Category Archives: Diabetes

By Serena Gordon

HealthDay Reporter

THURSDAY, Feb. 23, 2017 (HealthDay News) -- You'd probably be surprised if your dentist said you might have type 2 diabetes. But new research finds that severe gum disease may be a sign the illness is present and undiagnosed.

The study found that nearly one in five people with severe gum disease (periodontitis) had type 2 diabetes and didn't know it. The researchers said these findings suggest that the dentist's office may be a good place for a prediabetes or type 2 diabetes screening.

"Be aware that worsened oral health -- in particular, periodontitis -- can be a sign of an underlying [condition], such as diabetes," said study author Dr. Wijnand Teeuw. He's the chief of the periodontology clinic at the Academic Center for Dentistry Amsterdam in the Netherlands.

"Early diagnosis and treatment of both periodontitis and diabetes will benefit the patient by preventing further complications," Teeuw added.

Diabetes is a worldwide epidemic. In 2010, it was estimated that 285 million adults worldwide had diabetes. By 2030, that number is expected to rise to 552 million, according to the study authors. It's suspected that as many as one-third of people who have diabetes are unaware they have the disease.

Untreated, diabetes can lead to a number of serious complications, such as vision problems, serious kidney disease, heart trouble and infections that take a long time to heal, according to the American Diabetes Association.

Periodontitis -- an infection that causes inflammation of the gums and destruction of the bones that support the teeth -- is often considered a complication of diabetes, Teeuw said.

The current study included more than 300 people from a dental clinic in Amsterdam with varying levels of periodontitis or healthy gums. Approximately 125 had mild to moderate periodontitis and almost 80 had severe periodontitis. The rest had healthy gums.

The researchers tested blood sugar levels in all of the study participants using a test called hemoglobin A1c. This test provides an average of blood sugar levels over two to three months.

In people who had never been diagnosed with diabetes, the researchers found that 50 percent of the group with severe gum troubles had prediabetes, and 18 percent had type 2 diabetes. In the mild to moderate group, 48 percent were found to have prediabetes and 10 percent learned they had type 2 diabetes.

There were even significant numbers of people in the healthy gums group that had prediabetes -- 37 percent had prediabetes and 8.5 percent had type 2 diabetes, the study revealed.

Dr. Sally Cram, a periodontist and a spokeswoman for the American Dental Association, said she sees what the study found in her practice every day.

"I see quite a few patients who don't know they have diabetes, and when they don't respond normally to periodontal therapy, I have to say, 'Go to your doctor and get tested for diabetes,'" she said.

And, on the other side, she explained that people with uncontrolled diabetes often see improvement when their gum disease is under control.

"People with diabetes aren't as able to fight inflammation and infection," Cram explained.

Diabetes specialist Dr. Joel Zonszein said frequent or slow-to-heal infections are important signs of diabetes.

"People often come in with severe infections in the skin, and I think it's probably the same for infections in the mouth. People have been living for years with high blood sugar, and even if they go to the dentist, they don't get their blood sugar checked," Zonszein said.

"The relationship between diabetes and gum infections goes two ways. When you improve one, you also improve the other," he added. But it's not clear which comes first, and this study didn't prove a cause-and-effect relationship, only an association, Zonszein noted.

But the findings do show the importance of collaboration between health care providers, according to Zonszein, who is the director of the Clinical Diabetes Center at Montefiore Medical Center in New York City.

Cram noted that basic prevention goes a long way toward preventing gum disease.

"Ninety-nine percent of dental problems and disease are preventable. Brush your teeth twice a day and floss once, and see your dentist periodically," she recommended.

Warning signs of gum disease include bleeding gums, receding gums, sensitive teeth, loose teeth, bad breath or a bad taste in the mouth.

The study was published online Feb. 22 in BMJ Open Diabetes Research & Care.

WebMD News from HealthDay

SOURCES: Wijnand Teeuw, D.D.S., M.Sc., chief, periodontology clinic, Academic Center for Dentistry Amsterdam, The Netherlands; Sally Cram, D.D.S., P.C., periodontist, Washington D.C., and spokeswoman, American Dental Association; Joel Zonszein, M.D., director, Clinical Diabetes Center, Montefiore Medical Center, New York City; Feb. 22, 2017, BMJ Open Diabetes Research & Care, online

See the rest here:
Dentists at the Front Line in Diabetes Epidemic - WebMD

PEOPLE.com

How Top Chef's Sam Talbot Manages His Diabetes While Running a Restaurant: 'It's Very Methodical' PEOPLE.com Top Chef star Sam Talbot's new Brooklyn restaurant Pretty Southern is all about comfort food: Southern food is in my roots, the chef, who grew up in Charlotte, NC and Charleston, SC, tells PEOPLE in this week's issue. It's in my DNA. His menu is ...

Excerpt from:
How Top Chef's Sam Talbot Manages His Diabetes While Running a Restaurant: 'It's Very Methodical' - PEOPLE.com

Researchers have been able to reverse symptoms of diabetes and restore pancreas functions in mice by putting them on a version of the fasting-mimicking diet.

The diet tricks the body into a fasting mode for a few days a month, even while carefully selected foods are still being eaten, and it could be enough to reboot the organ's key functions and restore insulin production, scientists say.

Diabetes occurs when the pancreas cannot make insulin (type I) or is damaged by insulin resistance (type II), and the team from the University of Southern California says the diet reversed symptoms of both types of diabetes in mice.

"By pushing the mice into an extreme state and then bringing them back... the cells in the pancreas are triggered to use some kind of developmental reprogramming," says the head of the research team, Valter Longo.

In humans, the fasting-mimicking diet has been credited with helping people lose weight more effectively, and previous studies have also linked it to reducing risk factors for diseases like heart disease and cancer.

The diet has also been credited with reducing the symptoms of Multiple Sclerosis, so it's earning quite a reputation amongst scientists. In each case starving the body seems to reset the production of healthy cells.

In the latest study, mice were put into the artificial fasting mode for four days a week over a period of several months.

Scientists found this was enough to regenerate beta cells in the pancreas, responsible for storing and releasing insulin. Damaged cells were replaced by working ones.

The team also experimented on pancreatic cell cultures from human donors with type I diabetes. Here too, simulated fasting produced more insulin and more of the Ngn3 protein required for normal pancreatic function.

In other words, the signs are good that this could work in humans too.

However, we shouldn't get ahead of ourselves just yet the study so far only covers tests on mice, as well as human cells in lab conditions, and the researchers warn against trying this at home to treat diabetes.

What's more, the diet requires carefully measured levels of calories and types of foods to be effective, so medical evidence will still be required as well.

In the future, though, it may be possible to adapt the fasting-mimicking diet to help treat diabetes and restore pancreatic function, all without relying on medication.

"Scientifically, the findings are perhaps even more important because we've shown that you can use diet to reprogram cells without having to make any genetic alterations," says Longo.

The next step is to set up a clinical trial in humans, and preparations for that are already underway.

"The amazing thing is that this system has probably always been there," says Longo. "Now that we've discovered it, we can find ways to work with it and utilise it for benefits to human health."

The findings have been published in Cell.

Read more:
A Fasting Diet Could Reverse Diabetes and Repair the Pancreas, Says New Research - ScienceAlert

People with diabetes have to think about their condition and make treatment decisions constantly and all that extra work and worry can lead to psychological distress at times.

"Diabetes distress" isn't the same as depression, diabetes experts note. It's a condition unique to the 24/7 demands that come with diabetes, particularly for people dependent on insulin.

"The day you develop diabetes, it's like the universe just handed you a new full-time job that you have to do in addition to whatever else you're doing. It's a special job that has a big impact on the rest of your life. There's no pay and no vacation," said William Polonsky, president of the Behavioral Diabetes Institute in San Diego.

RELATED: TRENDING LIFE & STYLE NEWS THIS HOUR

Alicia McAuliffe-Fogarty, vice president of lifestyle management at the American Diabetes Association, put it this way: "Diabetes distress is the extra burden that people with diabetes have to carry. They have to do everything that other people do take care of work, family, finances and in addition they have to make sure to check their blood sugar, remember to take their medicine and/or adjust their insulin doses, count carbohydrates when they eat.

"It's a day-to-day and minute-to-minute burden. It's doing everything 'right' and still seeing your blood sugar levels go up," she added.

Diabetes distress is a range of different emotional responses that come with dealing with the burdens of caring for diabetes, Polonsky explained.

"It's being fed up and overwhelmed with the demands and concerns of diabetes. It's feeling powerless in the face of diabetes. It's knowing that despite your best actions, sometimes those [insulin] numbers go up and down and it seems beyond your ability to influence. And it can negatively influence one's quality of life," he added.

The phenomenon hasn't been well-studied Polonsky said he and his colleagues are in the middle of a study on diabetes distress that will hopefully answer some questions about the condition that affects an estimated 30 percent of people with diabetes at some point in their lives.

"It's not everybody, and it's not all the time, but it's pretty darn common, and a whole lot more common than depression" among those with diabetes, Polonsky added.

Diabetes distress and other psychological conditions are common enough that the American Diabetes Association added a section to its guidelines, published recently in the journal Diabetes Care, suggesting that providers screen all of their diabetes patients for these mental health concerns.

Juggling job with no breaks

There are two main types of diabetes: Type 1 and Type 2.

People with Type 1 diabetes don't make enough insulin, a hormone the body needs to use the carbohydrates in food for fuel. Because of this, people with Type 1 rely on insulin injections or insulin delivered through a tiny catheter inserted under the skin and then attached to an insulin pump worn outside the body. People with Type 1 diabetes using shots may need five or six insulin injections daily.

In people with Type 2 diabetes, the body is no longer able to use insulin properly. Most (95 percent) of diabetes cases involve the Type 2 form. Sometimes, people with Type 2 diabetes also need to use insulin injections.

Using insulin is a difficult balancing act too much or too little can cause problems, even life-threatening ones. When blood sugar levels drop too low from too much insulin, people can become disoriented, and if levels drop even further, they may pass out. Blood sugar levels that are too high and left untreated over time can cause complications such as kidney troubles, eye problems and heart disease.

To keep track of blood sugar levels when using insulin, most people rely on glucose meters and a lancing device that pricks the finger to draw out a drop of blood. This may be done as few as 4 times a day, or as many as a dozen or more times daily, depending on how blood sugar levels are fluctuating.

Many factors besides insulin can influence blood sugar levels. Food, alcohol, physical activity, emotions such as stress, and illness all can cause unpredictable changes in blood sugar levels.

Strength in numbers

Both Polonsky and McAuliffe-Fogarty said it's important to recognize and treat diabetes distress because it can have a negative impact on blood sugar management.

"In some studies, diabetes distress can impact diabetes care more than depression," McAuliffe-Fogarty said.

Antidepressants aren't likely to help someone with diabetes distress, according to Polonsky.

McAuliffe-Fogarty suggests checking in with your health care provider so you can go over your current diabetes management regimen. It's possible that changes in your management might help, she said.

Or, it might help to have a visit with a diabetes educator to go over some of the basics again, she recommended. Many people with Type 1 diabetes are diagnosed as children, and as adults may not realize they're missing some of the basics of diabetes education.

"Maybe pick one or two things that would make the most impact on your management and focus on those one or two small things, and you'll likely achieve those goals. Then set one or two more goals and move along like that not everything needs to happen at once," McAuliffe-Fogarty said.

Both experts agreed that support is an important component of treating diabetes distress. "You don't want to do diabetes alone. If you have someone who's rooting for you, that really helps," Polonsky said.

He said parents or spouses can give a person with diabetes a break by taking over the management of the disease for a little while. It gives them a "diabetes vacation."

For some, distress can get more serious. McAuliffe-Fogarty said about one in every four or five people with diabetes will experience depression at some point.

She said signs that suggest you need to speak with a mental health professional include: changes in appetite and sleep patterns, having no interest in activities you once enjoyed, social isolation, feeling persistently sad or hopeless, and having a down mood on more days than not.

Read the original here:
Dealing with diabetes distress - Chicago Tribune

ROCKINGHAM In North Carolina in 2015, the diabetes mortality rate (number of deaths in a population) was 22.2 per 100,000 while the rate of diabetes prevalence (number diagnosed) was 9.8 percent. The rate of prediabetes prevalence (diagnosed as pre-diabetic) was 5.1 percent.

During the same period, the mortality rate of Richmond County (population approximately 46,600) was 54.8 percent per 100,000, its diabetes prevalence rate was 22.9 percent and its rate of prediabetes prevalence was 6.8 percent.

FirstHealth of the Carolinas will approach these alarming statistics with a program funded by a two-year $263,109 grant to its Community Health Services department from the Kate B. Reynolds Charitable Trust. The funds will address pre-diabetes in both Richmond and Montgomery counties (another community with high diabetes and pre-diabetes rates) by offering glucose screenings in non-traditional locations.

Individuals with a pre-diabetes glucose result will be referred to an evidence-based pre-diabetes education curriculum developed by the Centers for Disease Control and Prevention. A structured lifestyle change program developed specifically to prevent type 2 diabetes, the program is designed for people who have pre-diabetes or are at risk for type 2 diabetes, but have not developed full-blown diabetes.

A trained lifestyle coach will work with participants to help them change certain aspects of their lifestyle, including eating healthier, reducing stress and getting more physical activity. Participants in the program, which will meet one time a week for 16 weeks, bi-monthly for the following two months and then once a month for the rest of the year, also get group support from others who share similar goals and struggles.

We have very strong partners in our 2020 Task Force groups in these two counties, Roxanne Elliott, policy director for FirstHealth Community Health Services, said. Our health programs team will coordinate the pre-diabetes project, and we will work with our partners to help refer into the program and assist with promoting and scheduling the glucose screenings.

The Kate B. Reynolds Charitable Trust was established in 1946 as the legacy of the late Kate Gertrude Bitting Reynolds, who was married to William Neal Reynolds, chairman of R.J. Reynolds Tobacco Company. Its mission is to improve the quality of life and the quality of health for the financially needy of North Carolina.

We are very grateful to the Kate B. Reynolds Charitable Trust for providing the funding that will help us address a health issue of great concern in Richmond County, John Jackson, president of FirstHealth Richmond Memorial Hospital in Rockingham and Sandhills Regional Medical Center in Hamlet, said. Type 2 diabetes affects too many people in our community. We hope this program, which is geared toward people who are at risk for diabetes but have not yet developed the disease, will make an enormous difference in their lives as well as in the health and well-being of the Richmond County community.

For more information about FirstHealths pre-diabetes program, contact Roxanne Elliott, of FirstHealth Community Health Services, at 910-715-3487.

.

Link:
Diabetes grant approved in Richmond County - Ansonrecord

GAINESVILLE, Fla. -- A ten year old with Type 1 Diabetes convinced his dad to march across the country for a cure. Friday, they made a stop in Gainesville.

Robert Barnes and his 10 year old Noah are making their way through about 4,000 miles, and calling it "Noah's March."

Noah's mom Joanne Barnes said, "When I watched them walk away for the first time in Key West, it really did something right here."

Joanne remembers when Noah was first diagnosed. "He was only 16 months old and that's just a baby. He was a little guy who was sick and wasn't getting any better," she said.

"I get 6 to 8 shots a day, sometimes only 2 if I'm stable," said Noah. He came up with the idea when he watched a video about Terry Fox.

"Terry Fox ran across canada with one leg..he had lost a leg to cancer," said Robert, "and he didn't finish, he actually died from it in 1980, and he's like I got two legs, I'm really healthy, I can cross America to fund raise for diabetes."

"I just came up to my dad and said, I don't want to be poked," said Noah.

They are partnering with the UF Diabetes Institute, aiming to raise $30 million. "1 dollar for everyone with diabetes in America," said Robert.

The journey is expected to last about 10 months, so Noah is being home-schooled on the road. "We do multiplication tables, we talk about different things, we have a little game we play it's called road kill trivia and we identify different animals," Robert said.

Robert said they hope their efforts help researchers find a cure. "Roughly somewhere around 10 to 12 percent of the world population. If this isn't fixed here in the next 20-30 years, they're saying one third of the global population is going to have diabetes," he explained.

100% of their donations are going to research. To help Noah march, visit their website to donate.

Read more here:
10 year old and his father march across the country for diabetes - WCJB

A new study suggests severe gum disease - also known as periodontitis - may be an early marker of type 2 diabetes.

According to the latest data, diabetes affects approximately 422 million people worldwide, and this number is expected to increase.

In the United States, 29 million people live with the disease. Of these, over 8 million people have it but have not been diagnosed, according to the Centers for Disease Control and Prevention (CDC).

The CDC also estimate that 37 percent of American adults over the age of 20 have prediabetes.

New research - published in the journal BMJ Open Diabetes Research & Care - suggests severe gum disease, or periodontitis, might be an early sign of diabetes.

The authors also suggest a simple finger stick diabetes screening procedure could be carried out in the dental office to avoid the adverse effects of leaving diabetes untreated.

Researchers from the University of Amsterdam in The Netherlands assessed a total of 313 participants from a dental clinic at the university.

Of these, 126 patients had mild-to-moderate gum disease, 78 patients had severe periodontitis, and 198 individuals did not have signs of gum disease.

Participants with periodontitis had a higher body mass index (BMI) than the rest, with an average BMI of 27. However, other diabetes risk factors - such as high blood pressure or high cholesterol - were similar across all three groups.

The researchers analyzed higher glycated hemoglobin (HbA1c) values in dry blood spots, and evaluated the differences in mean HbA1c values, as well as the prevalence of diabetes and prediabetes between the two groups.

HbA1c values measure the average level of blood sugar in the last 2-3 months. The dry blood spots were obtained by sampling participants' blood using a finger pin-prick test.

Prediabetes is commonly considered to range between an HbA1C value of 39-47 millimoles per mol (mmol/mol).

The analysis revealed that those with the most severe form of periodontitis also had the highest HbA1c values.

The average HbA1c values for the severe gum disease group was 45 mmol/mol, compared with 43 mmol/mol in those with mild-to-moderate gum disease and 39 mmol/mol among those without gum disease.

Additionally, the researchers found a high percentage of people with suspected diabetes and prediabetes among participants with mild-to-moderate as well as severe gum disease.

In the severe gum disease group, 23 percent of study participants were suspected of diabetes, whereas 14 percent of the mild-to-moderate gum disease participants had suspected diabetes. In the severe gum disease group, 47 percent had prediabetes, and 46 percent of those in the mild-to-moderate group had prediabetes.

By comparison, 37 percent of those with no gum disease had prediabetes, and 10 percent had suspected diabetes.

Additionally, the researchers found previously undiagnosed cases of diabetes across the three groups: 8.5 percent of those with no gum disease and a little under 10 percent of those with mild-to-moderate gum disease had not been previously diagnosed with the disease until the study.

As much as 18 percent of those with severe gum disease had not been diagnosed with diabetes.

The study is observational, so it cannot explain a causal link between gum disease and diabetes. However, the authors suggest that screening patients with severe periodontitis for diabetes as part of dental medical practices might be an effective way of avoiding complications of the disease. The authors conclude:

"[The findings confirm] the assumption that severe periodontitis could be an early sign of undiagnosed diabetes [...] The early diagnosis and intervention of prediabetes prevent the common microvascular and macrovascular complications and are cost-effective."

Read about how insulin-producing cells could be formed using malaria drugs.

See the original post:
Periodontitis may be an early sign of type 2 diabetes - Medical News Today

PIKEVILLE SOAR is set to host an obesity and diabetes roundtable at Union College in Barbourville on March 16. The goal of the roundtable will be to identify specific strategies that can be implemented throughout the region through innovation, collaboration and the support of SOAR.network.

This Roundtable event is about next steps, Dr. William Hacker, Chair of the SOAR Community Health and Wellness Advisory Council, said. We refuse to get caught up in the continual loop of negative data and poor outlooks. We know the rates, we know that there is work to be done in our communities and we are bringing together the people, the organizations and the leaders that are ready to work together to reduce obesity and diabetes in our region.

The roundtable will feature bright spot presentations from successful programs and attendees will have the opportunity to participate in one of two separate roundtable discussions: Education, Prevention, and Innovation and Disease Detection and Management. Each discussion will be led by a panel of experts.

Our region continues to struggle with the effects of obesity and diabetes in our daily lives, in our families and in building and maintaining a strong, healthy workforce, Jared Arnett, Executive Director of SOAR, said. We are ready to turn the conversation to identifying strategies that communities can implement to reduce the impact of these conditions and meet the goals of the SOAR Regional Blueprint. We are excited to bring together those with an interest and a desire to be a part of the solution and provide the link for continued conversation and action through the SOAR.Network.

The roundtable will be held at Union College through collaboration with Union College and the Appalachian Regional Commission. The roundtable will take place from 10am-2pm with lunch sponsored by WellCare of Kentucky. Informational booths and posters with evidence based best practice recommendations will be displayed. Registration is free but space is limited. All are encouraged to attend.

All interested in attending can register at http://www.soar-ky.org/healthroundtable.

.

See the original post here:
SOAR to host obesity and diabetes roundtable - The Floyd County Times

Insulin-producing cells (yellow) produce the hormone insulin (green spheres) and are surrounded by other cells in the pancreas.

Carol and Mike Werner/Science Source

By Jennifer Couzin-FrankelFeb. 22, 2017 , 2:00 PM

Type 1 diabetes is one of the most common serious diseases to strike young children, but how does it start? Its a question that has bedeviled scientists for years. Now, a new study pinpoints a warning sign in healthy babies as young as 6 months old. The work could advance prevention efforts and might help explain the genesis of the autoimmune disease.

Type 1 diabetes hits when the body destroys insulin-producing cells in the pancreas. By the time peoplemany of them childrenare diagnosed, most of those cells are gone. Forty thousand new type 1 diabetes cases are recorded each year in the United States, and the disease is on the rise for reasons not well understood. A dream for diabetes researchers is to treat kids earlier, when they are headed down the diabetes road but arent yet there.

About 3 decades ago, scientists discovered a collection of signposts: antibodies directed at certain proteins in the body, including insulin. As they studied these children more intensively, they learned that those with two or more different kinds of these autoantibodies will eventually develop diabetes, though sometimes not for many years. Many clinical trials have since focused on trying to slow disease onset in these individuals.

But what happens before these autoantibodies arise? Ezio Bonifacio, a biologist at the Technische Universitt Dresden in Germany, had the means to tackle this question. He and his colleagues had for years been following children since birth whose genetics and family history put them at increased risk. Beginning in 2000, the researchers began to collect and store blood cells from a subset of these children. Recently, technology had advanced to the point that scientists could analyze single cells in those samples.

We decided that it was time to start to see if there was something happening at the level of the T cells, Bonifacio says. Commonly referred to as the sentries of our immune system, T cells are the villains in diabetes. They for some reason go rogue, leading the attack on insulin-producing cells in the pancreas.

Bonifacio and his colleagues performed sophisticated analysis on T cells from 12 babies who didnt develop autoantibodies latersuggesting they were in the clearand 16 babies who did. Probing the T cells in the lab, they saw that cells from the children who continued down the path toward type 1 diabetes were not normal. Essentially, when the T cells were exposed to a substance called an antigen, which in this case could trigger a response against insulin-producing cells, some of those T cells got activated. This is a faint echo of what happens inside the body of someone developing diabetes: Their T cells are activated against cells in the pancreas much as they would be against a foreign invader, like a virus.

These T cells have somehow already learnt to get halfway toward becoming autoreactive cells, says Bonifacio, whose team reports its findings today in Science Translational Medicine.

Bonifacio cautions that the findings are still preliminary. For one, samples like these from infancy are rare, and thus the number of children whose T cells were studied is modest. For another, although the unusual T cell behavior was entirely absent in kids who didnt get autoantibodies later on, it was recorded in only about half who did.

Still, the work breaks ground by identifying likely signs of type 1 diabetes studies earlier than ever, says Kevan Herold, an endocrinologist at Yale University, who studies ways to prevent the condition. The value of this paper is that theres stuff that can be measured even before the autoantibodies, agrees Gerald Nepom, director of the Immune Tolerance Network and former director of the Benaroya Research Institute in Seattle, Washington.

One central mystery is whats causing the changes in these cells so early in life. Bonifacio and others have looked exhaustively for environmental drivers of type 1 diabetes; although there have been hints of various influences, like certain infections, the punch line here is that the datas inconsistent across all the studies, says Carla Greenbaum, who chairs Type 1 Diabetes TrialNet, which oversees type 1 diabetes treatment and prevention trials, and directs the diabetes program at the Benaroya Research Institute.

So diabetes experts like Greenbaum have their eyes on prevention. Bonifacio is co-leading a study called Pre-POINT-Early, which offers oral insulin to children between 6 months and 2 years old; results are expected sometime next year. An oral insulin prevention study by TrialNet, in people with autoantibodies, will be reported in June. Herold hopes to report data in the near future on a study of an antibody called anti-CD3; he has tested it in newly diagnosed patients and is now trying it as a preventive.

Please note that, in an effort to combat spam, comments with hyperlinks will not be published.

Here is the original post:
An early signpost for type 1 diabetes? - Science Magazine

Diabetes Psychosocial Care Addressed by ADA in First Published Recommendations Endocrinology Advisor The American Diabetes Association (ADA) has released a position statement focused on aspects of psychosocial care in type 1 and type 2 diabetes, published in Diabetes Care.1 Based on current diabetes research and recommendations from mental and ...

Continue reading here:
Diabetes Psychosocial Care Addressed by ADA in First Published Recommendations - Endocrinology Advisor