I first wrote about inhaled insulin in 2014. I have yet to run across a patient using it. In fact, I thought it may have been taken off the market for a while. In any case, it’s back:
“MannKind Corporation (Nasdaq:MNKD) (TASE:MNKD) announced it is now distributing MannKind-branded Afrezza® (insulin human) Inhalation Powder directly to major wholesalers and that Afrezza is available by prescription from retail pharmacies nationwide. The MannKind-branded product is associated with new National Drug Code (NDC) numbers, as noted in the table below. With distribution channels now stocked, the Company announced several key programs to promote access, adoption and adherence to Afrezza therapy.”
Source: MannKind Corporation – Mannkind Assumes Responsibility for Distribution of Afrezza® and Launches Patient Reimbursement and Adherence Support Programs
Also known as clarified butter, ghee is a traditional food in India. I’ve been reading about it for several years but I haven’t tried it yet.
From Times of India:
“Clarified butter remained India’s culinary star for centuries till it was sidelined in the 1980s by vegetable oils because of its high saturated fat. The new oils were aggressively marketed as superior and heart-healthy. Of late, research has shown that saturated fats have no link to obesity, heart disease or early death. In January 2015, the US dietary guidelines declared for the first time that total dietary fat and cholesterol intake are not a concern for healthy people. Now, on the back of some recent studies which maintain that it reduces fat and lower cholesterol, ghee too is making a big comeback in India. It is also making a splash abroad in alternative health circuits.”
Source: Ghee with glee – Times of India
You can make your own ghee. Alton Brown has a recipe, as does Michelle Tam.
If you still think saturated fat is bad, here’s the research proving otherwise.
Steve Parker, M.D.
PS: If you fear saturated fat, rest assured there’s none in my books.
“The current study is the first long-term dietary trial demonstrating that the Mediterranean diet conferred benefit on both prevention (56% relative risk reduction) and deterioration of sexual dysfunction in both men and women with newly diagnosed type 2 diabetes. In adults with type 2 diabetes, a Mediterranean-style dietary pattern may improve the inflammatory milieu and cardiovascular risk, both these effects being beneficial to achieving improvement of sexual dysfunction in people with diabetes.”
Source: Primary Prevention of Sexual Dysfunction With Mediterranean Diet in Type 2 Diabetes: The MÈDITA Randomized Trial | Diabetes Care
“Type 2 diabetes in youth clearly differs from type 1 diabetes and more closely resembles the pathophysiology in adults: insulin resistance and nonautoimmune β-cell failure. However, youth-onset type 2 diabetes displays unique aspects, such as rapidly progressive β-cell decline and accelerated development of diabetes complications. Treatment options for youth-onset type 2 diabetes are inadequate, limited to two approved drugs (insulin and metformin) and the promotion of healthy lifestyles. Comprehensive, coordinated, and innovative strategies for the investigation, prevention, and treatment of youth-onset type 2 diabetes are urgently needed.”
Source: Youth-Onset Type 2 Diabetes Consensus Report: Current Status, Challenges, and Priorities | Diabetes Care
How about trying low-carb diet?
Photo of the retina at the back of the eyeball
After near-sightedness, diabetes affecting the eyes (aka diabetic retinopathy) is the leading cause of impaired vision in adults. The key to preventing retinopathy is strict control of blood sugars, especially early in the course of diabetes. Controlling blood pressure and not smoking are of secondary importance.
MNT has the details on the global increase in retinopathy:
“The worldwide burden of diabetes-related vision loss is growing alarmingly. Over 2 decades from 1990-2010, the number of people worldwide with diabetes-related blindness or visual impairment rose by an alarming 27 percent and 64 percent, respectively. In 2010, 1 in every 52 people had vision loss and 1 in every 39 people were blind due to diabetic retinopathy – where the retina is damaged by diabetes.
The researchers suggest poor control of blood glucose and inadequate access to eye health services in many parts of the world are contributing to the growing global burden of diabetes-related vision loss.
These figures are the result of an analysis by a global consortium, who recently published their work online in the journal Diabetes Care.
As the number of people living with diabetes worldwide grows, so does the chance that more people will develop diabetic retinopathy and suffer subsequent vision loss, especially if they do not receive or adhere to the care they need.Diabetic retinopathy is a disease of the retina that damages sight as a result of chronic high blood sugar in diabetes. The high sugar damages the delicate blood vessels in the retina – the light-sensitive layer of tissue that lines the back of the eye.”
Source: Diabetes-related vision loss growing worldwide – Medical News Today
Amy Tenderich and HealthLine enter the fray:
“The Paleo Diet, otherwise known as the “Caveman Diet,” is hugely popular at the moment. And lots of folks want to know how it plays with diabetes…
The DiabetesMine Team has taken a deep dive here into what this eating plan entails, and what nutrition experts and research have to say about it.”
Source: The Paleo (Caveman) Diet and Diabetes