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Obesity Fuels Fears of Diabetes Rise

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The prevalence of diabetes worldwide will far outstrip even the sharp increase currently projected unless rising trends of obesity are controlled, health experts said on Saturday.

Adult-onset diabetes has been linked to risk factors like aging, an inactive lifestyle, unhealthy diets, smoking, alcohol and obesity.

The silent, chronic disease damages the heart, blood vessels, eyes, kidneys and nerves and was responsible for 3.8 million deaths worldwide in 2007.

Sources: The Times Of India

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Suppliments our body needs

Chromium

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Introduction:
Chromium is a mineral that humans require in trace amounts. It’s found in small quantities in foods such as brewer’s yeast, calf liver, whole grains, processed meats and cheese.
In 1959, chromium was first identified as an element that enables the hormone insulin to function properly.

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Since then, chromium has been studied for diabetes and has become a popular dietary supplement. It is widely available in health food stores, drug stores and online.

Definition :
Chromium, a “transition” metal, is of intermediate atomic weight – that is, it is not considered either a heavy metal or a light metal. It is found primarily in three chemical states depending on its electrical charge. Common forms are chromium-0, which has no charge, chromium+3, which has an ionic charge of plus 3, and chromium+6, which has a charge of plus 6.

Chrome metal (the form chromium-0) is the element that makes steel “stainless.” Chromium in this form is hard, stable, and resistant to chemical changes such as oxidation or rust. Steel alloyed with chromium is harder and less brittle than iron and highly rust-resistant. This form of chromium is also used to coat or “chrome plate” the surface of other metals to produce a hard, shiny, chemically resistant surface.

The primary form of chromium found in the environment is chromium+3, which is also quite stable. This common form of chromium is always found in a complex with other chemical partners such as oxygen or chlorine. In these compounds it is very “inert to substitution”, that is, it is resistant to changing its form or exchanging its chemical partners.

Though small quantities of chromium+6 are found in nature, most of the chromium in this form is man-made. Chromium+6 is easily and rapidly reduced to chromium+3 by many chemicals and conditions, so it is not very stable in the environment. Like chromium+3, chromium+6 is usually found in chemical complexes with other elements, for example bound with several oxygen atoms to form chromate. It is very difficult to oxidize chromium+3 to chromium+6, though it can be done with strong oxidizing agents and very high temperatures. An industrial process called “roasting” is used to oxidize the chromium+3 derived from ores into chromium+6, a form used in a wide variety of commercial products.

Where is chromium found?
Chromium is widely dispersed in the environment. In the Earth’s crust chromium is present at an average of 140 parts per million (ppm), but is not distributed evenly. High concentrations of chromium can be found in certain ores, which are mined commercially.

There are trace amounts of chromium in rocks and soil, in fresh water and ocean water, in the food we eat and drink and in the air we breathe. Levels of chromium in the air are generally higher in urban areas and in places where chromium wastes or “slag” from production facilities were used as landfill.

Chromium wastes have been detected in many landfills and toxic waste sites across the country, usually in combination with other metals and chemicals. In the Aberjona River watershed near Boston Massachusetts, industrial wastes containing chromium contaminated the river and pond sediments. In some areas the sediments contain as much as one to two percent chromium by weight. However, recent studies suggest that people living nearby have received very little exposure to the chromium from these sediments. The principal impact is ecological in areas such as this, where concentrations of several toxic materials collectively threaten aquatic food webs and the wildlife they support.
General Uses of chromium
Chromium is used in paints, dyes, stains, wood preservatives, curing compounds, rust inhibitors and many other products. However, the predominant use of chromium is for production of stainless steel and in chrome plating. A radioactive form of chromium is used in medicine to tag, or label, red blood cells inside the human body. The labeling is permanent for the lifetime of that cell, so it is a useful way to look at long-term patterns of blood cell turnover in the body, to look for evidence of internal bleeding and for similar studies.

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Because of commercial demand, chromium-containing ores have been mined and processed intensively over the past century, and many industries manufacture or use chromium containing compounds.

Chromium for health
Humans need chromium, in the form of chromium+3, for proper health. However, most people get all the daily chromium they need from a normal, well-balanced diet.

Nutritionists have learned over the past century that certain substances, such as vitamins and minerals, are essential to normal functioning and health. These substances are not made in the body, so they must come from foods. (The British Navy discovered this connection in the 1700s, when they observed that sailors on long sea voyages often developed a condition called scurvy. Adding citrus fruits such as limes to the sailors’ diets prevented the condition. This is how English sailors first came to be known as “Limeys.”) Since chromium is present in all foods, and is especially high in certain plants, few people are deficient in dietary chromium.

Chromium act as a nutrient:
The best known nutritional effect of chromium is that it appears to assist insulin in regulating blood sugar (glucose) levels. Insulin is a small protein hormone that is released into the blood when blood glucose levels get too high. Insulin then binds to a receptor on the outside of cells, causing them to absorb more glucose from blood, returning blood glucose levels to normal. If glucose levels fall too low, other signals in the body prompt cells to release glucose to the blood. This “seesaw” glucose regulation is disrupted in people with diabetes, usually due to a lack of insulin production or a failure of cells to properly respond to insulin. Chromium appears to enhance the effects of insulin once insulin binds to its receptor.

Human bodies do not appear to store or absorb chromium+3 very well, taking up only 1 or 2 percent of the total chromium available in the intestines from food. But humans do have a way to take up more chromium when it is needed – the lower the body’s level of chromium, the more efficiently it is taken up from the intestines. Chromium+3 does not easily cross cell membranes, and it appears to interact with cells only when needed, which suggests that it is stored in a form the body can rapidly mobilize, either in blood or nearby where blood can easily draw on it.

The form of chromium associated with enhancing insulin’s effect is a complex of several chromium+3 atoms bound together with amino acids. The response of cells to insulin is much greater in the presence of this LMWCr complex (also called chromodulin). The complex appears to be different from the storage form of chromium in the blood, which is not yet well defined.

Recently, Dartmouth toxicologist Joshua Hamilton and his colleagues discovered that chromium also affects the other side of the “seesaw” that controls blood glucose levels, increasing cell signals that offset the effects of insulin. This appears to be through interaction with another as yet unknown protein receptor on the surface of cells. The mechanism for this effect and the identity of this new receptor are intriguing research questions that remain to be answered. There may also be other uses of chromium by the body that remain to be discovered.

Views on Chromium
Chromium is also believed to help the body process carbohydrates and fats. It is marketed as a weight loss aid for dieters and an ergogenic (muscle-building) aid for bodybuilders and athletes. One form in particular, chromium picolinate, is popular because it is one of the more easily absorbed forms. In 1995, a study headed by Diane Stearns, PhD, at Dartmouth College generated controversy about the safety of chromium picolinate. Click to see:->Chromium for Weight Control
The researchers added high concentrations of chromium picolinate, chromium chloride or chromium nicotinate to hamster cells in culture and found that only chromium picolinate could damage the genetic material of the hamster cells.

Since then, other laboratory studies using cell cultures and animals have suggested chromium picolinate causes oxidative stress and DNA damage.

Critics say that the scientists used unrealistically high doses and that administering chromium to cells in test tubes is not the same as taking chromium supplements orally.

No adverse events have been consistently and frequently reported with short-term chromium use in human studies. For this reason, the Institute of Medicine has not set a recommended upper limit for chromium.

You may click to see :-> Benefits, Deficiency and Food Sources of Chromium

Some Informations on Safety of Chromium
In 2004, the Institute of Medicine reviewed the safety information on chromium for a prototype monograph and concluded that chromium picolinate is safe when used in a way consistent with published clinical data (up to 1.6 milligrams of chromium picolinate per day or 200 micrograms of chromium per day for three to six months).
There is very little information, however, about the safety of long-term use of chromium. There have been rare clinical case reports of adverse side effects after taking chromium picolinate supplements.

For example, a report published in the journal The Annals of Pharmacotherapy described the case of a 33-year-old woman who developed kidney failure, liver damage, and anemia after taking 1,200 to 2,400 micrograms of chromium picolinate (approximately six to 12 times the recommended daily allowance) for five months for weight loss.

The woman was being actively treated with antipsychotic medication, so it’s difficult to say whether it was the chromium, the combination of chromium with the medication, or another medical problem that predisposed her to such a reaction.

In a separate case report, a 24-year-old man who had been taking a supplement containing chromium picolinate for two weeks during his workout sessions developed acute kidney failure. Although chromium picolinate was the suspected cause, it’s important to note that there were other ingredients in the supplement which may have been responsible.

There are some concerns that chromium picolinate may affect levels of neurotransmitters (substances in the body that transmit nerve impulses). This may potentially be a concern for people with conditions such as depression, bipolar disorder, and schizophrenia.

Chromium picolinate may have an additive effect if combined with diabetes medication and cause blood glucose levels to dip too low. That’s why it’s important to talk your doctor before taking any form of chromium if you are also taking diabetes medication.

Chromium supplements taken with medications that block the formation of prostaglandins (hormone-like substances), such as ibuprofen, indomethacin, naproxen, and aspirin, may increase the absorption of chromium in the body.

The safety of chromium picolinate in pregnant or nursing women has not been established. Although there is no human data, chromium picolinate administered to pregnant mice was found to cause skeletal birth defects in the developing fetus.

Bottom Line
Given that chromium picolinate supplements in high doses appear to provide very little if any health benefit while possibly carrying some risk, it is my opinion that high doses of chromium picolinate should be avoided, at least until there is more compelling evidence of benefit, or more evidence about side effects.
If you are currently taking chromium picolinate supplements and are experiencing any new symptoms, including the following, call your doctor:

*Unexplained bruising
*Nosebleed
*Skin rash or blisters
*Urinate less than normal
*Feel very tired
*Loss of appetite
*Nausea or vomiting
*Sleep disturbances
*Headache
*Dizziness

Disclaimer:The information presented herein is intended for educational purposes only. Individual results may vary, and before using any supplements, it is always advisable to consult with your own health care provider.

Resources:
http://altmedicine.about.com/od/herbsupplementguide/a/chromiumsideeff.htm
http://altmedicine.about.com/od/dietpillssupplements/a/dietpills.htm
http://www.dartmouth.edu/~toxmetal/TXQAcr.shtml

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Friendly Bacteria Protect Against Type 1 Diabetes

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In a dramatic illustration of the potential for microbes to prevent disease, researchers have shown that mice exposed to common stomach bacteria are protected against the development of type 1 diabetes.

The findings support the “hygiene hypothesis” — the theory that a lack of exposure to parasites, bacteria and viruses in the developed world may lead to increased risk of diseases like allergies, asthma, and other disorders of the immune system.

The results also suggest that exposure to some forms of bacteria might actually help prevent onset of type 1 diabetes, which is an autoimmune disease. In Type I diabetes, the patient’s immune system launches an attack on cells in the pancreas that produce insulin.

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New Guidelines for Healthy Living

 

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Moderate exercise adds up for sluggish adults. Take a quick walk around the block or suit up for the neighborhood softball game. More fit adults could pack in their week’s requirement in 75 minutes with vigorous exercise, such as jogging, hiking uphill, a bike race or speedy laps in the pool.

Children and teens need more – brisk activities for at least an hour a day, the guidelines conclude.

Consider it the exercise version of the food pyramid. The guidelines, from the Health and Human Services Department, aim to end years of confusion about how much physical activity is enough, while making clear that there are lots of ways to achieve it.

“The easy message is get active, whatever your way is. Get active your way,” HHS Secretary Michael Leavitt said. It’s OK to start slowly.

“For a total couch potato who does zero, zip, nada, getting up and walking 10 minutes a day is a great start,” said Rear Adm. Penelope Royall, deputy assistant secretary for disease prevention.

But people need to work toward eventually hitting that weekly minimum, she added. “Some is better than nothing, and more is better.”

The guidelines come as scientists are trying to spread the word to a nation of couch potatoes that how active you are may be the most important indicator of good health. Yet a quarter of U.S. adults aren’t active at all in their leisure time, government research concludes. More than half don’t get enough of the kind of physical activity that actually helps health – walking fast enough to raise your heart rate, not just meandering, for instance. More than 60 million adults are obese.

Worse, the nation is raising a generation of children who may be less healthy than their parents. About a third are overweight and 16 percent are obese. And while young children are naturally active given the chance, schools are decreasing the amount of recess and gym time. By high school, a recent study found, fewer than a third of teens are getting an hour of activity a day.

To put science behind the how-much-is-enough debate, HHS gathered an expert panel to review all the data. The panel found that regular physical activity can cut the risk of heart attacks and stroke by at least 20 percent, reduce chances of early death, and help people avoid high blood pressure, type 2 diabetes, colon and breast cancer, fractures from age-weakening bones and depression.

The government used that scientific report to set the minimum activity levels.

“The evidence is clear,” Leavitt said on Tuesday in announcing the guidelines. “The more physically active you are, the more health benefits you gain.”

The kind of exercise matters a lot, said Dr. William Kraus, a Duke University cardiologist who co-authored the scientific report. Runners like Kraus can achieve the same health benefit in a fraction of the time of a walker.

“If you do it more intense, you can do less time,” explained Kraus, who praised the guidelines for offering that flexibility. “This brings it back down to earth for a lot of people.”

What’s the right kind of exercise? The guidelines advise:

* You don’t have get all the activity at once. A walk for an hour three days a week works as well as, say, a 30-minute exercise class on weekdays or saving most of the activity for a two-hour Saturday bike ride.

* For aerobic activities, go at least 10 minutes at a time to build heart rate enough to count.

* You should be able to talk while doing moderate activities but not catch enough breath to sing. With vigorous activities, you can say only a few words without stopping to catch a breath.

* Children’s daily hour should consist of mostly moderate or vigorous aerobic activity, such as skateboarding, bike riding, soccer, simple running.

* Three times a week, children and teens must include muscle-strengthening activities – sit-ups, tug-of-war – and bone-strengthening activities such as jumping rope or skipping.

* Adults should do muscle-strengthening activities – push-ups, weight training, carrying heavy loads or heavy gardening – at least two days a week.

* Older adults who are still physically able to follow the guidelines should do so, with an emphasis on activities that maintain or improve balance.

These are minimum goals, the guidelines note. People who do more will see greater benefits.

Sources: THe Times Of India

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A Pill a Day will Keep Sugar Away

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With human trials proving promising, an Indian company is close to developing a shot-free insulin for diabetics.

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For Abhinav Gupta, a 41-year-old middle-level executive at a private company in Delhi, each meal is an ordeal. Whether he is travelling or at home, everyday, before lunch and dinner, he has to inject a shot of insulin into a small fold of his skin on the abdomen in order to take care of the overload of glucose that reaches the bloodstream after every meal.

Gupta, like nearly 50 million Indians, suffers from type 2 diabetes, a lifestyle disease that is haunting both urban and rural India alike. In fact, his is an advanced case of diabetes and he suffers from an impaired pancreas, resulting in limited production of insulin, a hormone that helps stabilise the glucose level in the blood. As a result, he has to take insulin injections before every meal. Nearly 20 to 25 per cent of diabetics in India need insulin therapy, currently administered through either injections or an insulin pump that releases insulin regularly.

Those who suffer from Type 1 diabetes — or juvenile diabetes — too depend on periodic insulin infusion.

But for Gupta and millions of others who have to prick themselves for their daily dose of insulin, help may be soon on hand, with leading Indian biotech firm Biocon successfully completing phase-II trails of an insulin tablet. “We are pretty happy with the results and plan to begin phase-III clinical trials by early 2009,” says Harish Iyer, general manager for research and development at Biocon.

Biocon released the results of the trials at the recent European Association for the Study of Diabetes meeting in Rome. The primary target of the study was to establish the dosage of the drug, which the firm has codenamed IN-105. The study found that when 30 milligram of IN-105 was given to a diabetic patient, the blood glucose levels were nearly 50 milligram/decilitre lower than those who were given a placebo (a dummy pill without any active therapeutic ingredients).

“If everything goes well with the next round of clinical trials, we hope to introduce the oral insulin tablet sometime in 2010,” Iyer told KnowHow.

Biocon, which has been producing several medicines for diabetes, took up the project following its acquisition of the US firm Nobex Corporation, which made substantial progress in oral insulin in 2006.

Though attempted earlier, oral insulin delivery was found to be difficult because the hormone is easily digested by enzymes in the gut. As a result, very little insulin actually reaches the bloodstream.

If oral insulin is effective and devoid of any side effects, it would be a great thing, says Anoop Misra, director and head of the department of diabetes and metabolism, Fortis group of hospitals, New Delhi. “Insulin is actually a growth-promoting hormone and a sudden infusion anywhere else other than blood may trigger a cancerous condition,” he said. “But if it works, it may make a hell of a lot difference to those who currently depend on insulin injections.”

Biocon, with its work at a very advanced stage, is not the only one that is trying to develop an alternative, pain-free route for insulin delivery. Recently, a team of researchers at Syracuse University in New York found that when insulin is attached to a vitamin B-12 molecule, which acts as a carrier, it can be safely transported through the gastrointestinal tract (GIT). This Trojan Horse strategy, in which vitamin B-12 hides the insulin and carries it across the GIT “walls”, also ensures a low and continuous release of insulin.

“Our’s is still in pre-clinical stages whereas Biocon has progressed well into clinical trials,” Syracuse University Assistant Professor Robert Doyle, who led the research, told KnowHow. Interestingly, Doyle has already struck a deal with the Serum Institute of India, Pune, for using this Trojan Horse strategy for developing effective oral vaccines against tetanus and rotavirus infections.

An Indian researcher at the University of Toronto in Canada too is spearheading similar work on oral administration of insulin. Lakshmi Prem Kotra, who has a basic engineering degree from the Birla Institute of Technology and Science in Pilani, told KnowHow that his team is taking a different approach.

The work, which recently appeared in Bioorganic & Medicinal Chemistry Letters, focuses on designing “drug-like” molecules that mimic the effects of insulin on the human body. Towards this, they have developed a very high-resolution atomic model of how the insulin binds to its receptors (areas on the outer part of a cell that allow insulin in the blood to join or bind with the cell). The next step, according to Kotra, is to create molecules that not only bind to the receptor but also activate in a fashion similar to the insulin at this receptor.

“If one is successful in coming up with such molecules, one will not need insulin any more! One can imagine a scenario where a pill taken once a day or once a week is doing the same job as insulin,” Kotra told KnowHow.

Apart from oral means, pharmaceutical companies, are already exploring the inhalation route to deliver insulin in the blood. For instance, Generex Biotechnology, the Toronto-based Canadian firm, has already received approval for Oral-lyn, which is absorbed in the bloodstream through buccal mucosa — the soft tissues lining the inside of the mouth. Oral-lyn is already available in the Indian market.

So diabetics who suffer from an acute form of the disease can soon hope to stay away from needles. As one researcher puts it: oral insulin will certainly be a reality, the question, however, is just when.

Sources: The Telegraph (Kolkata, India)

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