limit of free stories.
To continue reading, simply register or sign in
Continue reading with an Indian Express Premium membership.
This premium article is free for now.
Register to read more free stories and access offers from partners.
Continue reading with an Indian Express Premium membership.
This content is exclusive for our subscribers.
Subscribe now to get unlimited access to The Indian Express exclusive and premium stories.
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.
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.
Diabetes, a chronic metabolic disorder that affects the way our body turns food into energy, is becoming more common with each passing year. A recent ICMR study published in Lancet points towards this lifestyle disorder growing at an alarming rate in India with over 11 percent population affected by it. To prevent or manage the disease, it’s important to nip it in the bud. One must know the symptoms of both type 1 and type 2 diabetes and take immediate action for controlling blood sugar levels to protect from the harmful long-term effects of the disease. (Also read: How many steps people with diabetes should walk for managing blood sugar levels)
Some of the common symptoms of diabetes is feeling thirsty, excessive urination, weight loss, extreme hunger, blurry vision, numb hands or tingling feet, tiredness, dry skin among other signs.(Pixabay) {{^userSubscribed}} {{/userSubscribed}} {{^userSubscribed}} {{/userSubscribed}}
“Diabetes is a chronic condition that affects millions of people worldwide. It can strike at any age, but the symptoms and complications may vary depending on your life stage. While many people are familiar with the usual symptoms of diabetes such as excessive thirst, frequent urination, and blurred vision, these symptoms can actually change with age. As you grow older, your body undergoes significant changes that can alter the symptoms,” says Dr V. Mohan, Chairman and Chief of Diabetology, Dr Mohan’s Diabetes Specialities Centre. (Also read: Can drinking milk protect you from diabetes? Here’s what you need to know)
Symptoms of diabetes in children
{{^userSubscribed}} {{/userSubscribed}} {{^userSubscribed}} {{/userSubscribed}} Children and teens are also susceptible to developing diabetes, although the symptoms may differ from those seen in adults. (Freepik)
“As we age, our bodies go through a lot of changes. These changes can have an impact on the symptoms of diabetes. In infants and toddlers, symptoms of thirst will obviously not be expressed by them. Parents have to be alert to detect subtle changes like consuming large amounts of fluids. As they grow older, children start to experience increased thirst and urination. Children and teens are also susceptible to developing diabetes, although the symptoms may differ from those seen in adults. Type 1 diabetes is more common in children and it occurs when the body’s immune system attacks insulin-producing cells in the pancreas. Symptoms of type 1 diabetes in children include frequent urination, excessive thirst, bedwetting (in younger kids), unexplained weight loss, fatigue and irritability,” says Uma Sakthy, Dietician, Dr Mohan’s Diabetes Specialities Centre.
Dr V. Mohan says in adults, the symptoms of diabetes can be similar to those experienced by children and teens but there could be other symptoms like fatigue, tiredness, itching in the genital region, weight loss, wounds that won’t heel etc. “It’s therefore important for individuals with diabetes to pay attention to their body so they can identify any new symptom,” says Dr Mohan.
“As adults age, their risk of developing diabetes increases. In fact, type 2 diabetes is often referred to as “adult-onset” diabetes because it typically develops in adulthood. One of the most common symptoms of diabetes in adults is frequent urination. This occurs because high blood sugar levels cause the kidneys to work overtime to filter glucose out of the bloodstream. As a result, excess urine is produced and individuals may need to use the bathroom more frequently.
Another symptom that may appear in adult diabetics is fatigue or lethargy. High blood sugar levels can interfere with your body’s ability to produce energy from food, leaving you feeling tired and sluggish throughout the day. Adults with diabetes are also at an increased risk for cardiovascular disease due to elevated blood sugar levels damaging blood vessels over time. It’s important for individuals with this condition to closely monitor their cholesterol and blood pressure levels as well,” says Dr Mohan.
Diabetes: All you want to know (Freepik) {{^userSubscribed}} {{/userSubscribed}} {{^userSubscribed}} {{/userSubscribed}}
“Managing diabetes as an adult requires close attention and discipline when it comes to diet and exercise habits. Working closely with a healthcare provider can help ensure that proper care measures are taken early on before any complications arise,” says Uma Sakthy.
Diabetes symptoms in older adults
“As we age, our bodies go through various changes that can affect our health. This is especially true for older adults who may be at higher risk of developing diabetes or experiencing complications from the disease. One common symptom experienced by older adults with diabetes is neuropathy, a condition that affects the nerves and can cause numbness or tingling in the feet and hands. This can lead to difficulties with balance and coordination, which increases the risk of falls. In addition to neuropathy, older adults with diabetes are also at increased risk for kidney damage (nephropathy) and eye problems (retinopathy). These complications can lead to vision loss and even blindness if left untreated,” says Dr V. Mohan.
“Managing diabetes in older adults requires a tailored approach that takes into account their unique needs and challenges. For example, many older adults have difficulty maintaining a healthy diet due to dental issues or lack of income. Medication adherence may also be challenging due to forgetfulness or mobility limitations. It’s important for healthcare providers to work closely with their elderly patients with diabetes to develop personalized management plans that address these barriers while still effectively controlling blood sugar levels,” says Uma Sakthy.
When to see a doctor?
It’s important to see a doctor if you suspect that you may have diabetes. Early diagnosis and treatment can help prevent serious complications from occurring.
“If you experience some of the common symptoms associated with diabetes, such as frequent urination, increased thirst, blurred vision or unexplained weight loss, it’s time to schedule an appointment with your healthcare provider.
In addition, if you’re over 45 years old and haven’t been tested for diabetes before, it’s recommended that you get tested regularly. This is especially important if you have other risk factors like obesity or a family history of the disease. People who already have diabetes should also see their doctor regularly for checkups and blood tests to monitor their condition. A doctor can help adjust medications or recommend lifestyle changes as needed. Remember that managing diabetes requires ongoing care and attention. Don’t hesitate to seek medical advice whenever necessary in order to maintain good health and quality of life,” says Dr V. Mohan.
“Remember that prevention is key when it comes to managing diabetes. Eating a healthy diet, exercising regularly and maintaining a healthy weight are all essential steps in preventing or managing this condition regardless of your age.
By staying informed about how diabetes symptoms change with age, you will be better equipped to manage the disease throughout your life and maintain optimal health for years to come,” says Uma Sakthy.
City Council Committee on Health chair Lynn Schulman, a Queens Democrat, announced the Council will be proposing a citywide diabetes reduction plan this year.
“It’s something that the city really hasn’t focused on,” Schulman said. “We need to go into communities with culturally competent education materials.”
The councilmember said the plan will be based on the 90-90-90 strategy developed by the United Nations to tackle the AIDS epidemic. Schulman added she has been in conversation with city Health Comissioner Dr. Ashwin Vasan about her proposal.
Schulman also discussed the City Council’s health goals in 2023 and her views on how the city should take on unlicensed cannabis shops.
PITTSBURGH (KDKA) – Healthy players on the field and healthy fans in the stands.
The Steelers teamed up with area health officials to make sure the black-and-gold nation is protected against all illnesses, including diabetes.
As quickly as you can say “Go Steelers,” fans at today’s game can be screened for diabetes.
“It’s simple. It’s a finger stick,” said Nick Vizzoca, president of the Center for Healthcare Solutions. “We check their A1C levels, right on the spot. We give them the information and they’re good to go.”
So, before focusing on T.J. Watt’s return to the turf or Kenny Pickett’s ongoing quest for his first NFL win, the Healthcare Council of Western Pennsylvania is hoping people take a second to focus on their health.
“They feel good, and a lot of people with diabetes do feel good. And don’t realize that they have it,” Vizzoca added.
In Pennsylvania alone, experts estimate about 300,000 people have the disease and don’t even know it.
To show you just how easy screening is, KDKA’s very own Chris DeRose got a quick check-up.
First, the paperwork.
“I feel like I’m about to get my nails done,” said DeRose.
Then the prick.
“That wasn’t too bad.”
Minutes later, the results.
“82 is a really good number! So, you have a low risk for diabetes!”
“That’s awesome!”
“Hopefully, we don’t find anybody with diabetes, but if somebody does, we’ll take the action to make sure they get the care they need,” said Vizzoca.
Giant Eagle pharmacists were also on-hand before the game to administer flu and covid-19 shots.
Incentivizing patients to follow a lifestyle modification program helps them improve across a range of diabetes-related health measures, a new meta-analysis has found.
Investigators performed what they said is the first systematic review and meta-analysis to examine the effect of incentives on diabetes-related health indicators when patients participate in lifestyle modification programs.
The researchers analyzed data from 19 randomized controlled trials. Relative to a control group, the incentive group had significant reductions in weight, and both systolic and diastolic blood pressure. One study found a significant reduction in hemoglobin A1c. A reduction in cholesterol level was also noted but was not significant.
Six incentive-related domains were also studied. These included type of incentive, monetary value, recipient of the incentive (such as individuals, groups or a combination of both), frequency of incentives, certainty of incentive attainment and schedule (how the amount of the incentive was provided to recipients during the study period).
Incentive effects
When incentives were provided, the meta-analysis showed patients experienced a nearly 2 kg greater weight loss and a significant reduction in BMI compared to no incentive, reported the authors, including researchers from the Centers for Disease Control and Prevention.
“This finding has important health implications considering that a large study reported a 16% reduction in diabetes risk for every kilogram of weight lost, and others have shown that weight loss in conjunction with a lifestyle modification program can lower the risk for cardiovascular disease,” they wrote.
Incentives were also shown to be effective for reducing systolic and diastolic blood pressure. Those findings suggest a benefit for programs that seek to help participants achieve ideal blood pressure goals, such as less than 140/90 mm Hg, the authors said. This would be especially helpful for programs associated with chronic disease prevention and management, they added.
Incentive type
Type of incentive did not appear to have an outsized effect on the positive results. “Therefore, it seems reasonable for lifestyle modification programs to use a variety of incentive domain subgroups,” the authors concluded.
Adults aged 65 years and older make up approximately 40% of the adult diabetic population, according to federal data from 2018. In nursing homes, the prevalence of diabetes is estimated to range from 25% to 34%.
The current study was published in the CDC’s journal Preventing Chronic Diseases.
EL PASO, Texas (KTSM) – The Paso del Norte Health Foundation recently awarded 10 grants totaling more than $1 million under the Disease Prevention & Management priority area and Diabetes initiative.
The Health Foundation works in partnership with organizations to implement initiatives and programs for diabetes prevention, early detection, and management in the region.
The following are those awarded:
Centro Familiar para la Integracion y Crecimiento, A.C. – $41,472.00 Aprende a cuidar de ti – To provide a diabetes education pilot program to 80 people in Ciudad Juárez, MX.
El Paso Diabetes Association, Inc. – $209,774.40 Diabetes Education – To offer Diabetes Self-Management Education and Support plus two kids camps in El Paso, TX.
New Mexico State University Foundation, Inc. – $25,811.13 On the Road to Living Well with Diabetes – Otero – To offer the On the Road to Living Well with Diabetes program to 100 residents of Alamogordo, Chaparral, Tularosa, Dona Ana County, and other Southern New Mexico communities.
New Mexico State University Foundation, Inc. – $8,800.00 One-hour diabetes literacy presentations – To plan instructional media to support diabetes awareness across the Paso del Norte region.
Paso del Norte Health Information Exchange – PHIX – $225,750.00 Diabetes Prevention and Management: Data and Referrals – To increase utilization of a closed-loop referral system for diabetes related services and lead the diabetes data workgroups in El Paso, TX.
Project Vida Health Center – $49,720.00 Diabetes Prevention Program – To provide a Diabetes Prevention Program to 60 people in El Paso, TX.
Texas A&M University – $218,784.50 Project VyBE – To train 30 Community Health Workers as diabetes education coaches and have a minimum of 200 individuals complete diabetes education in El Paso County, TX.
Texas Tech Foundation, Inc. – $114,944.00 Diabetes and the Dentist: Early Diabetes Detection, Education and Referral – To develop and pilot test a diabetes screening and referral program at the Texas Tech Dental Clinic in El Paso, TX.
The University of Texas at El Paso – $125,147.00 UTEP BBRC Community Health Workers led diabetes intervention capacity building – To train 30 Community Health Workers to deliver the five-week intervention, “On the Road with Diabetes” to 300 participants in El Paso County, TX.
The University of Texas at El Paso – $33,790.00 Diabetes Prevention Education Program for Community Outreach – To develop a one-hour diabetes awareness program, prepare at least 20 public health students to deliver, the program, and offer the program at least 60 times to groups in El Paso, TX.
November is National Diabetes Month. Diabetes is a disease that occurs in adults and youth when the blood glucose, also called blood sugar, is too high. This disease can damage the eyes, kidneys, nerves and heart, and is linked to some types of cancers.
According to the El Paso Center for Diabetes, an estimated 9.4 percent of the U.S. population has diabetes, making it the seventh leading cause of death. In El Paso, the prevalence of diabetes outpaces the national numbers, with 13.9 percent of adults, or about 94,000 El Pasoans, living with diabetes.
