Issue 13, Nov 2009
Dear Friends,

     November 14th is celebrated as World Diabetes Day being the birthday of Dr. Frederick Banting who along with others discovered insulin. Over the years those working with diabetes treatment and prevention have discovered a truth. Whatever said and done, diabetes education given periodically and continuously is the only means of ensuring success in diabetes treatment and prevention. From this year onwards for the next 5 years the World Diabetes Day theme will be ‘ Diabetes Education and Prevention’

     We are extremely glad to present the anniversary issue of GEMS, which incidentally coincides with World Diabetes Day. We have been receiving tremendously encouraging responses from our valued readers from the first issue onwards. We are very grateful for the immense responses, and based on the feedback, from this issue onwards we are starting a brief video presentation on diabetes education as “anniversary special “.

     The encouraging result from the diabetes prevention program is that prevention of diabetes is not a dream but a reality, which sustained over a decade with the practice of intensive life style modification.

     We have also included an article on the importance of starting insulin right at the onset of diabetes itself and the dismal fact that for extremely obese people, bariatric surgery may actually increase the risk of fatality. There are two articles on weight loss- one describing how victoza scores high compared to exenatide and the second one showing actual research numbers confirming the reduction in sleep apnea with weight loss, though this has been suggested for a long time.

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JDC Diabetes Gems Team
Jothydev's Diabetes and Research Centre, Trivandrum, Kerala, INDIA
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Jothydev's goes Blue: Blue lighting on the evening of
Nov 14

1. Can Diabetes be prevented?
A 10-year follow-up study showed that incidence of diabetes in high-risk adults could be reduced by life style interventions.........
Start Insulin First to Treat Type 2 Diabetes : New research
It was observed from a new study that introducing insulin at the onset of diabetes treatment itself gives high treatment satisfaction. Currently most of the doctors prefer exercise and weight loss ........
Bariatric Surgery intensifies Death Risk for the extremely obese Ages
It is generally thought that the mortality risk in bariatric surgery is low (surgery for weight lose). But this may not be true in extremely obese individuals-says a new study........
Weight losing injections- Byetta "down" and Victoza "up"
Liraglutide the GLP-1 analogue, brand name Victoza appears to be safer not only in terms of negligent incidence of pancreatitis compared to byetta........
5. Weight loss improves sleep apnea
Weight loss improves sleep apnea, but the empirical support was very less. A largest randomized study (Sleep AHEAD) on the effects of weight loss on sleep apnea in patients with type 2 diabetes..........
6 Study Finds How Substance in Grapes Can Improve Glucose Control
Resveratrol a molecule found in the skin of red grapes, may offer some protection against diabetes.........
7 JDC Updates
Low compliance to statins in Kerala rural population a study presented at IDF (International Diabetes Federation ) Montreal , Canada from Jothydev’s Diabetes and Research Centre .........

The Newsletter team:
 Chief Editor
Dr. Jothydev Kesavadev
 Managing editor Sunitha Jothydev
 Sub Editor Dr. Arun Shankar
 Editor Neethu Annie Simon
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