Diabetes Archive

Living with the pain and fatigue of fibromyalgia is a challenge faced by millions of people. Finding a doctor who understands the condition and how to treat it can be hard, but knowing the facts about your condition and what questions to ask can help you find the right doctor.

News briefs

First it was certain blood pressure and heartburn drugs; now some medications used to treat type 2 diabetes are being recalled because of cancer concerns. The FDA warned in late May and early June 2020 that some lots of extended-release metformin may contain unacceptable levels of N-nitrosodimethylamine (NDMA), a possible cancer-causing chemical. At least five manufacturers are now issuing voluntary recalls of the medications. But if you take extended-release metformin, don't just stop on your own. Not all extended-release metformin products are affected by the voluntary recalls, and stopping any medication that controls blood sugar can be very dangerous. The FDA advises that you check in with your doctor or pharmacist. Ask if your medication is affected by the recall; if so, ask if you should switch to another version of the drug.

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Ask the doctor

Q. COVID-19 is an unprecedented public health emergency. Why can't we go faster in developing drugs for it that are effective and safe?

A. That's what we all want: fast, effective, safe. But we can't usually have all three, so we settle for effective and safe.

News briefs

Eating a diet high in foods tied to inflammation — such as processed meat, sweets, and refined grains — is associated with many health problems, including an increased risk for colon cancer, heart disease, stroke, or diabetes. A Harvard study published online May 7, 2020, by Gastroenterology found another potential risk: Crohn's disease, a condition characterized by areas of inflammation throughout the large and small intestines. Researchers evaluated 30 years' worth of self-reported diet information from more than 208,000 men and women. Diets were scored based on foods that promote inflammation. Compared with people who had the lowest inflammatory diet scores, people with the highest scores had a 51% higher risk for developing Crohn's disease. The risk for Crohn's doubled among people who went from a low- to a high-inflammatory diet during the study. The study is observational and doesn't prove that an inflammatory diet causes Crohn's disease. But with so many other risks associated with foods that promote inflammation, it's important to eat as many foods that fight inflammation as possible. In other words, focus on whole, unprocessed foods with no added sugar — such as vegetables, fruits, whole grains, legumes (beans, lentils), fish, poultry, nuts, seeds, a little bit of low-fat dairy, and olive oil.

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Diverticular disease develops due to a lack of dietary fiber, and is most common in the elderly, but many people never realize they have it because there are few symptoms.

Are artificial sweeteners benign or a threat to your long-term health? A recent study adds a new element to the debate.

Artificial sweeteners seem to offer a tantalizing free pass to dessert. These low- or no-calorie additives taste like sugar, but your body can't absorb them the same way it does natural sugars. You get the taste without the calories, which should mean that you can eat them guilt-free. Right?

Over the years, experts have increasingly questioned whether artificial sweeteners are too good to be true. Are they really your ticket to a ­low-calorie treat — or will you wind up getting your just desserts for trying to outsmart Mother Nature?

Ask the doctor

Q. Will we have a vaccine to prevent COVID-19 and, if so, when?

A. I'm optimistic because never in human history has so much scientific time and effort been spent trying to make a vaccine. But it won't it be easy. As fast as possible, the vaccine scientists need to prove, first, that a vaccine is safe (minimal side effects) and, second, that it works to reduce a person's risk of getting the disease. Then they need to produce enough of it to immunize most of the 7.6 billion people on earth. Doing all of this within two to three years of a new virus being discovered would be an unprecedented achievement.