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  The Nation's #1 Independent Veterans Web Site Click here to make VA Watchdog dot Org your homepage VA NEWS FLASH from Larry Scott at VA Watchdog dot Org -- 06-17-2008 |
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The Nation's #1 Independent Veterans Web Site Click here to make VA Watchdog dot Org your homepage VA NEWS FLASH from Larry Scott at VA Watchdog dot Org -- 06-17-2008 |
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TYPE 2 PATIENTS -- "Our data suggest that some patients can remain in good glucose control for years using non-insulin, oral diabetic agents."
For more about VA research, use the VA Watchdog
search engine...click here... Story here...
http://www.usatoday.co Story below:
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Diabetes pills may be enough for many type 2 patientsBy Mary Brophy Marcus, USA TODAYPeople with type 2
diabetes may have an insulin-free future to look forward to, a study
presented Sunday suggests. But experts say more studies are needed.
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Swislocki says the findings give people who have
type 2 diabetes the encouraging news that they may be able to avoid or
delay insulin treatment. The treatment requires an injection and begins
when the pancreas is no longer able to produce insulin, a key hormone that
helps regulate carbohydrates, fats and proteins.
Robert Vigersky, president-elect of the Endocrine Society and director of
the Diabetes Institute at the Walter Reed Army Medical Center in
Washington, D.C., agrees the results send a positive message to patients
with type 2 diabetes who may want to manage their disease without insulin.
But he says the news is more a testimony to the new and improved oral
medications that have been made available to people with type 2 diabetes
since the early 1990s.
"Fifteen years ago we really only had one category of oral meds, and now
we have at least five different classes of medications that work in
different ways," Vigersky says.
For similar reasons, the results are not surprising to Mark Schutta,
medical director of the University of Pennsylvania School of Medicine's
Rodebaugh Diabetes Center in Philadelphia.
"In the time that the study was done, we have had an almost logarithmic
increase in the availability of different agents with different actions to
treat diabetes," Schutta says.
Schutta says other factors probably also were at play that the study does
not delve into. He says it is not a revelation that the authors reported
that the less obese, white patients were able to stay on oral medicines
longer. "More obese patients have more need for more medication earlier in
their disease," he says.
David Nathan, director of the Diabetes Center at Massachusetts General
Hospital, says that he is not sure the study is easily interpretable and
that more research is necessary to determine exactly which oral
medications work best.
"A longitudinal randomized study would be much more informative regarding
how patients with type 2 diabetes will do over time on any given regimen,"
he says.
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posted by Larry
Scott
Founder and Editor
VA Watchdog dot Org
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