Showing posts with label diabetes. Show all posts
Showing posts with label diabetes. Show all posts

Thursday, December 7, 2017

Common male medical condition linked to vascular disease

varicoceles and vascular diseases,diabetes in men
via canadianinsulin.com
"Men who suffer symptoms from varicoceles, enlarged veins in the scrotum, are more likely to develop vascular disease and metabolic disease, such as diabetes, according to a study by Stanford University School of Medicine researchers.

Michael Eisenberg, MD, assistant professor of urology, and his team mined data from thousands of medical insurance records to see whether the condition, previously linked to infertility, also puts men at higher risk for other health problems.

Their findings will be published online Dec. 1 in Andrology. Eisenberg is the senior author. Urology resident Nancy Wang, MD, is the lead author.

About 15 percent of American men are estimated to have varicoceles, dilated veins in the scrotum. The enlarged veins are thought to allow more blood to flow through the scrotum and raise its temperature above normal levels. The heat can impair testicular function leading to lower sperm and testosterone production. The condition also can cause pain or shrinkage of the testicles, but often results in none of these symptoms and is left untreated.

"To millions of men that are diagnosed with this, a lot of them are told, 'Don't worry about it,'" Eisenberg said.

Varicoceles are treated for infertility and pain, but other risks may be going unchecked. "Varicoceles are associated with low testosterone, and low testosterone in turn is associated with metabolic risks and heart disease," Wang said. No one has connected the dots between varicoceles, testosterone and these conditions before now, she said.

A strong correlation

For the study, Eisenberg's lab dug through a wealth of data housed in the Truven Health Marketscan Commercial Claims and Encounters database, which contains insurance claims filed by 77 million individuals since 1996. Between 2001 and 2009, the researchers identified more than 4,400 reproductive-age men with diagnosed varicoceles. For comparison, the team also looked at men without varicoceles -- a group that included both infertile and fertile men, differentiated based on whether they had received infertility screening or a vasectomy..."

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Wednesday, December 21, 2016

Hormonal contraception is safer than expected for women with diabetes

hormonal contraception,hormonal contraception and diabetes
image source
"Strokes and heart attacks are rare for women with diabetes who use hormonal contraception, with the safest options being intrauterine devices (IUDs) and under-the-skin implants, new research published in Diabetes Care shows.

The study, one of the first to evaluate hormonal contraception and health outcomes in women with a chronic condition, should encourage physicians to include implants and IUDs in birth control discussions with diabetic patients.

"Clinicians need to get beyond the idea that birth control just means 'the pill,'" said study senior author Eleanor Bimla Schwarz, professor of internal medicine at UC Davis Health System. "There are options that are safe and effective for all women, including those with diabetes."

Estrogen-containing birth control -- including oral contraceptives, transdermal patches and vaginal rings -- prevent pregnancy by suppressing ovulation. While effective contraceptives, these methods increase women's risks for heart attacks, strokes and blood clots. Physicians have been especially reluctant to prescribe hormonal birth control to women with diabetes, as adults with diabetes are two to four times more likely to die from heart disease than adults who do not have diabetes..."


Thursday, June 16, 2016

Nature and nurture work in unexpected ways to determine obesity and diabetes risk even before birth

nature and obesity before birth,diabetes before birth
via americanpregnancy.com
"Few too many sugary treats during pregnancy put children at higher risk of becoming overweight, A*STAR research shows, but only if their mothers are not already obese. "It is interesting to see how nature and nurture interact to affect a child's outcomes," says principal investigator Yung Seng Lee, from the A*STAR Singapore Institute for Clinical Sciences (SICS).

"Excessive and rapid growth during infancy is a risk factor for obesity, and could lead to comorbidities such as diabetes and cardiovascular disease," adds SICS research fellow Izzuddin Aris.

One of the first studies to look at the role of maternal nutrition in child development was the Dutch famine study. In 1944–1945, Germany's occupation of the Netherlands resulted in food shortages and rationing to less than a quarter of the recommended daily caloric intake for an adult. Babies born during this period had higher rates of diabetes, cardiovascular disease and obesity later in life.

Izzuddin and Lee wanted to investigate this mother–child relationship in an Asian population. "Asians are at higher risk of diabetes at a lower body mass index compared to Caucasians," says Lee. "We have to conduct our own studies to look at the determinants and risk factors, which might be different—we can't take data from the West wholesale for our public health decisions."

The source of their analysis came from GUSTO (Growing Up in Singapore Towards healthy Outcomes); a SICS-led long-term study of pregnant mothers and their babies visiting KK Women's and Children's Hospital and the National University Hospital in Singapore.

The researchers analyzed the body fat and blood sugar levels of more than 900 mothers during their pregnancies and the size and weight of their children (from newborns up to three year olds). Obese mothers were found to have heavier children compared to non obese mothers, but the two groups' sugar levels showed a different story..."

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Friday, November 20, 2015

Why Insuline Resistance and Diabetes Raises Risk for Infertility

insuline resistance and infertility,diabetes and infertility,infertility
"...Diabetes affects the body’s overall function and health, including female and male fertility and the chances of a successful, healthy pregnancy. 
Many, many years before diabetes is diagnosed, this far-reaching disease is impacting the health of people nationwide as diabetes’ precursor: insulin resistance. Both insulin resistance and diabetes lead to fertility challenges.
Insulin is a hormone and is responsible for getting glucose energy into every cell in the body. When the body becomes resistant to insulin, the beta cells of the pancreas pump more and more insulin to maintain glucose control. 
This overproduction of insulin can be present for years without raising glucose, but may be contributing to weight gain, heart and liver disease, hormonal imbalance, PCOS, ovarian dysfunction in women and reduced sperm quality in men. Without treatment, the resistance of the cells will increase over time, the pancreas will no longer produce enough insulin, and diabetes will develop..."

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Thursday, October 29, 2015

Infertility and Pre-Diabetes - What's the relationship?

infertility and nutrition,pre-diabetes,diabetes and infertility,causes of infertility
"...November is Diabetes Awareness Month.As I think about this, I recall many patients who I have counseled through our Nutrition Program for pre-diabetic and diabetic conditions. I remember their disappointment as we discussed that their fertility “treatment” would be at a short-term pause until their blood sugar numbers lowered to safer levels. As a Nutritionist providing direct care to fertility patients, I do know how difficult it is for a patient and her partner to take extra time to optimize their health. I also know that diabetes risk can be lowered with simple lifestyle changes. I have seen couples improve their health, lower glucose levels within 2-3 months and move forward to become pregnant. Disappointment turned to hope. 
Myth: Diabetes is not that serious of a disease.
Diabetes is occurring in the U.S. in epidemic proportions and is a real health threat. Data from the 2011 National Diabetes Fact Sheet estimate 26 million U.S. children and adults have diabetes. What I find even more alarming—7 million American have no idea they have diabetes and 79 million have pre-diabetes. Diabetes is increasingly diagnosed in women and men in their childbearing years. In the 20 yrs and older age group, a total of 1.9 million new cases of diabetes were diagnosed in 2010. Of this 1.9 million, 465,000 individuals aged 20-45yrs old were newly diagnosed..."