Diabetes News - Dec. 3, 2000

Big Kids May Be At Risk For Type 1
Ovarian Syndrome And Hardened Arteries
Competition For Viagra?
New Obesity Drug Weighs In
Curing Type 1 With Genes?
Diabetes Increases In Native Americans
New Law Addresses Health Inequalities

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Big Kids May Be At Risk For Type 1

While it is a well-known fact that obesity leads to an increased risk for Type 2 diabetes, a new study shows that kids who are heavier and taller than their peers may also be at an increased risk for developing Type 1 diabetes.

Doctors at the University of Tampere in Finland recently conducted a study of the medical records of over 1,000 children, and they've published the results of that study in the journal Diabetes Care (volume 23, pages 1755-1760, December 2000). The researchers studied the records of 586 children aged 15 or younger who had been diagnosed with diabetes, and compared these to the records of 571 children without diabetes.

The results of the study indicate that obese children over the age of three were twice as likely to develop Type 1 diabetes than thinner children. Taller children were also more likely to develop the disease than children of average height.

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Ovarian Syndrome And Hardened Arteries

Women who have polycystic ovary syndrome (PCOS) are familiar with a variety of complications of their hormonal disorder, including ovarian cysts and an increased risk of obesity, diabetes, and male attributes. However, a new study indicates that PCOS is also linked to an increased risk of hardened arteries.

The study was conducted by researchers at the University of Pittsburgh, Pennsylvania, and is published in the American Heart Association's journal Arteriosclerosis, Thrombosis and Vascular Biology (volume 20, page 2414, November 2000). Over 270 women participated in the study, all of whom were over the age of 30, and half of whom had been diagnosed with PCOS.

Researchers measured the build-up of fatty plaque on the artery walls of the participants by using ultrasound. They found that over 7% of the women with PCOS had a significant build-up of arterial plaque, as compared with the 0.7% of the women without the disorder. The differences also widened with increased age of the participants, particularly when they were 45 or older.

The researchers aren't clear on exactly why there is an increased risk of arterial plaque in women with PCOS. One explanation could be that these women have a tendency toward obesity. However, there may also be another aspect of the disorder that leads to hardened arteries.

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Competition For Viagra?

Viagra is effective for erectile dysfunction in many cases, but it has side effects. According to the data coming from a new drug study, a recently developed drug is also effective, and may even cause fewer negative side effects than Viagra.

The drug is called Cialis, and is being developed by the biotech firm ICOS Corp. and the pharmaceutical company Eli Lilly and Co. The drug was recently tested in a study involving 212 men with mild erectile dysfunction, as well as men with a severe inability to achieve and maintain erections due to diabetes complications or because of surgery for prostate cancer.

Men involved in the eight-week study were divided into five groups: some received a placebo, while the other groups received Cialis in doses of 2 mg, 5 mg, 10 mg, or 25 mg. Study leaders found that about 88% of the men taking Cialis reported improvement in their overall erectile function, including 75-85% of the men with severe erectile dysfunction. The effectiveness of the drug increased with increased dosage.

Side effects of the drug also appeared to be minimal. Only 3% of the participants taking Cialis reported blue/green color distortions or facial flushing, as compared to 10% of study participants taking Viagra in another clinical trial. However, the two drugs have not been directly compared, so it is not possible to say with certainty which drug has fewer side effects.

Manufacturers of the drug will conduct further trials, and then expect to seek FDA approval by the second quarter of 2001. If approval is achieved, Cialis will not be introduced on the market until at least 2002.

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New Obesity Drug Weighs In

Because of the overall increase in the rate of obesity in America, scientists are looking to medicine to provide possible treatments for the condition. Studies of one new drug look promising.

The drug is called Axokine, and is being manufactured by Regeneron Pharmaceuticals Inc. The company recently conducted a study in which 170 participants took a self-injected dose of the drug every day. After twelve weeks, these people had lost an average of ten pounds more than people taking a placebo. Nearly 50% of the study participants taking the drug lost at least 10 pounds, while only 5% of people taking the placebo lost a comparable amount of weight.

The company plans to begin the final testing stage of the drug next year, and then they will seek FDA approval.

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Curing Type 1 With Genes?

One of the most exciting developments in science and medicine in recent years is gene therapy, which involves manipulating genes so that diseases can be eliminated on the cellular level. In a recent study using rats, scientists show that this may be the way to fight Type 1 diabetes.

The study was conducted by doctors at Yonsei University in Seoul, Korea and the University of Calgary in Alberta, Canada. They have published their study in the journal Nature (volume 408; pages 483-488; November 23, 2000). The researchers injected a gene that controlled a molecule similar to that of insulin into mice and rats with diabetes.

When it was introduced to the body, the gene became a part of the DNA in liver cells. It was then able to produce insulin and thus regulate blood sugar. This gene was activated by glucose levels in the blood; when the levels were low, the gene was turned on. The gene was then turned off when levels returned to normal.

Although the study is promising, scientists are still a long way off from testing on human study participants. The gene therapy will have to be tested on animals larger than mice first.

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Diabetes Increases In Native Americans

Recent years have seen a dramatic increase in the rate of Type 2 diabetes in the American population. The increase is especially dramatic when studied in specific ethnic groups, particularly Native Americans.

According to research published in the journal Diabetes Care (volume 23, pages 1786-1790, December 2000) by the Centers for Disease Control and Prevention in Atlanta, the rate of diabetes in Native Americans and Alaska Natives increased by 30% between the years 1990 and 1997. The study indicated that the rate of diabetes increased by 43% in men between the ages of 45 and 64. Also, those between the ages of 20 and 44 experienced an increased rate of diabetes of 36% in men and 25% in women. Children and teens also had an increased rate of diabetes.

Researchers believe that the increase in the rate of diabetes may be due to the fact that there has been a significant increase in the rate of obesity in the general population. Those with diabetes in their family history should consult with a doctor to see if a diet and exercise plan would be beneficial.

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New Law Addresses Health Inequalities

In several recent articles of this newsletter, we have focused on the widely different health risks and conditions faced by people of different ethnicities. Last week, President Clinton addressed this issue of health inequality by signing into law the "Health Care Fairness Act." The law sets aside over $150 million to create a National Center for Research on Minority Health and Health Disparities at the National Institutes of Health. It will also provide funding for medical training for people of different ethnicities.

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