February 7, 2019 — Why does bariatric surgery have such a profound effect on diabetes? It’s more than you might expect simply from the effects on weight. A large portion of patients with diabetes and obesity have remissions after surgery. Even before they lose much weight. New research in Cell Reports this week points to GLP-1 secretion as a […]
February 4, 2019 — Three years ago, 45 global organizations endorsed guidelines recommending metabolic surgery to reverse type 2 diabetes. At about the same time the U.S. Centers for Medicare and Medicaid Services announced a big expansion of the Diabetes Prevention Program with great fanfare. But today, very few of the patients who could benefit from either of these options […]
January 11, 2019 — Gestational diabetes (GDM) is one of the most common complications of pregnancy. And it can be serious. As obesity rates are growing, so too is GDM’s prevalence. But new research suggests that we’re missing the mark with the first-line strategy for preventing GDM. A new study from Pennington Biomedical found that diet and exercise prescriptions […]
December 30, 2018 — The expectations are high. We are seeing some tantalizing research on the potential benefits of intermittent fasting. But as yet, we’re not seeing much in the way of definitive data on its effectiveness for delivering objective clinical outcomes. In fact, the latest controlled clinical trial paints the picture of a rather mundane miracle. In a […]
December 27, 2018 — How safe is a drug for type 2 diabetes that causes weight gain? This question pops up as we read a big new study of outcomes with second line drugs for type 2 diabetes. That’s because two types of drugs that cause weight gain – basal insulin and sulfonylureas – had a clear link to bad […]
December 17, 2018 — 2018 is quickly fading into history. All in all, it’s been a year of some remarkable progress in obesity and health. Much of it is steady and encouraging. More healthcare providers building skill in obesity care. Less explicit weight bias. More options and a little less misinformation about obesity. Those are some of the good […]
December 2, 2018 — In the UK, the National Health Service (NHS) is coming to terms with the impact of obesity and diabetes. Chief executive Simon Stevens says: The NHS is now going to be ramping up practical action to support hundreds of thousands people and avoid obesity-induced heart attacks, strokes, cancers and type 2 diabetes. Because what’s good […]
November 29, 2018 — Health reporters have a news flash for us. Soda is the worst! All those other sugary foods? Not so bad, say the headlines. For diabetes risk, soda is the thing to fear. A Very Nuanced Study vs Sensational Headlines Why are we suddenly awash in such headlines? A study in the BMJ is at the […]
October 17, 2018 — Yesterday, JAMA published five articles about bariatric surgery. Two new research papers. Three editorials. Taken together they present a picture of the compelling benefits of bariatric surgery in patients with both obesity and diabetes. But they also point to the gap between the reality of bariatric surgery and how we’re dealing with it. Cutting the […]
August 3, 2018 — Many publications lately have documented the possibility for obesity care and resulting weight loss to reverse type 2 diabetes. But it’s hardly a sure thing. So the question remains, how does this happen in some patients and not in others? A new study in Cell Metabolism offers some clues. Digging into Diabetes Remissions Late last […]
