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Chronic Illness

A New Path Forward: Exploring Innovative Options for Controlling Type 2 Diabetes

Nearly 40% of patients diagnosed with type 2 diabetes imperil their health by stopping their medication within the first year, diabetes experts warn.

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The article “A New Path Forward: Exploring Innovative Options for Controlling Type 2 Diabetes” highlights the growing array of treatment options available for patients with type 2 diabetes. According to UVA Health diabetes experts, nearly 40% of patients diagnosed with type 2 diabetes stop their medication within the first year, underscoring the need for more effective and sustainable management strategies.

The authors urge doctors to consider emerging alternatives to traditional diabetes medicines that patients may be more likely to stick with long-term. They emphasize the importance of collaborative decision-making between healthcare providers and patients, taking into account individual preferences and lifestyle needs.

One such alternative is a continuous glucose monitor (CGM), which displays changes in blood sugar levels on a smartphone. Manufacturers have started offering lower-cost, over-the-counter options for patients who face insurance barriers.

Another option is GLP-1 receptor agonists like Ozempic, which offer weight-loss benefits and can help better control blood sugar. However, medicines and weight loss are not the only paths to improved blood-sugar control.

UVA diabetes expert Daniel J. Cox, PhD, has developed a “less demanding” lifestyle intervention called GEM (Glucose Everyday Matters) that aims to prevent blood-sugar spikes through informed eating choices and well-timed exercise. In one study, two-thirds of participants put their diabetes into remission using this approach.

The GEM program emphasizes understanding the effects of different foods on individual blood-sugar levels, making smart eating choices, and getting extra physical activity to bring blood sugar down. It’s not just about giving up sweets and high-carb foods but rather adopting a lifestyle that promotes general health and vigor while reducing risks of other chronic diseases.

Ultimately, the authors argue that the best treatment is one that is easy to implement and sustainable for the patient. By making patients partners in the decision-making process and working collaboratively with healthcare providers, individuals can increase their chances of sticking to their treatment plan and achieving long-term benefits for their health.

Alternative Medicine

“The Power of Movement: How Regular Exercise Can Add Years to Your Life”

Adopting a physically active lifestyle at any stage of adulthood significantly lowers your risk of dying from any cause, especially from cardiovascular disease. A sweeping analysis of 85 studies confirms that those who stay active consistently reduce their mortality risk by 30–40%, while even those who become active later in life enjoy a 20–25% reduction.

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The British Journal of Sports Medicine has published a study that finds being consistently physically active in adulthood is linked to a 30-40% lower risk of death from any cause in later life. This means that even if you haven’t been active throughout your life, it’s never too late to start moving more and reap the benefits. In fact, switching to a more active lifestyle at any point in adult life may extend your lifespan.

The study analyzed data from 85 studies that measured physical activity at two or more points in time. The results showed that consistently active people had around a 30-40% lower risk of dying from any cause, while those who increased their levels of physical activity from below the recommended levels had a 20-25% lower risk of death from any cause.

The researchers also found that generally, the associations observed between a high level of physical activity and a lower risk of death were more evident for cardiovascular disease than for cancer. However, the evidence for the associations between physical activity patterns and death from a specific cause remained inconclusive, especially for death from cancer.

Despite these limitations, the study’s findings have important public health implications. The researchers emphasize the importance of sustained physical activity over time and suggest that future interventions may not only target inactive people but also support active people to maintain their activity.

In conclusion, this study highlights the power of movement in adding years to your life. Whether you’re 20 or 60, it’s never too late to start exercising regularly and reap the benefits for your overall health and well-being. So, get moving and make physical activity a priority in your life!

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Animals

The Lemur Secret to Aging without Inflammation: A Breakthrough for Human Health?

What if humans didn’t have to suffer the slow-burning fire of chronic inflammation as we age? A surprising study on two types of lemurs found no evidence of “inflammaging,” a phenomenon long assumed to be universal among primates. These findings suggest that age-related inflammation isn’t inevitable and that environmental factors could play a far bigger role than we thought. By peering into the biology of our primate cousins, researchers are opening up new possibilities for preventing aging-related diseases in humans.

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The study of lemurs has long fascinated scientists, and a recent research breakthrough by biological anthropologist Elaine Guevara is shedding new light on the primate’s remarkable ability to age without inflammation. This phenomenon, known as “inflammaging,” is a widespread issue in humans, leading to health problems such as heart disease, strokes, diabetes, cancer, and osteoarthritis.

Guevara’s research focused on ring-tailed and sifaka lemurs, two species that differ in their life pacing and lifespan. By studying these primates, Guevara aimed to understand why they avoid the inevitability of inflammaging observed in humans. Her findings were surprising: neither species showed age-related changes in markers of oxidative stress or inflammation. In fact, ring-tailed lemurs even exhibited marginal declines in inflammation with age.

This discovery, consistent with recent studies on other non-human primates, suggests that inflamaging is not a universal feature of primates, and perhaps not even a universal feature of humans. Christine Drea, a professor of evolutionary anthropology who worked alongside Guevara, notes that this study points to differences in aging between humans and lemurs.

As we grow older, low-grade chronic inflammation sets in, causing a range of health problems. Understanding why inflamaging increases with age in humans, what causes it, and how it can be prevented is critical information for unlocking ways to help humans live longer and healthier lives. Guevara’s study serves as the first step in unraveling these questions.

The next step for Guevara and her team is to conduct similar research on lemurs in their natural habitat. This will provide valuable insights into how aging can differ between captivity and the wild, and whether inflamaging is intrinsic or environmental.

With a rapidly aging global population, these findings are essential for mitigating disability and improving quality of life in later years. Guevara’s breakthrough study offers new hope that we may be able to learn from lemurs’ remarkable ability to age without inflammation, leading to better health outcomes for humans worldwide.

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Chronic Illness

The Surprising Link Between Hearing Loss, Loneliness, and Lifespan

People who treat hearing loss with hearing aids or cochlear implants regain rich conversations, escape isolation, and may even protect their brains and lifespans—proof that better hearing translates into fuller living.

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A groundbreaking new study has shed light on the surprising link between hearing loss, loneliness, and lifespan. Researchers from the USC Caruso Department of Otolaryngology – Head and Neck Surgery found that adults with hearing loss who used hearing aids or cochlear implants were more socially engaged and felt less isolated compared to those who didn’t use them.

The study, published in JAMA Otolaryngology – Head & Neck Surgery, is the first to link hearing aids and cochlear implants to improved social lives among adults with hearing loss. The researchers conducted a comprehensive review of 65 previously published studies, encompassing over five thousand participants, on how hearing aids and cochlear implants affect three key measures: social quality of life, perceived social handicap, and loneliness.

The findings suggest that hearing devices can help prevent the social disconnection and broader health consequences that can follow untreated hearing loss. When left unaddressed, hearing loss can make communication difficult, leading people to withdraw from conversations and social activities. This can lead to mental stimulation reduction, increased risk of loneliness, anxiety, depression, cognitive decline, and dementia.

The researchers found that adults using hearing devices feel more socially connected and less limited in social situations. They are better able to engage in group conversations and feel more at ease in noisy or challenging listening environments. Participants also reported feeling less socially handicapped by their hearing loss, with fewer barriers and frustrations during interactions and an improved ability to stay engaged without feeling excluded.

Those with cochlear implants reported the most improvement in their social quality of life, likely because cochlear implants offer greater hearing restoration than hearing aids, especially for individuals with more severe hearing loss. As a result, they may experience more noticeable improvements in social engagement once their hearing is restored.

While it was outside the scope of the study to measure how better social lives relate to improved cognitive outcomes, the researchers believe there may be a connection. Previous research has found managing hearing loss may be key to reducing the risk of cognitive decline and dementia. The study’s lead researcher, Janet Choi, MD, MPH, an otolaryngologist with Keck Medicine, believes that by restoring clearer communication, hearing devices may help preserve cognitive health by keeping the brain more actively involved and people more connected.

This research follows a January 2024 study by Choi showing that adults with hearing loss who use hearing aids have an almost 25% lower risk of mortality, suggesting that treating hearing loss can improve lifespan as well as social quality of life. These findings add to a growing body of research showing that hearing health is deeply connected to overall well-being.

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