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Worldwide Adoptive Cell Therapy Industry to 2030 – Featuring Novartis, Gilead Sciences and Cellectis Among Others – ResearchAndMarkets.com – Yahoo…

Posted: May 2, 2022 at 2:40 am

DUBLIN, April 25, 2022--(BUSINESS WIRE)--The "Adoptive Cell Therapy Market, by Type, By Application, by End User, and by Region - Size, Share, Outlook, and Opportunity Analysis, 2022 - 2030" report has been added to ResearchAndMarkets.com's offering.

Adoptive cell therapy (ACT) is a type of immunotherapy in which T cells (a type of immune cell) are given to a patient to help the body fight diseases, such as cancer. Types of adoptive cell therapy include chimeric antigen receptor (CAR) T cells, T cell receptor (TCR) T cells, tumor infiltrating lymphocytes (TILs), and natural killer (NK) cells.

Adoptive cell therapy involve use of immune cells that are grown in the lab in large numbers followed by administering them to the body to fight cancer. Sometimes, immune cells that naturally recognize melanoma are used, while other times they are modified to make them recognize and kill the melanoma cells. Adoptive cell therapy is also called T-cell transfer therapy, and cellular immunotherapy.

Key players operating in the global adoptive cell therapy market are focusing on adoption of growth strategies such as product launch, collaboration, and fundraise which are expected to drive the market growth during the forecast period.

Key features of the study:

This report provides an in-depth analysis of the global adoptive cell therapy market, and provides market size (US$ Mn) and compound annual growth rate (CAGR%) for the forecast period (2022-2030), considering 2021 as the base year

It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrices for this market

This study also provides key insights about market drivers, restraints, opportunities, new product launches or approval, market trends, regional outlook, and competitive strategies adopted by key players

It profiles key players in the global adoptive cell therapy market based on the following parameters - Company Highlights, Products Portfolio, Key Highlights, Financial Performance, Strategies

Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, type up-gradation, market expansion, and marketing tactics

The global adoptive cell therapy market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts

Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global adoptive cell therapy market

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Market Segmentation:

Global Adoptive Cell Therapy Market, By Type:

Global Adoptive Cell Therapy Market, By Application:

Global Adoptive Cell Therapy Market, By End User:

Hospitals

Cancer Treatment Centers

Global Adoptive Cell Therapy Market, By Region:

North America

U.S.

Canada

Latin America

Brazil

Mexico

Argentina

Rest of Latin America

Europe

Germany

U.K.

France

Italy

Spain

Russia

Rest of Europe

Asia Pacific

China

India

Japan

Australia

South Korea

ASEAN

Rest of Asia Pacific

Middle East

GCC

Israel

Rest of Middle East

Africa

South Africa

Central Africa

North Africa

Company Profiles

Novartis AG.

Gilead Sciences, Inc.

Castle Creek Biosciences, Inc

Lineage Cell Therapeutics, Inc.

Transgene SA

Cellectis

ImmunityBio, Inc

Sorrento Therapeutics

bluebird bio, Inc.

Arcellx

Sana Biotechnology, Inc.

Biodesix, Inc

Laurus Labs

For more information about this report visit https://www.researchandmarkets.com/r/kffwgd

View source version on businesswire.com: https://www.businesswire.com/news/home/20220425005562/en/

Contacts

ResearchAndMarkets.comLaura Wood, Senior Press Managerpress@researchandmarkets.com For E.S.T Office Hours Call 1-917-300-0470For U.S./CAN Toll Free Call 1-800-526-8630For GMT Office Hours Call +353-1-416-8900

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COVID-19 Booster Yields Responses After Failure of Initial Vaccine Doses in Prior HCT or CAR T-Cell Therapy Recipients – OncLive

Posted: May 2, 2022 at 2:40 am

The administration of a third dose of a SARS-CoV-2 mRNA vaccine yielded seroconversion responses in patients treated with hematopoietic cell transplantation or cellular therapy following initial failure of seroconversion after the first 2 vaccine doses.

The administration of a third dose of a SARS-CoV-2 mRNA vaccine yielded seroconversion responses in patients treated with hematopoietic cell transplantation (HCT) or cellular therapy, such as CAR T-cell therapy or bispecific T-cell engagers (BiTEs), following initial failure of seroconversion after the first 2 vaccine doses, according to results from a study published in Cancer Cell.1

Among 75 patients who received allogeneic HCT (n = 30), autologous HCT (n = 26), CAR T-cell therapy (n = 10), or BiTEs (n = 9), and did not undergo seroconversion following the primary administration series of an mRNA-based SARS-CoV-2 vaccine, 59% of all evaluated patients developed antibodies following the third dose. Specifically, seroconversion rates were 63% for patients who received autologous HCT, 58% for those who received allogeneic HCT, 40% for patients administered CAR T-cell therapy, and 67% among patients given BiTEs.

Notably, the use of the approved vaccines BNT162b2, mRNA1273, or a mix-and-match strategy, all produced similar results.

A third dose should be considered for every transplant, CAR T-cell therapy, and BiTE recipient, as often as possible, co-study author Muhammad Bilal Abid, MD, MRCP, an assistant professor of medicine in the divisions of Hematology/Oncology and Infectious Diseases at the Medical College of Wisconsin, said in an interview with OncLive. For patients who do not respond to a third dose, a subset of patients will benefit from the reassessment of antibodies. If a third dose does not work, go for a fourth dose [and] this should be discussed with an infectious disease colleague at the center. There is a multidisciplinary collaborative approach that we have to provide.

Patients who have received HCT or cellular therapy have experienced poor outcomes after developing COVID-19.2 Notably, these patient populations have also shown lower response rates to SARS-CoV-2 vaccines, with responses for patients who underwent HCT and cellular therapy ranging from 50% to 80% and 20% to 30%, respectively.3,4

This study aimed to investigate the serological response to a third booster dose of a SARS-CoV-2 vaccine in patients who had received HCT or cellular therapy and did not seroconvert following the 2-dose primary vaccination series. Notably, patients who developed COVID-19 prior to the administration of the third dose were excluded from the study. Patients who had antibody testing within 2 weeks of the booster were also excluded.

To determine if patients seroconverted following a second vaccine dose, the AdviseDx SARS-CoV-2 IgG II assay was used to detect immunoglobulin G antibodies directed against the receptor-binding domain of the SARS-CoV-2 S1 subunit of the spike protein. The same assay was used to detect response following the booster dose. Patients were required to have at least 28 days between the second dose and booster shot, plus 14 days to antibody titer testing after receiving the booster.

The median age of patients who underwent seroconversion to the booster dose was 70 years (range, 31-77) compared with 66 years (range, 35-81) in patients who did not seroconvert following the booster (P = .04). Among male patients, 53% experienced seroconversion compared with 71% of female patients. In patients who went less than 12 months between HCT or cellular therapy and vaccination, 56% had seroconversion with the booster compared with 61% who had a duration of 12 months or longer between therapy and vaccination.

In patients who had seroconversion with the booster dose, the median interval between the second dose and booster was 172 days (range, 28-296) compared with 165 days (range, 93-223) for patients who failed to achieve seroconversion. The median interval between booster and humoral response assessment was 58 days (range, 14-140) in the patients who had seroconversion vs 47 days (range, 18-127) in the patients who did not.

The study authors pointed out that several factors may contribute to the continued lower response rates among patients who received CAR T-cell therapies compared with HCT or BiTEs. Preexisting, profound immunosuppression in this patient population could play a role, along with heavy pretreatment status, which could include prior HCT, lymphodepletion chemotherapy, and bridging chemotherapy. Toxicities such as cytokine release syndrome and immune effector cellassociated neurotoxicity syndrome requiring corticosteroids and tocilizumab (Actemra) may also contribute to lower vaccine responses.

Continued blunted responses are concerning among [patients who receive] CAR T-cell therapies, Abid said. They are certainly an incongruence with other reported literature. Recipients of CAR T-cell therapy are profoundly immunosuppressed by the time they get the CAR T-cell therapy primarily because of their underlying disease being so refractory.

Other studies will continue to explore the effectiveness of a third vaccine dose on these patient populations, along with research examining the effect of a fourth dose. Additionally, monoclonal antibodies could also have a role for aiding these patients.

We need to see the efficacy and safety data of monoclonal antibodies: sotrovimab [Xevudy] and Evusheld [tixagevimab and cilgavimab] in the preexposure setting for the prevention of progression of illness, Abid said. Thats something thats worth exploration.

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Frederick Locke, MD, Speaks to Clinicians on the Use of Axi-cel in LBCL – Cancer Network

Posted: May 2, 2022 at 2:40 am

Frederick Lock, MD, spoke about clinicians can best utilize the treatment of axicabtagene ciloleucel for patients with large B-cell lymphoma.

Frederick Locke, MD, vice chair of the Department of Blood and Marrow Transplant and Cellular Immunotherapy as well as program co-leader of Immuno-Oncology at Moffitt Cancer Center in Tampa, Florida, spoke to CancerNetwork about axicabtagene ciloleucel (Yescarta; axi-cel) for patients with relapsed/refractory large B-cell lymphoma (LBCL) and how patients can best benefit from this treatment.1 The recent approval of the therapy was for patients who received frontline chemoimmunotherapy and relapsed within 12 months based on results from the phase 3 ZUMA-7 trial (NCT03391466) which compared axi-cel with standard of care therapy.2

The main thing for community oncologists to realize is that CAR T-cell therapy can be given to patients who are older and have comorbidities. It can be given to younger patients, and if patients need the FDA-approved label, they should be referred in for evaluation and consideration of CAR T-cell therapy. Unfortunately, theres some misinformation out there in the community, in the Twitterverse, and elsewhere. These clinical trials that led to this approval enroll patients who had a poor prognosis, patients with high tumor burden. In fact CAR T-cell therapy works better than chemotherapy for patients with large amounts of tumor [burden], so the community oncologists should recognize that what we all want is whats best for the patients. The data are clear that CAR T-cell therapy, if given as a second-line treatment offers the best outcomes for patients with LBCL.

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Fighting pediatric cancer focus of V Foundation-UF Health collaboration – UF Health News

Posted: May 2, 2022 at 2:40 am

In pursuit of its ongoing mission to achieve Victory Over Cancer, the V Foundation for Cancer Research announced its renewed support and a new $250,000 grant for the University of Floridas efforts to combat brain cancer in children. Combined with private support, a total of $600,000 in new funding will bolster critical research programs.

I am grateful for the V Foundations continued support, said Duane Mitchell, M.D., Ph.D., co-director of UFs Preston A. Wells Jr. Center for Brain Tumor Therapy and the Phyllis Kottler Friedman Professor in the Lillian S. Wells Department of Neurosurgery at UFs College of Medicine, part of UF Health, the universitys academic health center. The V Foundation is one of the nations premier supporters of cancer research. Its an incredible honor to be a beneficiary of their generosity for a number of years. This sustained level of commitment from the V Foundation is vital in enabling my team to bring our research to the next level.

Brain cancer is now the leading cause of cancerrelated death in children, due in part to significantimprovements in outcomes for pediatric patients with more common cancers such as leukemia. Among other areas, Mitchell and his team have advanced novel immunotherapy treatments for medulloblastoma, the most commonmalignant brain tumor in children.

When asked about this partnership, Shane Jacobson, V Foundation chief executive officer, said that Mitchells research is truly game-changing.

While science has made significant strides against pediatric cancers, there are still so many questions about brain cancer, Jacobson said. We applaud his forward-thinking approach to stopping the disease. He is offering children with cancer and their families hope for a brighter future. We look forward to seeing the impact of his success.

Under Mitchells leadership, UF Health has pioneered an approach for pediatric brain tumorscalled adoptive T cell immunotherapy. Adoptive T cell therapy involves expanding tumor-reactive killer T cells to large numbers outside of a patient, reprogramming the cells to specifically target brain tumor cells, then reintroducing these immune cells into the body. This approach is currently undergoing evaluation in a firstinhuman clinical trial at UF Health.

This research is the culmination of years of hard work, said Mitchell, associate director of innovation and discovery at the UF Health Cancer Center and director of the UF Clinical and Translational Science Institute. Thank you to all of our donors for providing us the opportunity to continue this important research and to realize our vision to make a transformative impact on childrens lives.

Mitchells research team plans to advance this treatment platform by using genomictechnology to identify patientspecific antigens in medulloblastoma tumors, which are the most common malignant brain tumors in children. Once isolated and expanded outside of the body, these T cells will recognize unique tumor targets, called neoantigens. If the objectivesof the study are met, Mitchells team could significantly enhance the specificity and potency of this already promising platform and translate the findings into innovative clinical trials for children battlingbrain cancer.

Mitchell expects that immune therapies such as adoptive T cell therapy will lead to more effective treatments for those who do not benefit from chemotherapy, radiation, surgery or a combination of those treatments.

Since 2012, The V Foundation has generously supported UF Health, giving a total of more than $1.5 million, including $1.3 million to pediatric causes.

Media contact: Todd Taylor attmtaylor4@ufl.edu or 317-590-4399

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Fighting pediatric cancer focus of V Foundation-UF Health collaboration - UF Health News

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Review Highlights Progress and Potential in Immunotherapy Plus Radiotherapy for Cancer Treatment – AJMC.com Managed Markets Network

Posted: May 2, 2022 at 2:40 am

With further research, a selection of combination therapies could increase patient response in various cancer types.

Immunotherapy and radiotherapy have both improved survival rates for cancer, and combination therapies have potential to be even more effective and reduce recurrence. A recent review published in Frontiers in Oncology examined the mechanisms of immunotherapy and radiotherapy and how they can be combined and administered for maximum efficacy.

Radiotherapy is standard for cancerous tumors, with approximately 70% of patients with tumors being treated with it. It works by damaging the DNA of tumor cells within the irradiation field to control tumor growth. Data has increasingly shown that radiotherapy also leads to the release of myeloid-derived suppressor cells, M2-like tumor-associated macrophage, T-regulatory cells, N2 neutrophils, and immunosuppressive cytokines, promoting an immunosuppressive microenvironment.

Advances in technology have made radiotherapy more precise and effective, with proton heavy ion therapy being the most advanced option in the current treatment landscape. With the advancement of heavy ion therapy equipment and technology, the decline of treatment costs, and the advancement of research, heavy ion therapy will gradually be popularized in various countries across the world, study authors wrote.

Recent research has also found an abscopal effect caused by radiotherapy, further suggesting that radiotherapy affects not just the tumor site of treatment, but also the immune system.

Many preclinical studies have shown that irradiation triggers immunogenic cell death (ICD), which promotes the release of tumor-associated antigens, changes the tumor microenvironment (TME), and activates the immune system to exert an anti-tumor immune response, the authors wrote.

Radiation alone does not eradicate all malignant cells, though. Tumors with hypoxic cells can be resistant to radiotherapy compared with more oxygenated cells. Hypoxia can also lead to HIF signaling pathway activation, causing gene expression that can help tumors survive. A variety of other TME changes due to radiotherapy can also spur cell growth, and both short- and long-term adverse effects can occur.

Radiotherapy has seen advances in recent years, but as immunotherapy has gained traction, it has emerged as the most likely route to find a cancer cure, study authors wrote. The use ofimmune checkpoint inhibitors (ICIs) tumor vaccines, adoptive cell therapies, cytokine therapies, and other immunotherapies has increased in recent years.

Immunotherapy alone, however, is only used on a selection of tumor types in clinical practice and does not benefit all patients. Only approximately 10% to 30% of patients respond to single ICIs because of the complexity of cancer cell immune systems and tumor microenvironments (TMEs). Single ICIs or combination therapy is most likely to be effective in hot tumors, which have tumor-infiltrating lymphocytes (TILs), versus cold tumors, which do not have TILs. Immunotherapy can also lead to immune-related adverse events that can happen in all organs.

Given the resistance of hypoxic cells to radiotherapy and the generally low response to single immunotherapy, the 2 methods can be complementary. Radiotherapy can release tumor neoantigens, induce ICD, and have an anti-tumor effect in vivo.

Combinations of radiotherapy and immunotherapy have been increasingly studied, although large-scale clinical data are still limited. These combinations include ICIs and radiotherapy, tumor vaccine and radiotherapy, adoptive cell therapy and radiotherapy, and cytokine therapy plus radiotherapy.

Combining radiotherapy with ICIs targeting programmed cell death receptor 1 and programmed cell death ligand 1is one promising option that has been approved in certain advanced lung cancers and has been most effective in non-small cell lung cancer. However, many of these patients are still resistant to ICIs.

With tumor vaccines, which do not elicit tumor-eliminating immune response alone, radiotherapy may enhance immune response in vivo through several mechanisms. Various trials are underway investigating this combination.

Adoptive cell therapy, which is done by isolating immunoreactive cells from patients and reintroducing them to target antigen-specific tumor cells, is another increasingly studied treatment option that includes chimeric antigen receptor (CAR) T-cell therapy. Approximately 90% of patients experience relapse with CAR T-cell therapy, and early data show that radiotherapy may promote CAR T-cell effectiveness in solid tumors.

Cytokines, which regulate innate and adaptive immunity, have been shown to have significant anti-tumor activity but have dose-limiting severe toxicity that inhibits their efficacy. Studies are ongoing, but there may be potential for radiotherapy with adjuvant cytokine treatment or cytokine treatment followed by radiotherapy to increase effectiveness.

Study authors also highlight the development of multifunctional nanomaterials that can deliver immunomodulators and other drugs to tumors and improve the immunosuppressive environment. Multifunctional nanomaterials also have potential for use as radiosensitizers, potentially improving the effects of radiotherapy.

Overall, while some studies point to the effectiveness of combination radiotherapy and immunotherapy to improve treatment response, it is still unclear what sequence these therapies should be administered in and what the optimal timing is. The ideal radiotherapy fraction and dose selection are also questionable, as are the best immunotherapy-radiotherapy combinations for maximum anti-tumor response.

Toxicity and safety are also causes for further research, and it is still not clear which biomarkers are most useful to determine which patients may respond best to certain therapy combinations.

If the results of more and more clinical trials are positive, it will determine how best to integrate these models and optimize synergy, study authors wrote.

Reference

Yu S, Wang Y, He P, et al. Effective combinations of immunotherapy and radiotherapy for cancer treatment.Front Oncol. Published online February 7, 2022. doi:10.3389/fonc.2022.809304

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Allogene Therapeutics Receives FDA Orphan-Drug Designation for ALLO-605, its First TurboCAR T Cell Product Candidate, for the Treatment of Multiple…

Posted: May 2, 2022 at 2:40 am

Allogene Therapeutics, Inc.

ODD Follows FDA Fast Track Designation Granted for ALLO-605 in Q2 2021

ALLO-605 is in Phase 1 in the IGNITE Trial and Part of Allogenes Multi-Pronged Strategy Targeting BCMA

BCMA Program Clinical Updates are Planned for Late 2022

SOUTH SAN FRANCISCO, Calif., April 27, 2022 (GLOBE NEWSWIRE) -- Allogene Therapeutics, Inc. (Nasdaq: ALLO), a clinical-stage biotechnology company pioneering the development of allogeneic CAR T (AlloCAR T) products for cancer, today announced that the U.S. Food and Drug Administration (FDA) has granted orphan-drug designation (ODD) to ALLO-605, the Companys next-generation AlloCAR T product candidate targeting BCMA for the treatment of multiple myeloma.

ALLO-605 is the Companys first TurboCAR product candidate. TurboCAR is a proprietary, next generation platform technology based on a programmable cytokine signaling, designed to control T cell exhaustion and to improve T cell function and potency. These properties may enable CAR T products to succeed in more difficult to treat hematologic malignancies and solid tumors. The FDA granted Fast Track designation to ALLO-605 in Q2 2021 based on the potential for the product candidate to address an unmet need for patients who have failed other standard multiple myeloma therapies. The Phase 1 study evaluating ALLO-605 is ongoing.

Orphan-drug designation marks an important step towards developing our anti-BCMA portfolio for patients with multiple myeloma and making allogeneic CAR T products readily available for patients, said Rafael Amado, M.D., Executive Vice President of Research and Development and Chief Medical Officer. We look forward to providing an update on our BCMA clinical assets by the end of the year with an eye toward prioritizing a strategy for the next stage of development.

Orphan-drug designation is granted by the FDA to a drug or biologic intended to treat a rare disease or condition, which generally includes a disease or condition that affects fewer than 200,000 individuals in the U.S. ODD granted therapies entitle companies to development incentives including tax credits for clinical testing and prescription drug user fee exemptions. If a product that has ODD subsequently receives the first FDA approval for the designated disease, the FDA may not approve any other applications to market the same biologic for the same indication for seven years, except in limited circumstances. ODD does not convey any advantage in, or shorten the duration of, the regulatory review or approval process.

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About ALLO-605ALLO-605, a next-generation AlloCAR T known as a TurboCAR, is an investigational product that targets the B-cell maturation antigen (BCMA) for the treatment of patients with relapsed/refractory multiple myeloma and other BCMA-positive malignancies. This study uses ALLO-647, Allogene's proprietary monoclonal antibody (mAb), as a part of its differentiated lymphodepletion regimen. ALLO-605 incorporates Allogenes proprietary TurboCAR technology, which allows for cytokine activation signaling to be engineered selectively into CAR T cells. Preclinical results with ALLO-605 were presented at the American Society of Hematology (ASH) annual meeting in December 2020. In June 2021, ALLO-605 was granted Fast Track designation by the U.S. Food and Drug Administration (FDA) for the potential treatment of relapsed/refractory multiple myeloma. The Phase 1 study evaluating ALLO-605 is underway.

About Allogene TherapeuticsAllogene Therapeutics, with headquarters in South San Francisco, is a clinical-stage biotechnology company pioneering the development of allogeneic chimeric antigen receptor T cell (AlloCAR T) products for cancer. Led by a management team with significant experience in cell therapy, Allogene is developing a pipeline of off-the-shelf CAR T cell products with the goal of delivering readily available cell therapy on-demand, more reliably, and at greater scale to more patients. For more information, please visit http://www.allogene.com and follow @AllogeneTx on Twitter and LinkedIn.

Cautionary Note on Forward-Looking Statements This press release contains forward-looking statements for purposes of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. The press release may, in some cases, use terms such as "predicts," "believes," "potential," "proposed," "continue," "estimates," "anticipates," "expects," "plans," "intends," "may," "could," "might," "will," "should" or other words that convey uncertainty of future events or outcomes to identify these forward-looking statements. Forward-looking statements include statements regarding intentions, beliefs, projections, outlook, analyses or current expectations concerning, among other things: the timing and ability to progress the IGNITE trial, including to provide an update at year-end on the IGNITE trial and other Allogene BCMA strategies; the potential for promising pre-clinical data to translate to positive clinical data; the ability to manufacture AlloCAR T products; and the potential benefits of TurboCAR technology and AlloCAR T products. Various factors may cause differences between Allogenes expectations and actual results as discussed in greater detail in Allogenes filings with the SEC, including without limitation in its Form 10-K for the year ended December 31, 2021. Any forward-looking statements that are made in this press release speak only as of the date of this press release. Allogene assumes no obligation to update the forward-looking statements whether as a result of new information, future events or otherwise, after the date of this press release.

AlloCAR T and TurboCAR are trademarks of Allogene Therapeutics, Inc.

Allogenes AlloCAR T programs utilize Cellectis technologies. The anti-BCMA AlloCAR T programs are licensed exclusively from Cellectis by Allogene and Allogene holds global development and commercial rights to these AlloCAR T programs.

Allogene Media/Investor Contact:Christine CassianoChief Communications Officer(714) 552-0326Christine.Cassiano@allogene.com

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Healthline: Medical information and health advice you can …

Posted: May 2, 2022 at 2:38 am

Despite the similarity in name, ketosis and ketoacidosis are two different things.

Ketoacidosis refers to diabetic ketoacidosis (DKA) and is a complication of type 1 diabetes mellitus. Its a life-threatening condition resulting from dangerously high levels of ketones and blood sugar.

This combination makes your blood too acidic, which can change the normal functioning of internal organs like your liver and kidneys. Its critical that you get prompt treatment.

DKA can occur very quickly. It may develop in less than 24 hours. It mostly occurs in people with type 1 diabetes whose bodies do not produce any insulin.

Several things can lead to DKA, including illness, improper diet, or not taking an adequate dose of insulin. DKA can also occur in individuals with type 2 diabetes who have little or no insulin production.

Ketosis is the presence of ketones. Its not harmful.

You can be in ketosis if youre on a low-carbohydrate diet or fasting, or if youve consumed too much alcohol.

If youre in ketosis, you have a higher than usual level of ketones in your blood or urine, but not high enough to cause acidosis. Ketones are a chemical your body produces when it burns stored fat.

Some people choose a low-carb diet to help with weight loss. While there is some controversy over their safety and long-term sustainability, low-carb diets are generally fine. Talk to your doctor before beginning any extreme diet plan.

DKA is the leading cause of death in people under 24 years old who have diabetes. The overall death rate for ketoacidosis is 2 to 5 percent.

People under the age of 30 make up 36 percent of DKA cases. Twenty-seven percent of people with DKA are between the ages of 30 and 50, 23 percent are between the ages of 51 and 70, and 14 percent are over the age of 70.

Ketosis may cause bad breath. Ketones are broken down for use as a fuel source, and acetone is one of the byproducts that is excreted from the body in the urine and breath. This may smell fruity, but not in a good way.

On the other hand, the symptoms of ketoacidosis are:

DKA symptoms can also be the first sign that you have diabetes. In one study of hospital admissions for DKA, 27 percent of people admitted for the condition had a new diagnosis of diabetes.

A low-carbohydrate diet can trigger ketosis. That is because a low-carb diet will cause you to have less glucose in your blood, which will, in turn, cause your body to burn fat for energy instead of relying on sugars.

Poor diabetes management is a leading trigger for DKA. In people with diabetes, missing one or more insulin dose, or not using the right amount of insulin, can lead to DKA.

An illness or infection, as well as some drugs, can also prevent your body from using insulin properly. This can lead to DKA. For example, pneumonia and urinary tract infections are common DKA triggers.

Other possible triggers include:

Having a diet low in carbohydrates is a risk factor for ketosis. This may be purposeful, for instance, as a weight-loss strategy. People on restrictive diets or people with an eating disorder may be at a higher risk for ketosis.

Type 1 diabetes is the main risk factor for DKA. In one study of people with DKA, researchers found that 47 percent had known type 1 diabetes, 26 percent had known type 2 diabetes, and 27 percent had newly diagnosed diabetes

If you have diabetes, a main risk factor for DKA is not following the routine for blood sugar management that your doctor recommends.

Researchers looked at diabetes in children and teenagers. They found that one in four participants had DKA when their doctor first diagnosed them with diabetes. Additional risk factors include:

You can get a simple blood test to detect the level of ketones in your blood. You can use the level of ketones to determine if you have ketosis or DKA.

You may also be able to take a urine test at home. For this test, youll place a dipstick into a clean catch of your urine. It will change colors based on the level of ketones in your urine.

Diabetics who are losing weight will have often have low to moderate levels of ketones, which doesnt increase your risk for diabetic ketoacidosis if your blood sugar is managed and within normal ranges.

Your risk for DKA increases as your ketone levels rise and your blood sugar is above 250mg/dL (14 mmol/L).

Blood ketone tests are the ideal method for diabetics to check ketone levels because they measure the levels of beta-hydroxybutyric acid, the primary ketone involved in ketoacidosis.

You should go to your doctor or the emergency room immediately for evaluation and treatment if you have diabetes, or you take care of someone with diabetes, and you notice any of the symptoms of DKA. Call 911 if the symptoms worsen quickly.

Prompt treatment for DKA can save you or your loved ones life.

Your doctor will want to know the answers to these questions:

Your doctor will perform a physical exam. Theyll also do a blood test to check your electrolytes, glucose, and acidity. The results from your blood test can help your doctor determine if you have DKA or other complications of diabetes. Your doctor may also perform:

Illness can affect diabetes and increase your blood sugar level. The American Diabetes Association recommends that you check for ketones every four to six hours if you have a cold or the flu, or when your blood sugar is higher than 240 milligrams per deciliter (mg/dL).

You can monitor blood sugar and ketones with over-the-counter test kits. You can monitor your blood sugar using a blood test strip, and you can test for ketones using a urine test strip.

Some blood glucose meters also have the ability to check for blood ketones like Nova Max Plus and Abbott Precision Xtra.

If you have ketosis, youll not need to receive treatment.

You may need to go to the emergency room or stay in the hospital if you have DKA. Treatment usually involves:

Ketosis generally isnt dangerous. Its usually related to a planned, low-carbohydrate diet or a transient condition related to diet.

DKA can improve with treatment within 48 hours. The first step after recovery from DKA is to review your recommended diet and insulin management program with your doctor.

Make sure you understand what you have to do to keep diabetes under control. Talk to your doctor if youre unclear about anything.

You may want to keep a daily log to track your:

Keeping a log can help you monitor your diabetes and flag any warning signs of possible DKA in the future.

If youre sick with a cold, the flu, or an infection, be especially alert for any possible symptoms of DKA.

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Is diabetes a metabolic disorder: What to know – Medical News Today

Posted: May 2, 2022 at 2:38 am

Diabetes is a condition that causes a person to develop hyperglycemia, or high blood sugar. It is a metabolic disorder and can affect a persons metabolism, which is how the body makes energy from food.

This article will look into whether diabetes is a metabolic disorder and how doctors diagnose these types of disorders.

Metabolic disorders affect a persons metabolism, which refers to the processes the body uses to create or obtain energy from their food.

These types of disorders can lead to an individual producing too much or too little of certain essential chemicals. This can lead to problems with how the body breaks down food for energy.

Metabolic disorders can occur due to issues with a persons organs. Porphyria cutanea tarda (PCT) is an example of a metabolic condition that can occur due to liver disease.

PCT prevents certain enzymes from facilitating the production of heme, the substance that gives blood its red color. This leads to a buildup of these enzymes, which can result in painful skin lesions. PCT can develop due to hepatitis C, a disease that affects the liver.

Other metabolic disorders can be genetic, including hereditary hemochromatosis, a condition that causes a person to absorb too much iron. As the condition is genetic, it passes down from a persons biological parents.

According to the World Health Organization (WHO), diabetes is a metabolic disorder.

When a person eats food, their body breaks it down into different components. Glucose is a type of sugar that comes from the food an individual consumes. It is an important substance, as it provides energy for a persons cells. After the body extracts it from food, the glucose enters the bloodstream and travels throughout the bodys cells.

Having diabetes can cause a person to have too much glucose in their bloodstream. Insulin, a hormone that comes from the pancreas, helps glucose enter a persons cells. Diabetes can affect how the body uses or creates insulin. This can lead to a buildup of glucose in the blood.

There are several forms of diabetes. Type 1 and type 2 diabetes are the main types of the condition.

Type 2 diabetes is the most common form. The Centers for Disease Control and Prevention (CDC) notes that type 1 diabetes accounts for between 5% and 10% of diabetes cases. Both of these forms of the condition are metabolic disorders.

Although the exact cause of type 1 diabetes is unknown, medical experts believe it results from an autoimmune disease, a condition that causes the immune system to attack healthy cells. In type 1 diabetes, the immune system destroys cells that produce insulin.

Having type 1 diabetes results in a person having no or very little insulin.

When a person has type 2 diabetes, their body does not produce or use insulin effectively. Type 2 diabetes is more likely to develop in people:

Doctors can diagnose metabolic disorders with various screening tests. These tests measure the amount of certain substances in a persons blood or urine. The type of test an individual undergoes will depend on the metabolic disorder the doctor is diagnosing.

When diagnosing these disorders, a doctor might ask about a persons symptoms. They may also perform a physical exam and ask about their family history.

A healthcare professional may also need to test a persons tissues to measure the presence of certain substances. This can involve a person having a biopsy, where a doctor removes a sample of tissue from an organ, such as the skin or liver, for testing.

If a person has a family history of a certain condition, a doctor can use genetic testing to see if they also carry the gene for that disorder. Genetic testing can help doctors confirm a diagnosis or determine an individuals likelihood of developing that disorder.

Doctors can diagnose diabetes using several types of blood tests, including:

A person with a family history of diabetes could also have a free test to determine if they have the condition.

The treatment approach for diabetes can depend on the type a person has. If they have type 1 diabetes, they need insulin several times a day. Those with type 2 diabetes may need infrequent doses of insulin.

A person can take insulin in several ways, including:

An individual with type 2 diabetes can help manage their condition by eating a nutritious diet and exercising regularly.

A less common option for those with this condition is surgery. Doctors generally recommend this approach when lifestyle changes or medications are insufficient to manage a persons diabetes.

Doctors may also try bariatric surgeries, which are procedures to help people lose weight. These techniques can make a persons stomach smaller or reduce the number of calories they can absorb. This can lead to remission in people with type 2 diabetes.

Healthcare professionals may also recommend pancreatic islet transplantation, a procedure for those with type 1 diabetes. This technique involves replacing a persons pancreatic islet cells with those from a donor. Pancreatic islet cells are a group of cells in the pancreas that make insulin.

Another treatment for diabetes is the use of an artificial pancreas. This is an automated insulin-delivery system consisting of a continuous glucose monitor and an insulin pump. The system automatically monitors a persons blood glucose levels, calculates the amount of insulin they need at different points during the day, and delivers it.

There is no cure for diabetes. However, a person can typically manage it with medications and lifestyle changes.

Without treatment, a person with diabetes can experience health problems such as:

Metabolic disorders affect a persons metabolism, and diabetes is one such condition.

Doctors can diagnose metabolic disorders using a combination of tests, physical exams, and questions about a persons family history.

Although diabetes is not curable, people can usually manage it with medications and lifestyle changes.

If a person notices any signs of diabetes, they should speak with their doctor. Without treatment, diabetes can result in various health complications and can be fatal.

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Is diabetes a metabolic disorder: What to know - Medical News Today

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Diabetes Diet: 5 Summer Drinks That Will Keep You Cool In The Heat – NDTV Food

Posted: May 2, 2022 at 2:38 am

The summer season calls for having all things cold and delicious. You could enjoy any kind of aerated drinks, some coolers, juices and whatnot. However, these drinks are not always suitable for everyone, especially diabetic patients. Those who have diabetes are always told to have a low GI diet to avoid fluctuations in blood sugar levels. So, it goes without saying that any kind of sugary drink is not suitable. But if you are still in search of certain drinks that can help to beat the heat, fret not. We have just what you need. Today, we bring you a list of some desi summer drinks recipes that will keep you cool and may help manage diabetes too. Before adding any of these ingredients to your diet, kindly consult a medical professional.

(Also Read:Diabetes Diet: Neem Tea May Help Manage Blood Sugar Levels - Recipe Inside)

Barley, often known as jau, is high in insoluble fibre, making it a healthy choice for diabetics. It is beneficial to diabetics since it helps to maintain blood glucose levels. To get the best benefits, make sure you drink unsweetened barley water.

Coconut water is 94% water and has a very low-calorie content. Potassium, vitamin B, electrolytes, amino acids, enzymes, and numerous plant hormones are found in coconut water.

Ginger aids the management of long-term blood sugar control and may minimise the detrimental effects of diabetes on the eyes. Add lemon to water with grated or shredded ginger.

(Also Read:Diabetes Diet: This Refreshing Tomato Juice May Help Manage Diabetes Too (Recipe Inside)

Coming from East India, Sattu is a blend of chickpea flour as the main ingredient. Sattu Sharbat is made from sattu, water, lemon juice, roasted cumin powder, mint leaves, and black salt. It is extremely hydrating and high in protein.

Karela, or bitter gourd, is another summertime favourite that contains an insulin-like chemical called Polypeptide-p or p-insulin, which helps to naturally battle the symptoms of diabetes. Since karela juice is bitter, you can mix it with some apples.

Make these delicious recipes, and let us know which one was your favourite!

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The #1 Best Bread to Eat if You Have Diabetes, Says Dietitian Eat This Not That – Eat This, Not That

Posted: May 2, 2022 at 2:38 am

Getting a diabetes diagnosis can feel extremely defeating, especially when it comes to your diet. Many people assume that having diabetes means they have to give up all of the foods they love, especially carbohydrates. But what many don't realize is that even something as carb-heavy and delicious as bread can be a regular part of your diet even if you have diabetes!

According to medical board expertLaura Burak, MS, RD, author ofSlimdown with Smoothies, and founder ofLaura Burak Nutrition, the best bread you can choose for diabetes is whole grain bread.

"Whether you are diabetic or not, I always recommend choosing a bread that is made with whole grain flour(s)," says Burak. "But beware, bread is one of the most confusing foods on the market."

Learn more about why Burak believes the best bread for diabetes is whole grain, as well as her advice for how to find the right ones when you're at the grocery store. For even more healthy eating tips, check out The 5 Best Fruits to Eat If You Have Diabetes.

It's often assumed that if someone is diabetic or pre-diabetic that they would need to avoid any type of carb or bread item. However, this simply isn't true. While limiting your consumption of refined carbohydrates and added sugars is important, eating whole grains can actually help if you have diabetes or are at risk.

In one recent study published in the British Medical Journal, it was discovered that a higher consumption of whole grains was associated with a lower risk of type 2 diabetes. The whole grains in this study included whole grain bread, oats, cereals, brown rice, and wheat germ.

So where do these benefits come from? One of the main reasons whole grains are good for those with diabetes is their high fiber content. According to the CDC, fiber is helpful because your body can't break it down and absorb it in the same way as it does with other foods, so it doesn't lead to a sudden rise in your blood sugar.

Medical News Today also notes that while white rice and white bread is high on the glycemic index, whole grains are much lower. This essentially just means that whole grains impact your blood sugar much less.

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According to Burak, there are a few main things you'll want to look for when you're navigating the grocery store in search of the best whole grain breads.6254a4d1642c605c54bf1cab17d50f1e

"Just glance down the bread aisle and you will see dozens of brands and varieties that can sit on the shelves for weeks without spoiling. That is the first red flag and why sprouted breads like Food for Life Ezekiel or fresh grainy bakery breads are ideal. They must be frozen quickly because they don't have preservatives and other fillers like the ones in the bread aisle," says Burak.

She also notes that certain brands may use misleading words on their packaging. "When navigating the bread aisle, take note that the deceiving words "made with whole grains" or "good source of whole grain" are simply for marketing and don't mean much," says Burak, "so flip over the bag and always check out the ingredients. If the first or second ingredient is whole wheat flour, oatmeal, whole grain cornmeal, or brown rice, you can be confident that the bread is in fact made with whole grains."

At the end of the day, Burak wants readers to know that you don't have to give up bread if it's something you enjoy.

"I just want to say to anyone reading this, please incorporate bread into your diet if you love it. Do not be afraid of this wonderful food. It is one of the most basic foods, and although it's been demonized, it has been around for thousands of years and if you pick a quality bread most of the time, it can be part of a healthy and delicious diet."

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