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Diseases » Diabetes » Research
 

Cure Research for Diabetes

Cure Research list for Diabetes:

The list of research areas and treatments under analysis mentioned in various sources for Diabetes includes:

Curable Types of Diabetes

Possibly curable or rare types of Diabetes include:

Rare Types of Diabetes:

Some rare types of Diabetes include:

Latest Treatments for Diabetes

Some of the more recent treatments for Diabetes include:

Treatments for Diabetes

Treatments to consider for Diabetes may include:

Medical Research Breakthroughs and Diabetes

Gene linked to Diabetes and Kidney Disease identified: Researchers at the John A. Moran Eye Center at the University of Utah and collaborative institutions have identified a gene called erythropoietin (EPO) that contributes to increased risk of severe diabetic eye and kidney diseases, called retinopathy and nephropathy. The sight-threatening form of diabetic retinopathy, termed proliferative diabetic retinopathy (PDR), is the most common cause of legal blindness in working-aged adults in the United States, accounting for 10% of new onset blindness overall. Diabetes is also the leading cause of kidney disease, called end-stage renal disease (ESRD), in the U.S. and the Western world. The development of PDR and ESRD in diabetic patients is known to be inherited. Although genetic factors are known to be important in the susceptibility (or resistance) to these complications, until now the genes involved have been mostly unknown. In this study the researchers compared 1,618 people with PDR and ESDR, and 954 diabetes patients without any eye or kidney disease in three separate populations. Their studies demonstrate that if a person has a copy of mutant EPO gene, they have an increased risk of developing PDR and ESRD during their lifetime. EPO is used extensively to help in the production of red blood cells when treating patients with anaemia resulting from renal failure or chemotherapy. In the United States, erythropoietin represents one of the largest single drug expenses for the Center for Medicare & Medicaid Services. Patients with anemia due to chronic renal disease (many of whom have diabetes) who receive frequent dosing of EPO to maintain higher hemoglobin levels have a higher rate of cardiovascular complications than patients who maintain a lower hemoglobin level. A similar effect of EPO on accelerating the decline of kidney function had been suggested by earlier studies. The New study suggests that caution may be warranted when maintaining higher hemoglobin concentration using exogenous EPO treatment in diabetic patients, as it might accelerate progression to PDR and ESRD. Though there is no proven pharmacologic treatment for diabetic vascular eye diseases, inhibiting the growth of unwanted blood vessel growth using antibodies directed against vascular endothelial growth factor (anti-VEGF therapy) has been advocated, says the author. This genetic study suggests that future therapeutic strategies need to consider blunting the effects of erythropoietin in addition or as an alternative to an anti-VEGF strategy.

Cure Research discussion for Diabetes:

Diabetes Overview: NIDDK (Excerpt)

In recent years, advances in diabetes research have led to better ways to manage diabetes and treat its complications. Major advances include

  • The development of a quick-acting insulin analog.

  • Better ways to monitor blood glucose and for people with diabetes to check their own blood glucose levels.

  • Development of external insulin pumps that deliver insulin, replacing daily injections.

  • Laser treatment for diabetic eye disease, reducing the risk of blindness.

  • Successful transplantation of kidneys and pancreas in people whose own kidneys fail because of diabetes.

  • Better ways of managing diabetes in pregnant women, improving chances of successful outcomes.

  • New drugs to treat type 2 diabetes and better ways to manage this form of diabetes through weight control.

  • Evidence that intensive management of blood glucose reduces and may prevent development of diabetes complications.

  • Demonstration that antihypertensive drugs called ACE (angiotensin-converting enzyme) inhibitors prevent or delay kidney failure in people with diabetes.

  • Promising results with islet transplantation for type 1 diabetes reported by the University of Alberta in Canada. A nationwide clinical trial funded by the NIH and the Juvenile Diabetes Foundation is currently trying to replicate the Canadian advance.


What Will the Future Bring?

In the future, it may be possible to administer insulin through inhalers, a pill, or a patch. Devices are also being developed that can monitor blood glucose levels without having to prick a finger to get a blood sample.

Researchers continue to search for the cause or causes of diabetes and ways to prevent and cure the disorder. Scientists are looking for genes that may be involved in type 1 or type 2 diabetes. Some genetic markers for type 1 diabetes have been identified, and it is now possible to screen relatives of people with type 1 diabetes to see if they are at risk.

The Diabetes Prevention Trial--Type 1, sponsored by NIDDK, identifies relatives at risk for developing type 1 diabetes and treats them with low doses of insulin or with oral insulin-like agents in the hope of preventing type 1 diabetes. Similar research is under way at other medical centers throughout the world. For more information about this trial, call 1-800-HALT-DM1 (1-800-425-8361).

Transplantation of the pancreas or insulin-producing beta cells offers the best hope of cure for people with type 1 diabetes. Some pancreas transplants have been successful. However, people who have transplants must take powerful drugs to prevent rejection of the transplanted organ. These drugs are costly and may eventually cause other health problems.

Scientists are working to develop less harmful drugs and better methods of transplanting beta cells to prevent rejection by the body. Using techniques of bioengineering, researchers are also trying to create artificial beta cells that secrete insulin in response to increased glucose levels in the blood.

Recently, researchers at the University of Alberta in Edmonton, Canada, announced promising results with islet transplantation in seven patients with type 1 diabetes. At the time of the report in the New England Journal of Medicine, all seven patients who had received the transplant remained free of insulin injections up to 14 months after the procedure.

A clinical trial funded by the NIH and the Juvenile Diabetes Foundation will try to replicate the Edmonton advance. With the insights gained from this trial and other studies, scientists hope to further refine methods of islet harvesting and transplantation and learn more about the immune processes that affect rejection and acceptance of transplanted islets.

For type 2 diabetes, the focus is on ways to prevent diabetes. Preventive approaches include identifying people at high risk for the disorder and encouraging them to lose weight, be more physically active, and follow a healthy eating plan. The Diabetes Prevention Program, another NIDDK project, focuses on preventing the disorder in high-risk populations, such as people with impaired fasting glucose, African Americans, Alaska Natives, American Indians, Asian and Pacific Islander Americans, Hispanic Americans, or women who have had gestational diabetes.

Several new drugs were recently developed to treat type 2 diabetes. By using the oral diabetes medications now available, many people can control blood glucose levels without insulin injections. Studies are under way to determine how best to use these drugs to manage type 2 diabetes. Scientists also are investigating strategies for weight loss in people with type 2 diabetes. (Source: excerpt from Diabetes Overview: NIDDK)

Diabetes Control and Complications Trial (DCCT): NIDDK (Excerpt)

The DCCT is a clinical study conducted from 1983 to 1993 by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The study showed that keeping blood glucose levels as close to normal as possible slows the onset and progression of eye, kidney, and nerve diseases caused by diabetes. In fact, it demonstrated that any sustained lowering of blood glucose helps, even if the person has a history of poor control.

The largest, most comprehensive diabetes study ever conducted, the DCCT involved 1,441 volunteers with type 1 diabetes and 29 medical centers in the United States and Canada. Volunteers had diabetes for at least 1 year but no longer than 15 years. They also were required to have no, or only early signs of, diabetic eye disease.

The study compared the effects of two treatment regimens--standard therapy and intensive control--on the complications of diabetes. Volunteers were randomly assigned to each treatment group. (Source: excerpt from Diabetes Control and Complications Trial (DCCT): NIDDK)

Noninvasive Blood Glucose Monitors: NIDDK (Excerpt)

Over the years, scientists have been trying to find noninvasive ways for people with diabetes to measure their blood glucose. Most methods of monitoring blood glucose require a blood sample, usually obtained by using an automatic lancing device on a finger. Some meters use a blood sample from a less sensitive area, such as the upper arm, forearm, or thigh. Some devices use a beam of light instead of a lancet to pierce the skin. (Source: excerpt from Noninvasive Blood Glucose Monitors: NIDDK)

Pancreatic Islet Transplantation: NIDDK (Excerpt)

In pancreatic islet transplantation, cells are taken from a donor pancreas and transferred into another person. Once implanted, the new islets begin to make and release insulin. Researchers hope that islet transplantation will help people with type 1 diabetes live without daily injections of insulin. (Source: excerpt from Pancreatic Islet Transplantation: NIDDK)

Diabetes: NWHIC (Excerpt)

In recent years, advances in diabetes research have led to better ways to manage diabetes and treat its complications. For example, the insulin pump, new oral medications, and better ways of monitoring blood glucose have become available. In the future, it may be possible to administer insulin through inhalers, a pill, or a patch. Devices are also being developed that can monitor blood glucose levels without having to prick a finger to get a blood sample. Researchers continue to search for the cause or causes of diabetes and ways to prevent and cure the disorder. (Source: excerpt from Diabetes: NWHIC)

Medical research for Diabetes: medical news summaries:

The following medical news items are relevant to medical research for Diabetes:

Diabetes Treatment: Book Excerpts

Clinical Trials for Diabetes

Some of the clinical trials for Diabetes include:


 » Next page: Deaths from Diabetes

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