Plus: exercise capacity and lifespan; SGLT-2 vs GLP-1; more
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Saturday, Oct. 3, 2020 : Issue #1068

TOP STORIES - Diabetes News & Research

Pumping Up with Protein: Does This Work for Exercise and Health?

SGLT-2 vs. GLP-1: Cardiovascular Outcomes in Adults with Type 2 Diabetes

Using a Quality Initiative to Improve Population HbA1c Testing
Letter from the Editor

A lot of people have stayed away from gyms over the past 6 months, and many have had to adapt their exercise regimens. Some of our patients are now returning to the gym and are wanting to build back the muscle they have lost. Too many times, patients will think that they need extra protein and overdo it.

This week, Dr. Sheri Colberg has a feature on how your patients can determine the right protein choices and amounts to maximize muscle growth, and why protein timing can actually be very beneficial for glucose control.

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We can make a difference!

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Dave Joffe

Editor-in-chief
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TOP STORIES - Diabetes News and Research

By Sheri Colberg, PhD
Protein is never a key exercise fuel, but it’s critical for other reasons. During most exercise, protein contributes less than 5 percent of the total energy, although it may rise to 10 to 15 percent during a prolonged event like a marathon or Ironman triathlon. Taking in enough dietary protein is important because dietary protein allows your muscles to be repaired after exercise and promotes the synthesis of hormones, enzymes, and other body tissues formed from amino acids, the building blocks of protein.
READ MORE
SGLT-2 vs. GLP-1: Cardiovascular Outcomes in Adults with Type 2 Diabetes
Cardiovascular events decline for patients using which antidiabetic medication?
READ MORE
Using a Quality Initiative to Improve Population HbA1c Testing
Can improving diabetes care be as simple as ensuring patients receive regular testing?
READ MORE

Did You Know? Greater exercise capacity could mean longer life for adults with type 2 diabetes:


Among people with type 2 diabetes, those with increased exercise capacity had a significantly decreased risk for all-cause mortality, according to data presented at the virtual EASD annual meeting. Previous studies had demonstrated that exercise could improve insulin sensitivity and inhibit inflammatory cytokines, thereby reversing the pathogenesis of type 2 diabetes. Epidemiologic studies had also shown that exercise reduced risk for cardiovascular events and mortality risks. However, the dose of exercise capacity for reducing mortality risk in people with type 2 diabetes was not yet well investigated. Data was analyzed from 4859 adults with type 2 diabetes (49% men; mean age, 60 years), using data from the National Health Interview Survey. Researchers used Kaplan-Meier curves and Cox proportional hazard analyses to evaluate the relationship between exercise capacity and all-cause mortality.

Compared with those with no exercise habits, individuals with a moderate exercise level, defined as 0 kcal to 800 kcal per week, had a 25% lower all-cause mortality risk (HR = 0.75; 95% CI, 0.62-0.91), whereas those with a high exercise level, defined as more than 800 kcal per week, had a 32% lower all-cause mortality risk (HR = 0.68; 95% CI, 0.57-0.81). Whether you can reduce mortality by 25% with moderate exercise or by 32% with a higher exercise level, exercise is critical for those with type 2 diabetes.

Lai Y-J et al. Abstract #267. Presented at: EASD Annual Meeting; Sept. 21-25, 2020 (virtual meeting)

Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletters:

Tarshay Boyd, PharmD. Candidate, LECOM School of Pharmacy 

David Clarke, PharmD Candidate, University of Colorado, Skaggs School of Pharmacy and Pharmaceutical Sciences

George McConnell, PharmD. Candidate, LECOM School of Pharmacy

Shadrielle Robbins, PharmD Candidate, South College School of Pharmacy

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Steve and Dave
Diabetes In Control
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USA
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