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Reliability and Structure of Diabetes Diet Adherence Scale (D-DAS): A Follow-up Study among Type 2 Diabetes Patients of India 糖尿病饮食依从性量表 (D-DAS) 的可靠性和结构:印度 2 型糖尿病患者的随访研究
Pub Date : 2024-05-27 DOI: 10.1101/2024.05.25.24307586
Savitesh Kushwaha, Rachana Srivastava, Sanjay Kumar Bhadada, Vivek Sagar, Poonam Khanna
Introduction Measuring dietary adherence is essential while prescribing a diet plan for type 2 diabetes. This study aims to develop and validate a diabetes diet adherence scale (D-DAS) among type 2 diabetes patients in India.
导言:在为 2 型糖尿病患者制定饮食计划时,衡量饮食依从性至关重要。本研究旨在开发并验证印度 2 型糖尿病患者的糖尿病饮食依从性量表(D-DAS)。
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引用次数: 0
EFFICACY OF SIBUTRAMINE AND TOPIRAMATE COMBINATION IN WEIGHT LOSS: RETROSPECTIVE COHORT STUDY ON BRAZILIAN ADULTS 西布曲明和托吡酯复方制剂对减肥的疗效:对巴西成年人的回顾性队列研究
Pub Date : 2024-05-27 DOI: 10.1101/2024.05.25.24307923
Heloisa Harumi Yamamoto, Thiago Fraga Napoli, João Eduardo Nunes Salles
Introduction Obesity is a chronic, prevalent, multifactorial disease, stigmatized and linked to multiple long-term complications, which makes the treatment currently available below of the expectations from what is necessary to combat it. Because of this limitation, off-label medications for the treatment of obesity, such as topiramate, have been widely used, in association with on-label medications, such as sibutramine, in order to achieve more effective weight loss.
简介:肥胖症是一种慢性、多发、多因素疾病,被视为一种耻辱,并与多种长期并发症相关联,这使得目前可用的治疗方法低于防治肥胖症所需的期望值。由于这种局限性,治疗肥胖症的标签外药物(如托吡酯)与标签内药物(如西布曲明)一起被广泛使用,以达到更有效的减肥效果。
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引用次数: 0
11β-HSD1 inhibitor efficacy in type 2 diabetes is cortisol-dependent 11β-HSD1 抑制剂对 2 型糖尿病的疗效与皮质醇有关
Pub Date : 2024-05-10 DOI: 10.1101/2024.05.10.24307180
Atinuke Wilton-Waddell, Layal Abi Farraj, Elton JR Vasconcelos, Emily Byrne, Angela E Taylor, Adrian Freeman, Damla Etal, Paul M Stewart, Wiebke Arlt, Ramzi Ajjan, Ana Tiganescu
Cortisol excess drives multiple adverse effects including hypertension, dyslipidemia, and delayed wound healing. Activation of cortisol by the enzyme 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1) has shown promise as a therapeutic target for these comorbidities but clinical progress has been hampered by variable 11β-HSD1 inhibitor efficacy. Here, transcriptomic profiling of 11β-HSD1 target genes in primary skin fibroblasts as well as skin biopsies from type 2 diabetes individuals treated with the selective 11β-HSD1 inhibitor AZD4017 provide detailed mechanistic insights highlighting new areas of therapeutic potential. We report correlations between changes in 11β-HSD1 target gene expression, blood pressure, lipids, and wound healing with 1) cortisol levels (serum cortisol / dehydroepiandrosterone sulfate) and 2) peripheral 11β-HSD1 activity (serum cortisol / cortisone). Finally, we demonstrate that baseline cortisol levels and changes in placebo group cortisol levels are key determinants of 11β-HSD1 inhibitor efficacy. In conclusion, our findings pave the way for more effective targeting of 11β-HSD1 inhibitor treatment, improving the accuracy of future clinical studies. Larger trials of longer duration are now warranted to fully explore the therapeutic potential of 11β-HSD1 inhibitors across a range of cardiometabolic and age-associated indications.
皮质醇过量会导致多种不良反应,包括高血压、血脂异常和伤口愈合延迟。11β-hydroxysteroid dehydrogenase type 1(11β-HSD1)酶对皮质醇的激活作用已显示出有望成为这些合并症的治疗靶点,但由于 11β-HSD1 抑制剂的疗效参差不齐,临床研究进展一直受阻。在此,我们对原发性皮肤成纤维细胞中的 11β-HSD1 靶基因以及接受选择性 11β-HSD1 抑制剂 AZD4017 治疗的 2 型糖尿病患者的皮肤活检组织进行了转录组学分析,提供了详细的机理见解,突出了具有治疗潜力的新领域。我们报告了 11β-HSD1 靶基因表达、血压、血脂和伤口愈合的变化与 1) 皮质醇水平(血清皮质醇/硫酸脱氢表雄酮)和 2) 外周 11β-HSD1 活性(血清皮质醇/可的松)之间的相关性。最后,我们证明基线皮质醇水平和安慰剂组皮质醇水平的变化是决定 11β-HSD1 抑制剂疗效的关键因素。总之,我们的研究结果为更有效地针对 11β-HSD1 抑制剂治疗铺平了道路,提高了未来临床研究的准确性。现在需要进行更大规模、持续时间更长的试验,以充分探索11β-HSD1抑制剂在一系列心脏代谢和年龄相关适应症中的治疗潜力。
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引用次数: 0
Wearable neuroprosthesis improves mobility and reduces pain in neuropathic participants 可穿戴神经假体改善神经病患者的活动能力并减轻疼痛
Pub Date : 2024-05-09 DOI: 10.1101/2024.05.08.24306164
Noemi Gozzi, Lauren Chee, Ingrid Odermatt, Sanne Kikkert, Greta Preatoni, Giacomo Valle, Nikolai Pfender, Felix Beuschlein, Nicole Wenderoth, Carl Zipser, Stanisa Raspopovic
Peripheral neuropathy (PN) is the most common complication of diabetes. It is characterized by sensory loss which often causes major health consequences including foot ulceration, chronic pain, poor mobility and increased risk of falls. However, present treatments do not counteract the cause of the disease, namely lack of sensory feedback, but rather aim at partial and temporal symptoms relief (e.g. analgesics for pain or creams for ulcers healing). Electrical stimulation is a promising solution for sensory restoration, but it is yet unknown if it can elicit perceivable sensations in PN damaged nerves and whether it could lead to any health or functional benefits. To this aim, we designed a wearable sensory neuroprosthesis providing targeted neurostimulation at the ankle level (NeuroStep) restoring feet lost sensations. We tested it in 14 participants with PN, evaluating its effects on functional outcomes and pain, and the cortical activation related to the restored sensations. Our system was able to restore lost sensations in all participants. The nerves of PN participants resulted significantly less excitable and sensitive than healthy individuals (N=22). Thanks to the neurostimulation, participants improved cadence and functional gait, with even stronger improvements in individuals with higher risk of falls. A full day of NeuroStep use led to a clinically significant reduction of 30.4% ± 9.2% in neuropathic pain. Restored sensations activated cortical patterns, as measured via fMRI, similar to the naturally located foot sensations, thus not requiring training by the user. NeuroStep restores intuitive sensations in PN participants, improving mobility and decreasing pain, possibly replacing multiple inefficient treatments. It holds potential to drastically improve patients’ quality of life thanks to functional and health benefits, while paving the way to new effective neuromodulation treatments.
周围神经病变(PN)是糖尿病最常见的并发症。其特点是感觉缺失,通常会对健康造成严重影响,包括足部溃疡、慢性疼痛、行动不便和跌倒风险增加。然而,目前的治疗方法并不能解决该病的病因,即缺乏感觉反馈,而是旨在缓解部分和暂时的症状(如止痛药或用于溃疡愈合的药膏)。电刺激是一种很有前景的感官恢复解决方案,但它是否能引起 PN 受损神经的可感知感觉,以及是否能带来任何健康或功能方面的益处,目前还不得而知。为此,我们设计了一种可穿戴的感觉神经假体(NeuroStep),在脚踝处提供定向神经刺激,以恢复脚部失去的感觉。我们在 14 名患有 PN 的参与者中进行了测试,评估了其对功能结果和疼痛的影响,以及与恢复感觉相关的皮层激活情况。我们的系统能够恢复所有参与者失去的感觉。与健康人(22 人)相比,PN 患者的神经兴奋性和敏感性明显降低。得益于神经刺激,参与者的步幅和功能性步态都得到了改善,跌倒风险较高的人改善得更明显。全天使用 NeuroStep 可使神经病理性疼痛在临床上显著减轻 30.4% ± 9.2%。通过 fMRI 测量,恢复的感觉激活了大脑皮层模式,类似于脚部的自然感觉,因此无需用户进行训练。NeuroStep 恢复了 PN 参与者的直观感觉,改善了活动能力并减轻了疼痛,有可能取代多种低效治疗方法。由于其功能和健康方面的优势,它有望大幅提高患者的生活质量,同时为新的有效神经调控疗法铺平道路。
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引用次数: 0
Feasibility of time-restricted eating during pregnancy and effect on glycemic control in people with increased risk of gestational diabetes – a randomized controlled trial 孕期限时进食的可行性及对妊娠糖尿病高危人群血糖控制的影响--随机对照试验
Pub Date : 2024-05-07 DOI: 10.1101/2024.05.06.24306931
HS Skarstad, KL Haganes, MAJ Sujan, TM Gellein, MK Johansen, KÅ Salvesen, JA Hawley, T. Moholdt
Time-restricted eating (TRE) is a nutritional intervention that confines the daily time-window for energy intake. TRE reduces fasting glucose concentrations in non-pregnant individuals, but whether this eating protocol is feasible and effective for glycemic control in pregnancy is unknown. The aim of this randomized controlled trial was to investigate the feasibility and effect of a 5-week TRE intervention among pregnant individuals at risk of gestational diabetes mellitus (GDM), compared with a usual-care control group. Participants underwent 2-h oral glucose tolerance tests and estimation of body composition, before and after the intervention. Interstitial glucose levels were continuously measured, and adherence rates and ratings of hunger were recorded daily. Thirty of 32 participants completed the trial. Participants allocated to TRE reduced their daily eating window from 12.3 (SD 1.3) to 9.9 (SD 1.0) h, but TRE did not affect glycemic measures, blood pressure, or body composition, compared with the control group. TRE increased hunger levels in the evening, but not in the morning, and induced only small changes in dietary intake. A 5-week TRE intervention was feasible for pregnant individuals with increased risk of GDM but had no effect on cardiometabolic outcomes.
限时进食(TRE)是一种限制每日能量摄入时间窗口的营养干预措施。限时进食可降低非孕妇的空腹血糖浓度,但这种进食方案对孕妇控制血糖是否可行和有效尚不清楚。这项随机对照试验的目的是研究在有妊娠糖尿病(GDM)风险的孕妇中开展为期 5 周的 TRE 干预的可行性和效果,并与常规护理对照组进行比较。参与者在干预前后接受了 2 小时口服葡萄糖耐量测试和身体成分评估。连续测量间质葡萄糖水平,每天记录坚持率和饥饿感评级。32 名参与者中有 30 人完成了试验。与对照组相比,接受 TRE 的参与者将每天的进食时间从 12.3 小时(标准差 1.3 小时)减少到 9.9 小时(标准差 1.0 小时),但 TRE 不会影响血糖测量、血压或身体成分。TRE会增加晚上的饥饿感,但不会增加早上的饥饿感,而且只会引起饮食摄入量的微小变化。为期 5 周的 TRE 干预对 GDM 风险增加的孕妇是可行的,但对心脏代谢结果没有影响。
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引用次数: 0
Dietary preference and susceptibility to type 2 diabetes mellitus: a wide-angle Mendelian randomization study 饮食偏好与 2 型糖尿病易感性:广角孟德尔随机研究
Pub Date : 2024-05-06 DOI: 10.1101/2024.05.05.24306877
Mia D. Lee, Benjamin F. Voight
Background Susceptibility to type 2 diabetes mellitus (T2D) is driven by genetic and environmental risk factors. Dietary preferences are a modifiable and largely environmental risk factor for T2D. The role of diet in disease liability has been limited to observational and epidemiologic studies with mixed findings.
背景 2 型糖尿病(T2D)的易感性受遗传和环境风险因素的影响。饮食偏好是一种可改变的、主要是环境因素的 T2D 风险因素。饮食对疾病易感性的作用仅限于观察性研究和流行病学研究,研究结果不一。
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引用次数: 0
Sex-differences in reporting of statin-associated diabetes mellitus to the US Food and Drug Administration 向美国食品药品管理局报告他汀类药物相关糖尿病的性别差异
Pub Date : 2024-05-03 DOI: 10.1101/2024.05.01.24306727
David P Kao, James Martin, Christina Aquilante, Elise L Shalowitz, Katarina Leyba, Elizabeth Kudron, Jane EB Reusch, Judith G. Regensteiner
Objective Determine whether statin-associated DM is reported more frequently in women than men in post-marketing adverse drug event (ADE) surveillance.
目的 在上市后药物不良事件 (ADE) 监测中,确定他汀类药物相关 DM 的报告女性是否多于男性。
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引用次数: 0
Neonatal Obesity-Adiposity is Largely Driven by Maternal Hyperglycemia in-utero: Analysis of Real-Life Data from a Diabetes Clinic in India 新生儿肥胖在很大程度上是由母亲在胎儿期的高血糖引起的:来自印度糖尿病诊所的真实数据分析
Pub Date : 2024-04-30 DOI: 10.1101/2024.04.27.24306016
Sayali S. Deshpande-Joshi, Sonali S. Wagle, Madhura K. Deshmukh, Himangi Lubree, Hemant S. Damle, Suhas R. Otiv, Sanat B. Phatak, Rucha H. Wagh, K. Meenakumari, Smita N. Dhadge, Rajashree P. Kamat, Sayali G. Wadke, Deepa A. Raut, Dattatray S. Bhat, Souvik Bandyopadhyay, Chittaranjan S. Yajnik
Background Segregation of the effect of maternal size and glycemia on fetal growth is difficult to understand in overweight-obese women with diabetes.
背景 在患有糖尿病的超重-肥胖妇女中,很难理解母体体型和血糖对胎儿生长的影响。
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引用次数: 0
Predictors of glycemic worsening in the next year in adults with screen-detected type 2 diabetes 筛查出的 2 型糖尿病成人患者下一年血糖恶化的预测因素
Pub Date : 2024-04-27 DOI: 10.1101/2024.04.25.24306391
Rebecca Schneider Aguirre, Tamara S Hannon, Robert V Considine, Yash Patel, M Sue Kirkman, Kieren J Mather
Background and Aims Identifying simple markers of risk for worsening glucose can allow care providers to target therapeutic interventions according to risk of worsening glycemic control. We aimed to determine which routine clinical measures herald near-term glycemic worsening in early type 2 diabetes(T2D).
背景和目的 识别血糖恶化风险的简单标志物可以让医疗服务提供者根据血糖控制恶化的风险有针对性地采取治疗干预措施。我们的目的是确定哪些常规临床指标预示着早期 2 型糖尿病(T2D)患者的近期血糖恶化。
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引用次数: 0
Prediabetes as a risk factor for all-cause and cause-specific mortality: a prospective analysis of 115,919 adults without diabetes in Mexico City 糖尿病前期是全因和特定原因死亡的风险因素:对墨西哥城 115 919 名未患糖尿病的成年人进行的前瞻性分析
Pub Date : 2024-04-16 DOI: 10.1101/2024.04.15.24305840
Carlos A. Fermín-Martínez, Omar Yaxmehen Bello-Chavolla, César Daniel Paz-Cabrera, Daniel Ramírez-García, Jerónimo Perezalonso-Espinosa, Luisa Fernández-Chirino, Arsenio Vargas-Vázquez, Juan Pablo Díaz-Sánchez, Padme Nailea Méndez-Labra, Alejandra Núñez-Luna, Martín Roberto Basile-Alvarez, Paulina Sánchez-Castro, Fiona Bragg, Louisa Gnatiuc Friedrichs, Diego Aguilar-Ramírez, Jonathan R. Emberson, Jaime Berumen-Campos, Pablo Kuri-Morales, Roberto Tapia-Conyer, Jesus Alegre-Díaz, Jacqueline A. Seiglie, Neftali Eduardo Antonio-Villa
BACKGROUND Prediabetes has been associated with increased all-cause and cardiovascular mortality. However, no large-scale studies have been conducted in Mexico or Latin America examining these associations.
背景 糖尿病前期与全因死亡率和心血管死亡率的增加有关。然而,墨西哥或拉丁美洲尚未开展过大规模的研究来探讨这些关联。
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引用次数: 0
期刊
medRxiv - Endocrinology
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