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There are millions of protein factories in every cell. Surprise, they’re not all the same – Science Magazine

Posted: June 23, 2017 at 4:43 am

Ribosomes, which build a protein (black) from an RNA strand (blue), may specialize in making particular sets of proteins.

V. ALTOUNIAN/SCIENCE

By Mitch LeslieJun. 21, 2017 , 11:00 AM

The plant that built your computer isn't churning out cars and toys as well. But many researchers think cells' crucial protein factories, organelles known as ribosomes, are interchangeable, each one able to make any of the body's proteins. Now, a provocative study suggests that some ribosomes, like modern factories, specialize to manufacture only certain products. Such tailored ribosomes could provide a cell with another way to control which proteins it generates. They could also help explain the puzzling symptoms of certain diseases, which might arise when particular ribosomes are defective.

Biologists have long debated whether ribosomes specialize, and some remain unconvinced by the new work. But other researchers say they are sold on the finding, which relied on sophisticated analytical techniques. "This is really an important step in redefining how we think about this central player in molecular biology," says Jonathan Dinman, a molecular biologist at the University of Maryland in College Park.

A mammalian cell may harbor as many as 10 million ribosomes, and it can devote up to 60% of its energy to constructing them from RNA and 80 different types of proteins. Although ribosomes are costly, they are essential for translating the genetic code, carried in messenger RNA (mRNA) molecules, into all the proteins the cell needs. "Life evolved around the ribosome," Dinman says.

The standard view has been that a ribosome doesn't play favorites with mRNAsand therefore can synthesize every protein variety. But for decades, some researchers have reported hints of customized ribosomes. For example, molecular and developmental biologist Maria Barna of Stanford University in Palo Alto, California, and colleagues reported in 2011 that mice with too little of one ribosome protein have short tails, sprout extra ribs, and display other anatomical defects. That pattern of abnormalities suggested that the protein shortage had crippled ribosomes specialized for manufacturing proteins key to embryonic development.

Definitive evidence for such differences has been elusive, however. "It's been a really hard field to make progress in," says structural and systems biologist Jamie Cate of the University of California (UC), Berkeley. For one thing, he says, measuring the concentrations of proteins in naturally occurring ribosomes has been difficult.

In their latest study, published online last week in Molecular Cell, Barna and her team determined the abundances of various ribosome proteins with a method known as selected reaction monitoring, which depends on a type of mass spectrometry, a technique for sorting molecules by their weight. When the researchers analyzed 15 ribosomal proteins in mouse embryonic stem cells, they found that nine of the proteins were equally common in all ribosomes. However, four were absent from 30% to 40% of the organelles, suggesting that those ribosomes were distinctive. Among 76 ribosome proteins the scientists measured with another mass spectrometry-based method, seven varied enough to indicate ribosome specialization.

Barna and colleagues then asked whether they could identify the proteins that the seemingly distinctive ribosomes made. A technique called ribosome profiling enabled them to pinpoint which mRNAs the organelles were readingand thus determine their end products. The specialized ribosomes often concentrated on proteins that worked together to perform particular tasks. One type of ribosome built several proteins that control growth, for example. A second type churned out all the proteins that allow cells to use vitamin B12, an essential molecule for metabolism. That each ribosome focused on proteins crucial for a certain function took the team by surprise, Barna says. "I don't think any of us would have expected this."

Ribosome specialization could explain the symptoms of several rare diseases, known as ribosomopathies, in which the organelles are defective. In Diamond-Blackfan anemia, for instance, the bone marrow that generates new blood cells is faulty, but patients also often have birth defects such as a small head and misshapen or missing thumbs. These seemingly unconnected abnormalities might have a single cause, the researchers suggest, if the cells that spawn these different parts of the body during embryonic development carry the same specialized ribosomes.

Normal cells might be able to dial protein production up or down by adjusting the numbers of these specialized factories, providing "a new layer of control of gene expression," Barna says. Why cells need another mechanism for controlling gene activity isn't clear, says Cate, but it could help keep cells stable if their environment changes.

He and Dinman say the use of "state-of-the-art tools" makes the results from Barna's team compelling. However, molecular biologist Harry Noller of UC Santa Cruz doubts that cells would evolve to reshuffle the array of proteins in the organelles. "The ribosome is very expensive to synthesize for the cell," he says. If cells are going to tailor their ribosomes, "the cheaper way to do it" would entail modifying a universal ribosome structure rather than building custom ones.

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Study may shed light on intestinal disorders – The News Herald

Posted: June 23, 2017 at 4:43 am

The presence of neurotransmitters in the gut is why its sometimes described as the second brain. Scientists have long known that there is cross-talk between the gut and our first brain, the central nervous system, but exactly how that communication plays out was a mystery.

Scientists finally have a better idea why certain meals send you running for the bathroom, a discovery that provides insight into the connection between your gut and brain and may point toward new therapies for intestinal disorders such as irritable bowel syndrome (IBS).

The team behind this is led by Holly Ingraham and David Julius of the University of California at San Francisco. Theyre also married, but until a few years ago, their relationship was strictly personal. Ingraham studies female metabolism, while Julius focuses on the brains response to pain. The divergent fields seemed to leave little room for collaboration until scientists in Juliuss lab made a surprising observation: Painful spider venom activates proteins in the gut.

The gut epithelium, which is the thin tissue lining that cavity, is a unique entity. Spread out all its folds and crevices and you could cover a studio apartment one that would teem with microbes, microbial signaling molecules, food byproducts and hormones. One hormone, serotonin, is a neurotransmitter that affects mood, sleep, sex drive and bowel movements. It is produced mainly by specialized enterochromaffin cells (EC), whichs make up less than 1 percent of the gut epithelium collectively, only a small end table in that studio apartment but they excrete more than 90 percent of the serotonin.

The presence of neurotransmitters in the gut is why its sometimes described as the second brain. Scientists have long known there is cross-talk between the gut and our first brain, the central nervous system, but exactly how that communication plays out has been a mystery.

Nicholas Bellono, a scientist in Julius lab, wanted to find out what neurotransmitters such as serotonin are doing in the gut, so Julius and Ingraham introduced him to James Bayrer, a gastroenterologist working in Ingrahams lab. Together, they and their collaborators in Australia co-wrote a study published Thursday in the journal Cell that demonstrates how EC cells translate chemical signals into neurological ones.

To do this, the team used mouse organoids basically, organs in a dish. The researchers isolated intestinal stem cells and used them to grow 3D mini-guts. They challenged the mini-guts with different stimuli and measured the resulting electrical responses. The method produced a very elegant model, noted Diego Bohorquez, assistant professor of medicine and neurology at Duke University, who was not involved in the research.

Gut epithelial cells are known to respond to mechanical stimulation; thats how our stomach signals its full. But the researchers found that even a light touch with certain compounds triggered an intense reaction. The EC cells were especially sensitive to adrenaline and the chemicals that give wasabi and horseradish their strong flavor. Plants in the mustard family evolved these compounds to protect themselves from insects. Our gut perceives them as a danger, causing inflammation.

To figure out the consequences of aggravating EC cells, the researchers used mice in which the cells were tagged with fluorescent molecules. They found EC cells contain receptors that recognize adrenaline, spicy food compounds and foul smells such as sweaty socks or stinky cheese. They then showed that these cells form associations with nerve fibers and produce compounds that are a hallmark of synapses the connections between nerves. When challenged with adrenaline-like compounds, the EC cells became electrically charged, and that produced a rush of serotonin that activated the nearby nerve fiber.

Bohorquez called this discovery an important step forward because it demonstrates what scientists have long suspected: Chemical stimulants electrically excite cells lining the gut, which then directly communicate with nerve cells.

There is really a gut skin cell that sits there and fires action potential like a nerve cell, said Arthur Beyder, who studies EC cells at the Mayo Clinic. Its like a Morse code. ... Theyre communicating.

The fact these cells are activated by adrenaline means the brain is in touch with the gut, as well, but we dont know why. It could be communicating with the microbiome, Beyder suggested.

These EC cells appear to specifically recognize compounds that could serve as a threat or reflect injury.

So youve got the central nervous system and the gut brain. Sometimes they talk, and sometimes they argue, and you get these gut pains, Bayrer explained. When EC cells detect an irritant, they speed up our bowels to get rid of the offender.

Ingraham noted intestinal disorders are becoming more common, especially as people age.

We dont like to talk about these issues, but constipation and diarrhea are seriously debilitating, she said.

EC cells are probably hypersensitive in people with irritable bowel syndrome. Patients often complain of discomfort or irritation, but there is not a measurable amount of inflammation. Greater understanding of normal epithelial cell activities could improve the diagnosis of IBS, Bayrer said.

Bohorquez suggested follow-up research could lead to new drugs to block EC receptors or even the use of electrical devices to minimize EC activity. An important next step will be determining if EC cells also affect the immune system, because immune cells cruise along underneath epithelial cells, Bayrer added.

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Shawnee Mission West High student wins international biotechnology competition – Kansas City Star

Posted: June 23, 2017 at 4:42 am


Kansas City Star
Shawnee Mission West High student wins international biotechnology competition
Kansas City Star
Hosted by the Biotechnology Institute, the competition challenges high school students from across the world to find solutions to health care, sustainability and environmental needs through biotechnology. Earlier this year, Smith was chosen along with ...

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Peterborough biotechnology startup targeting $50 million in equity financing – Kawartha Media Group

Posted: June 23, 2017 at 4:42 am


Kawartha Media Group
Peterborough biotechnology startup targeting $50 million in equity financing
Kawartha Media Group
Peterborough biotechnology startup targeting $50 million in equity financing. Community Jun 22, 2017 02:20 by Todd Vandonk Peterborough This Week. Share. Noblegen Inc. CEO and founder Adam Noble and CCO and co-founder Dr. Andressa Lacerda ...
Noblegen Announces the Opening of Its Second Round of Financing: Peterborough-based biotechnology startup ...ForexTV.com

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Puma Biotechnology, Inc. (PBYI): What’s the Story? – StockNewsJournal

Posted: June 23, 2017 at 4:42 am


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Puma Biotechnology, Inc. (PBYI): What's the Story?
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Localized signaling islands in cells: New targets for precision drug design – Medical Xpress

Posted: June 23, 2017 at 4:41 am

June 22, 2017

New research overturns long-held views on a basic messaging system within living cells. Key cellular communication machinery is more regionally constrained within the cell than previously thought. The findings suggest new approaches to designing precision drugs. Localizing drug action at a specific 'address' within the cell could mean fewer side effects in treating cancer, diabetes, heart disease and other serious conditions.

Research results reported this week in the journal Science overturn long-held views on a basic messaging system within living cells.

The findings suggest new approaches to designing precisely targeted drugs for cancer and other serious diseases.

Dr. John D. Scott, professor and chair of pharmacology at the University of Washington School of Medicine and a Howard Hughes Medical Institute Investigator, along with Dr. F. Donelson Smith of the UW and HHMI, led this study, which also involved Drs. Claire and Patrick Eyers and their group at the University of Liverpool.

The researchers explained that key cellular communication machinery is more regionally constrained inside the cell than was previously thought. Communication via this vital system is akin to social networking on your Snapchat account.

Within a cell, the precise positioning of such messaging components allows hormones, the body's chief chemical communicators, to transmit information to exact places inside the cell. Accurate and very local activation of the enzyme that Scott and his group study helps assure a correct response occurs in the right place and at the right time.

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"The inside of a cell is like a crowded city," said Scott, "It is a place of construction and tearing down, goods being transported and trash being recycled, countless messages, (such as the ones we have discovered), assembly lines flowing, and packages moving. Strategically switching on signaling enzyme islands allows these biochemical activities to keep the cell alive and is important to protect against the onset of chronic diseases such as diabetes, heart disease and certain cancers."

Advances in electron microscopy and native mass spectrometry enabled the researchers to determine that a critical component of the signaling system, anchored protein kinase A, remains intact during activation. Parts of the molecule are flexible, allowing it to both contract and stretch, with floppy arms that can reach out to find appropriate targets.

Still, where the molecule performs its act, space is tight. The distance is, in fact, about the width of two proteins inside the cell.

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"We realize that in designing drugs to reach such targets that they will have to work within very narrow confines, " Scott said.

One of his group's collective goals is figuring out how to deliver precision drugs to the right address within this teeming cytoplasmic metropolis.

"Insulating the signal so that the drug effect can't happen elsewhere in the cell is an equally important aspect of drug development because it could greatly reduce side effects," Scott said.

An effort to take this idea of precision medicine a step further is part of the Institute for Targeted Therapeutics at UW Medicine in Seattle. The institute is being set up by Scott and his colleagues in the UW Department of Pharmacology.

The scientists are collaborating with cancer researchers to better understand the molecular causesand possible future treatmentsfor a certain liver malignancy. This particular liver cancer arises from a mutation that produces an abnormal form of the enzyme that is the topic of this current work, protein kinase A, and alters the enzyme's role in cell signaling.

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Other advances that gave the researchers a clearer view of the signaling mechanisms reported in Science include CRISPR gene editing, live-cell imaging techniques, and more powerful ways to look at all components of a protein complex.

Explore further: Study unveils T cell signaling process central to immune response

More information: "Local protein kinase A action proceeds through intact holoenzymes" Science (2017). science.sciencemag.org/cgi/doi/10.1126/science.aaj1669

Journal reference: Science

Provided by: University of Washington

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Cells In Fish’s Spinal Discs Repair Themselves – Duke Today

Posted: June 23, 2017 at 4:41 am

Duke researchers have discovered a unique repair mechanism in the developing backbone of zebrafish that could give insight into why spinal discs of longer-lived organisms like humans degenerate with age.

The repair mechanism apparently protects the fluid-filled cells of the notochord, the precursor of the spine, from mechanical stress as a young fish begins swimming. Notochord cells go on to form the gelatinous center of intervertebral discs, the flat, round cushions wedged between each vertebrae that act as shock absorbers for the spine.

The disappearance of these cells over time is associated with degenerative disc disease, a major cause of human pain and disability worldwide.

It is not difficult to speculate that these same mechanisms of repair and regeneration are present in humans at very early stages, but are lost over time," said Michel Bagnat, Ph.D., senior author of the study and assistant professor of cell biology at Duke University School of Medicine. If we are going to think about techniques that foster intervertebral disc regeneration, this is the basic biology we need to understand.

The study appears June 22, 2017, in Current Biology.

Bagnat likens the notochord to a garden hose filled with water. The hardy structure consists of a sheath of epithelial cells surrounding a collection of giant fluid-filled or vacuolated cells. During development, these vacuolated cells rarely pop, despite being under constant mechanical stress. Recent research has suggested that tiny pouches known as caveolae (Latin for little caves) that form in the plasma membrane of these cells can provide a buffer against stretching or swelling.

To see whether the caveolae protected vacuoles from bursting, his team and collaborators from Germany generated mutants of three caveolar genes in their model organism, the zebrafish. Because these small aquarium fish are transparent as embryos, the scientists could easily visualize any spinal defects triggered by the loss of caveolae.

The researchers found that when the mutant embryos hatched and started swimming, exerting pressure on their underdeveloped backbones, their vacuolated cells started to break up. While the finding confirmed their suspicions, it turned up a puzzling discovery. In the caveolar mutants, you see these serial lesions up and down the notochord, and yet the mature spine formed normally, said Bagnat. That was very puzzling to us.

To figure out how that was possible, lead authors Jamie Garcia and Jennifer Bagwell took a closer look at the notochord of mutant fish. They marked the vacuolated cells green and the surrounding epithelial sheath cells red and then filmed the fish shortly after they hatched and started swimming. First, they could see an occasional vacuolated cell break and spill its contents like a water balloon. Then, over the course of fifteen hours, a nearby epithelial sheath cell would move in, crawl over the detritus of the collapsed cell, and morph into a new vacuolated cell.

They performed a few more experiments and found that the repair response was triggered by the release of the cell contents, specifically the basic molecular building blocks known as nucleotides. The researchers then isolated live epithelial sheath cells and treated them with nucleotide analogs to show that they turned into vacuolated cells.

These cells, which reside in the discs of both zebrafish and man, seem capable of controlling their own repair and regeneration, said Bagnat. Perhaps it is a continuous release of nucleotides that is important for keeping the disc in good shape.

The study may offer insight not only into the development of back and neck pain, but also into the origins of cancer. Their data suggests that chordomas, rare and aggressive notochord cell tumors, may begin when epithelial sheath cells leave the notochord and invade the skull and other tissues.

The research was supported by National Institutes of Health (AR065439, AR065439-04S1, T32DK007568-26, and CA193256), a Capes-Humboldt Fellowship, the Max Planck Society, and a Faculty Scholar grant from the Howard Hughes Medical Institute.

CITATION: "Sheath cell invasion and trans-differentiation repair mechanical damage caused by loss of caveolae in the zebrafish notochord," Jamie Garcia, Jennifer Bagwell, Brian Njaine, James Norman, Daniel S. Levic, Susan Wopat, Sara E. Miller, Xiaojing Liu, Jason W. Locasale, Didier Y.R. Stainier and Michel Bagnat. Current Biology, June 22, 2017. DOI# 10.1016/j.cub.2017.05.035

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Patient with severe burns treated using stem cell therapy | Business … – Business Standard

Posted: June 23, 2017 at 4:40 am

IANS | Mumbai June 23, 2017 Last Updated at 00:16 IST

Raising hopes of new and less painful treatment for burn injuries, a 26-year-old patient with Grade 2 burn injuries was successfully treated using stem cell therapy at a city-based hospital, doctors said on Thursday.

Anand Tiwari suffered burns after accidentally falling in a boiler unit while at work. He sustained Grade 2 and early Grade 3 burns in all parts of the body below his neck.

When admitted to the city based StemRx Bioscience Solutions hospital, he had severe burning sensation and pain all over the body. Blisters and swellings were noticed in many areas of his chest and limbs.

According to doctors, after initial care and stabilisation of the patient, for treatment of burns, a treatment protocol was prepared by Pradeep Mahajan, a regenerative medicine researcher at Stemrx Bioscience Solutions Hospital.

Explaining the treatment procedure, Mahajan said: "This involved the use of growth factors and fibroblasts and collagen based gel. These biological agents stimulate natural healing mechanisms in the body."

"The advantage of these growth factors is that they can be obtained from the patients' own body and hence are safe and effective. Additionally, unlike conventional treatment options, biological agents promote faster recovery," he said.

Under the stem cell therapy, the treatment process has to be repeated continuously so as to get rid of the problem completely and accordingly the procedure was performed.

"During the entire treatment, the patient was not given any closed dressing. He also underwent blood and supplementary fluid transfusion as required to maintain systemic homeostasis," said Mahajan.

He said that changes in the patient were observed as early as two-three days after the initiation of therapy. Drying of superficial burns began and swelling started reducing.

"Gradually, dry crusts started peeling and by the end of the third week, initial healing of most areas was complete. There was no odour or oozing from any wound and he did not complain of pain or burning sensation anymore.

"After a month-long treatment, healthy skin formation is being observed and further healing is progressing at an impressive rate," said Mahajan, adding that in treatment through conventional modalities, it takes more than eight weeks for healing to happen and further several months for patient to be able to regain joint and facial movements.

--IANS

rup/nir

(This story has not been edited by Business Standard staff and is auto-generated from a syndicated feed.)

Raising hopes of new and less painful treatment for burn injuries, a 26-year-old patient with Grade 2 burn injuries was successfully treated using stem cell therapy at a city-based hospital, doctors said on Thursday.

Anand Tiwari suffered burns after accidentally falling in a boiler unit while at work. He sustained Grade 2 and early Grade 3 burns in all parts of the body below his neck.

When admitted to the city based StemRx Bioscience Solutions hospital, he had severe burning sensation and pain all over the body. Blisters and swellings were noticed in many areas of his chest and limbs.

According to doctors, after initial care and stabilisation of the patient, for treatment of burns, a treatment protocol was prepared by Pradeep Mahajan, a regenerative medicine researcher at Stemrx Bioscience Solutions Hospital.

Explaining the treatment procedure, Mahajan said: "This involved the use of growth factors and fibroblasts and collagen based gel. These biological agents stimulate natural healing mechanisms in the body."

"The advantage of these growth factors is that they can be obtained from the patients' own body and hence are safe and effective. Additionally, unlike conventional treatment options, biological agents promote faster recovery," he said.

Under the stem cell therapy, the treatment process has to be repeated continuously so as to get rid of the problem completely and accordingly the procedure was performed.

"During the entire treatment, the patient was not given any closed dressing. He also underwent blood and supplementary fluid transfusion as required to maintain systemic homeostasis," said Mahajan.

He said that changes in the patient were observed as early as two-three days after the initiation of therapy. Drying of superficial burns began and swelling started reducing.

"Gradually, dry crusts started peeling and by the end of the third week, initial healing of most areas was complete. There was no odour or oozing from any wound and he did not complain of pain or burning sensation anymore.

"After a month-long treatment, healthy skin formation is being observed and further healing is progressing at an impressive rate," said Mahajan, adding that in treatment through conventional modalities, it takes more than eight weeks for healing to happen and further several months for patient to be able to regain joint and facial movements.

--IANS

rup/nir

(This story has not been edited by Business Standard staff and is auto-generated from a syndicated feed.)

IANS

http://bsmedia.business-standard.com/_media/bs/wap/images/bs_logo_amp.png 177 22

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Diabetes | Presbyterian Medical Center | Novant Health

Posted: June 23, 2017 at 4:40 am

It doesnt matter if you have just been diagnosed or if you have lived with the disease your entire life diabetes can be challenging to manage. At Novant Health, we can help you reduce the complications of this disease by providing advanced diagnoses and treatments.

While early detection and medical treatments are important factors in providing care for diabetes, we are firm believers that knowledge is also an effective tool. We offer a variety of programs and classes that can help you effectively self-manage diabetes and reduce its impact on your life. The programs we provide include:

Diabetes self-management program - Learn how to manage your diabetes with our three-part, self-management course, Living with Diabetes. From learning about the basics, such as the skills needed to control blood sugars and how to use a blood glucose monitor, to more in-depth skills such as carbohydrate counting and how to order when eating out, our team will teach you the ins and outs of managing diabetes. Physician referral required. The course consists of three parts:

Gestational diabetes / diabetes and pregnancy program - This program provides in-depth education on managing gestational diabetes and preexisting diabetes and pregnancy. For patients with gestational diabetes, the curriculum includes:

Ongoing follow-up is provided throughout pregnancy, as needed.

For patients with preexisting diabetes, the curriculum includes:

Ongoing follow-up is provided throughout pregnancy, as needed.

Glucose sensor training - Continuous glucose monitoring sensors work by transmitting glucose readings to a handheld receiver. A small wire-like sensor that measures the glucose levels is inserted under the skin and is held in place by an adhesive. The sensors measure glucose levels continuously, in real time. There are sensors that work with insulin pumps and sensors for people who do not wear insulin pumps. This is a new and exciting way to see your blood sugar levels continuously around the clock.

Sensors can help you see the effects of food, exercise, and your medication and help prevent high and low blood sugars. They can warn you of changes and trends in your blood sugar levels so you and your physician can make decisions about your carbohydrate intake.

Insulin pump training - This training session is an individual appointment to instruct you on insulin administration for insulin pump evaluation and training, which includes the following:

Insulin pump evaluation, training, initiation and follow-up are provided for all brands of insulin pumps.

Nutrition consults - If you are living with diabetes or are at high risk for developing it, it is important to work with a nutritionist to determine the best foods for you to eat. At our Diabetes Resource Center, we offer one-on-one consultations with certified diabetes educators and registered dietitians. A physician referral is required.

Education for parents who have a child living with diabetes If your child is living with diabetes, were here to help. Our Diabetes Resource Centers offer one-on-one appointments with children and their parents to assist in learning to manage the disease. A provider referral is required.

Maintaining a healthy weight, exercising, eating a healthy diet and reducing stress are important when it comes to treating and preventing diabetes; we will give you the tools you need to successfully make these lifestyle changes. We also help identify risk factors for diabetes and conduct diabetes screenings if you are at risk of developing the disease.

Novant Health Diabetes Resource Centers are located in Charlotte, Huntersville and Matthews.

In Charlotte, the Novant Health Diabetes Center is located in the medical tower across from Novant Health Presbyterian Medical Center:

1718 East 4th St., Suite 207, Charlotte, NC 28204.

For more information about managing your diabetes, diabetes prevention and diabetes treatment, call 704-384-7390.

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Healthy habits: Signs can help detect diabetes – Huntington Herald Dispatch

Posted: June 23, 2017 at 4:40 am

The numbers are staggering. According to the Centers for Disease Control and Prevention, some 29.1 million people have diabetes.

That's about one out of every 11 people living with the disease.

There are three types of diabetes: Type 1, Type 2 and gestational.

Each has its own set of symptoms. Because many of these symptoms go unnoticed or appear harmless, diabetes often goes undiagnosed.

Early detection and treatment of symptoms can decrease the chance of developing diabetic complications.

With Type 1 diabetes, the body doesn't produce insulin, and the disease usually develops before a person's 40th birthday. Symptoms include frequent urination, unusual thirst, extreme hunger, unusual weight loss, and extreme fatigue and irritability. Type 1 makes up approximately 10 percent of all diabetic cases. Insulin injections, regular blood tests and a special diet are needed.

People with Type 2 diabetes don't produce enough insulin for proper body function or the cells in their bodies are insulin resistant.

Symptoms include any of the Type 1 symptoms, as well as frequent infections, blurred vision, cuts/bruises that are slow to heal, tingling/numbness in the hands or feet, and recurring skin, gum or bladder infections.

It can be treated with weight loss, diet, exercise, monitoring of blood glucose levels and insulin injections.

Gestational diabetes occurs when a woman develops high levels of glucose in her blood during pregnancy because the body is unable to produce enough insulin to transport all the glucose into cells.

It can be controlled with exercise and diet, but if left undiagnosed or uncontrolled, it can cause delivery complications.

Anyone experiencing the symptoms of diabetes should talk to their health care provider.

Sources: American Diabetes Association and Centers for Disease Control and Prevention

Healthy Habits 2017 is a partnership among Cabell Huntington Hospital, Marshall University Joan C. Edwards School of Medicine and St. Mary's Medical Center. We are a community working together to improve our health. Our goal is to inform and encourage area residents on ways to improve their health. Join our conversation and "like" us on Facebook at http://www.facebook.com/healthyhabitshuntington.

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