

Researchers May Have Found Cause of Type 2 Diabetes 181
ozmanjusri writes "Scientists at Sydney's Garvan Institute have identified an enzyme called PKCepsilon as the active agent that blocks the production of insulin in diabetics. Insulin injections and implants try to control levels but do not address the reasons why insulin production is failing. This discovery may allow pharmaceutical companies to develop a drug to block the enzyme, allowing cells in the pancreas to function normally, though the team's leader, Trevor Biden, says 'What we've identified is a target that we can now latch onto to get therapy, but the journey from target to tablet of course is a long one ... It's probably going to take another 10 years at least to get something that's effective in humans.'"
Nice (Score:5, Insightful)
Yes, but would they actually do that? There's a hell of a lot more money to be made by treating the symptoms, rather than curing the disease.
Re:Nice (Score:5, Insightful)
Also, it would be a new drug that could be patented, as opposed to insulin, which is no longer patented (if it ever was).
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What about the enzyme mentioned in this article?
Quoting:
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as opposed to insulin, which is no longer patented (if it ever was).
My understanding is that Banting [wikipedia.org] refused large sums of money to buy the patent off of him, fearing that allowing one company to hold the patent would result in gouging and limit the people helped by it; instead he sold it to the University of Toronto for one dollar. So yes it was patented, but the holder of the patent only used it to make sure that no one company controlled its production.
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Maybe I'm just cynical that the medication to keep me aloft costs 2k a month so the prospect of a cure for my illness won't come till after that gravy train derails...
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Shouldn't competition produce a cure? (Score:5, Insightful)
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A treatment means that you can prolong it.
A cure for the price of two years' treatment means you can keep your competitor from selling two decades of treatment.
Nobody cares if their competitor looses two year worth of profits unless it benefits them. If I sell a million dollars worth of insulin a year and you sell a billion, I will market this cure if it has the potential to make me 1.1 million a year. I don't give a crap about you loosing a billion dollars a year, unless I think that will allow me to buy you out. Maybe I could use this as a bargaining tool, I'll license you the drug if you license me the cancer drug. However, no one cares about "hurting" the c
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This is why I laugh at the Libertarian party guys who think everything'd be peachy if we just elect their "small government" candidates to office in our government. Who do they think the government works for? 'Cause it ain't the people! Virtually every 'consumer protection' act that gets passed actually serves only to insulate large, powerful businesses (backers of the bill, natch) from competition. It's been that way for at least two hundred years. (Before then, they didn't bother to pretend.)
You have a big logic flaw their. If we elected libertarians, they would stop passing and try to repeal "consumer protection" acts. Therefore leading to less protection of big business. I'm not saying that pure libertarianism is the answer, just your particular argument is flawed.
Also, did you ever think that liberterianism is a reactionary view. Maybe when we get a bit closer to libertarianism, the same people will clamor for a shift to slightly bigger government.
Me-too drugs (Score:2)
But it's my understanding because of drug patents and research dubbed "trade secrets" getting the information to a competitor to create some kind of cure is near impossible.
Little is secret in pharmaceutical industry, due in part to FDA regulation of drugs, and it's common for a novel drug to lead to me-too drugs [medterms.com] under separate patents. Every drug's molecular structure is a matter of public record. After initial study results about sildenafil citrate came out, competitors quickly toyed with some parts of the molecule to produce the me-too PDE5 inhibitors [wikipedia.org] vardenafil and tadalafil. Likewise, different companies sell different benzodiazepines [wikipedia.org] (azepam and azolam families) and dif
Step 1 : Remove tinfoil hat. (Score:5, Insightful)
Besides, giving a choice between paying for insulin, needles, blood test kits, or just a pill I know which I would take. I'd also be thankful someone is making it then going all tinfoil over their supposed real goals of keeping me sick - sick people die and don't buy more drugs - get over that
Re:Step 1 : Remove tinfoil hat. (Score:4, Informative)
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Isn't type 2 diabetes [wikipedia.org] basically dietary related (adult onset) and controled by monitoring blood sugar while type 1 [wikipedia.org] is the permanent loss of pancreatic beta cells that produce insulin, which I guess is what your mom has? If so then this research wouldn't help people like your mom since they have no insulin in the first place.
This is the current received wisdom. The article mentions research leading another way. Basically it says you need fat + a certain enzyme to develop Diabetes Type 2. This may or not be true, but it's certainly worth investigating.
From the FA
In their study, the researchers used genetically modified mice to observe the link between an oversupply of fat and type 2 diabetes.
They found mice without the enzyme did not develop diabetes, despite gaining weight on a high-fat diet.
That would at least explain why some people can be as fat as they like without ever developing Diabetes 2 and why Diabetes 2 seems to run in families.
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Re:Nice (Score:4, Insightful)
Sure they would.
The pharmaco would patent the cure and price it at about 50-70% the average cost of lifelong diabetes care today so the insurance companies would more likely pay for it.
With obesity rates climbing like they are today, there will be no lack of profit.
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In the pharmaceutical industry, margins on generic drugs tend to be razor-thin simply due to the laws of economics. Insulin is insulin -- assuming that there's no industry collusion, if one vendor lowers their price, the entire market will flock to that vendor, because his product is identical.
This results in the price bottoming out somewhere just above the ma
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My husband used to take your basic 70/30 mix (generic). In order to improve his sugar control, his doctor eventually switched him
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Doctors != Evil (Score:5, Insightful)
One of my professors is a radiologist. One day at a banquet, he was seated next to a woman who was DEAD certain that there was a very simple cure to cancer that had already been discovered and that people like him were keeping it hidden so that they could make boatloads of money. After holding his tongue for half an hour, he replied "My mother died of Cancer."
Re:No Cure for Cancer; we're too different, Dr. Ev (Score:2)
So. Let's imagine for an instant that the medical community knows of an inexpensive cure to cancer and are keeping it hidden. Let's assume the entire medical community is terribly greedy and wants nothing for the world but for their own benefit.
Now, I myself as you may have noticed an an evil medical doctor (not really). Now, I want to get REALLY rich, so I'm going to take this cure for cancer and I'm going to develop it and patent it. THEN I can sell it, and everyone in the world with ca
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Not for long.
Supposing that this could cure the disease outright; you patent the drug so that no others could produce it. You sit on the patent until it expires. It becomes free game for all and you haven't made a dime from all of your R&D. Now all your competitors get to walk the golden brick road without lifting a finger or throwing a royalty your way.
What a
Said one researcher to the other... (Score:2, Insightful)
Re:Said one researcher to the other... (Score:5, Informative)
The Garvan Institute is a non-profit organisation. They do patent discoveries, but any income earned is used to fund other research projects.
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"We need 5L of patent applications, stat! Can you imagine the dough we'll make when we lock up this discovery so that no one else can cure diabetes but us?"
The choices are:
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Set up an HHS/CDC commission to define for any disease a set of benchmarks with a reward then an overall payout for any company that can meet the stated goal of curing the disease. Allow seed money grants from charitable non-profits to launch the research projects, with some restrictions such as the company must prove they are capable of doing the research and have a sound plan. To be eligible for the payout, the researchers must publish all research data, including
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(I was about to send off a scathing reply here, but - this will do:)
Luckily for the elderly gents. You see, that's not at all what those big capitalist bucks were after, they probably couldn't care less about the sex lives of 90-year olds (until they themselves grow old, of course). Sildenafil was developed to treat hypertension and angina pectoris. I bet Pfizer was very, very happy to discover the unexpected side effect.
Researchers just don't get it (Score:1, Interesting)
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Diabetes is on its way to becoming a poor man's disease. A cheap medicine against di
Re:Researchers just don't get it (Score:5, Insightful)
This research is incredibly interesting since it may reverse the burn-out syndrome and alleviate the need for poorly managed type II diabetics to inject insulin. It will not, however, reverse the insulin resistance present in insulin-sensitive cells within the body.
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The article got the types of diabetes wrong. Type 2 diabetes means the body can't use the insulin it has, not that it doesn't produce enough. For those who have Type 2 diabetes a long time, they may eventually need to inject insulin, and this discovery could prevent that from becoming necessray.
[Summarized by a Type 2]
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Interestingly, the journal Cell Metabolism http://www.cellmetabolism.org/ [cellmetabolism.org] which published the Australian paper http://www.cellmetabolism.org/content/article/abstract?uid=PIIS155 [cellmetabolism.org]
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He said that in pre-diabetes, you have insulin resistance.
Finally in diabetes, the pancreas begins to fail, and insulin declines.
They treat diabetes with drugs to stimulate the pancreas, and finally with injected insulin.
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Notice you said ALMOST.
BTW almost exclusively is an oxymoron.
It is exclusive or it isn't
Type 2 diabetes is a genetic predisposition. There is a woman at my office that eats like a pig and just never gains weight. She is by all deffion gluttonous but will never get type 2 diabetes. That is a gentleman in my office that weighs almost 400 lbs and doesn't have type II. I do have type II and yes I do have to work at keeping my weight
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Did you think that you have the link backwards?
Yes people that get type 2 do often have trouble with weight. Ever think that the genetic predisposition might just cause that problem with it also contributes to that tendency to be over weight? BTW it isn't just being over weight. It is a specific body type that get is. People that tend to put on weight all over don't seem to get type 2. People that put weight on arou
Re:Researchers just don't get it (Score:4, Informative)
This is because after years of consistent overeating, your body begins to believe that elevated levels of blood sugar is "normal" and there is no need to produce more insulin.
This isn't true.
There are 2 components to type 2 diabetes
1) Insulin Resistance - Body isn't able to use the insulin produced efficiently.
2) Insulin Production - Body isn't able to produce enough insulin.
Here is the typical progression of type 2 diabetes.
For a normal person, when he eats carbohydrates, his blood sugar goes up. In response,
the pancreas produces insulin. The insulin pushes the blood sugar into the cells & the blood
sugar goes down.
When a person has insulin resistance, his pancreas produces insulin, but this insulin isn't
used efficiently. The insulin isn't able to push all the sugar into the cells. Hence the blood
sugar level doesn't go down immediatelly. Hence all the body parts are soaked in sugar which
is harmful to the organs. The pancreas is also an organ. The pancreas is soaked in sugar. This
causes insulin producing cells in the pancreas to die. This is a cyclic process i.e. because some
insulin producing cells die, the pancreases produces less insulin - this in turn causes blood
sugar to rise even more, which in turn causes more damage to the pancreas. This process keeps
continuing & finally when the pancreas has lost more than 50% of it's insulin producing cells,
blood sugar starts going out of control & he gets diabetes.
Typically, people who get type 2 diabetes are people who have the gene for
Insulin Resistance.
There are many people how much ever they eat, they don't get diabetes, or they
get it at a very advance age. Excess weight increases Insulin Resistance, but is
not the the cause of it.
A person with IR can delay or avoid diabetes for a long time by eating less, but
eating alone isn't the cause of type 2 diabetes.
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Fixing the production loss means you go back to being insulin resistant "non-diabetic" (as far as sugar levels go, once diabetic, always so, at least by current definitions).
Yeah you still have the insulin resistance, which isn't good, but you'd be way better off.
Fixing the insulin resistance would be even better, but perhaps if that is a
Re:Researchers just don't get it (Score:5, Informative)
When I was first diagnosed, I had let myself get out of shape, and weighed about 225. I had to use insulin for about six months until I built enough muscle and lost enough fat to go to just oral meds, and for the first year after that, I had to take several.
I was in the army for 13 years when I was younger, and among other posts held the position of physical fitness instructor. I routinely scored on the extended scale in the APFT (Army Physical Fitness Test) every 6 Months for 8 to 10 years. (Basically, a Soldier had to score above 150 to finish basic training, extended scale starts with scoring over 100 in all three events - if you fall short in one, the high scores in the other two don't count). Getting back in shape with Diabetes was harder for me than getting to the top 2% of the Army. (And I had rank by then, so it wasn't drill sergeants pushing me, either).
I was never an Airborne Ranger, but I know a type 2 Diabetic who was, and he says getting back in shape felt about like Hell Week in ranger training (but lasted several months in his case).
There are several studies that show type 2 diabetes actually resets the satiation levels of the brain so that people with it get hungrier and have longer before they register fullness when their blood sugar levels are off (The disease thus impairs your judgment of one of means to fight it). There are others that show how a normal person will have extreme soreness the first few exercise sessions but if they push through it will stop feeling nearly that sore and how the average Type 2 Diabetic can expect that to continue for months or even more.
(It was about 6 months in my case - six months of near constant fatigue and extreme muscle soreness - six months when I did 8 reps with a weight, then 2 days later did the same 8 reps, then 2 days later did the same 8 reps, only to gain a rep every 2-3 weeks, before the process started getting up to normal sorts of gains - six months of worrying I would injure a foot with all the running and they would do what frequently happens to diabetics - amputation!).
Comments like yours are every bit as untrue and abusive as telling a rape victim they deserved it because they were dressed wrong. You should be heartily ashamed. It's not the researchers who 'just don't get it' here, it's people like you.
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I also commend you on your determination to overcome it. However, I can't comment on your intelligence too much as you joined the wrong branch. By the
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I have a six pack and veins poking out all over my body.
Play sports regularly.
38" waist.
I eat no bread, potatoes, or sugar.
My blood sugar continues to gradually go higher with each year.
Good to know it is my fault and not the fact that my grandfather, mother, etc. all had diabetes.
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I test every morning before eating anything, and do a second sample 2 hours after a meal, every oth
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Not everybody is built in the same way - there is more to weight than BMI.
Also - while there is certainly a correllation between diabetes and weight, I'm not convinced we're sure which way the causation works. Losing weight certainly helps to control blood sugar, but who's t
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Hmm... (Score:5, Insightful)
Nah (Score:2)
Actually, the costs are self inflicted (Score:2)
The "lawsuit taxes" are an direct result of the constant development of treatments instead of cures. When you cure a disease,
Huh. (Score:3, Interesting)
On the one hand, I always like to see things cured. On the other hand, my fear of type II diabetes is one of those things that gets my ass out of bed in the morning, makes me walk to lunch, makes me have an apple instead of a twinky.
It like if they came up with a wonder pill that fixed all the bad cardiovascular problems you get from eating all the wrong stuff, a diet pill that keeps you from gaining any weight, and a cure for type II diabetes...I'm just not sure that would really be good for anyone. You should ahve to have some consequences.
I understand that there are those who get Type II through no fault of their own, and this makes me happy for them...But they're the minority, and I don't have as much sympathy for the rest.
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I don't disagree with making a profit, but they're doing it on the backs of people with a -so far- incurable disease and because most can't afford strips long term, skip or reuse strips which can lead
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Eh. (Score:2)
When I was young, the Hepatitis-B vaccine was optional...you got it before you went to college, if you felt like you needed it. Now they're trying to run the whole course of hep B AND A on kids before they're 18 months old. The chicken pox vaccine, which DOESN'T provide a lifetime immunity is required for daycares and preschools...Having had chicken pox when I was 15, rather t
Link please... (Score:2)
I know you're being unscientific, but I'd at least like some sources for your statements about unhealthy and overweight.
Because, you know, correlation does not always imply causation. Did it ever occur to you that diabetes might cause the weight gain, rather than the other way around? I know of several people who have developed diabetes in spite of the fact that their jobs involved rigorous physical activity, and in spite of the fact that they ate diets no different from the rest of the general popula
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Don't buy into the lie. That's the lie where vegetarian = healthy.
I've been a vegetarian for about 2/3 of my life. I know plenty of other vegetarians. I'm overweight, many others I know are overweight. Just being a vegetarian by itself doesn't mean anything beyond "I don't eat meat".
There are a million ways to do the vegetarian diet wrong just like any other diet.
Am I better
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Yikes!!!
You're happy for some diabetics, and unsympathetic to the rest?
Although I really, really, really hope you're just trolling, I suspect you honestly feel this way. This kind of opinion (bias, prejudice) seems to run pretty rampant these days, and it's one of the reasons that I rarely feel comfortable telling
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Do you see me crying about the tragedy of my condition? A condition imposed by my own lack of discipline? No.
If you got type II just through sheer bad luck, you have my sympathy. If you made a bad lifestyle choice, you deal with it. People (l
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Sorry about your uncle. My grandmother died of diabetes-related cardiovascular issues. Doesn't change my belief that the vast majority of type II diabetes sufferers have brought it on themselves.
prevention may be better ... ? (Score:2)
This is a serious health issue. When you consider that some forms of diabetes and obesity can be classed this way, it is clear to see that several billion people could die of malnutrition this century unless we begin some serious educational effort. Some scientific breakthroughs may save the climate, but your health is yours.
The cause is... (Score:4, Interesting)
But that isn't profitable to companies....
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Fructose and starches?
Just a guess.
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Slashdot Ignorance (Score:2)
The quality of the scientific articles and comments on slashdot are absolutely atrocious lately.
First of all, the article is factually incorrect on the basics of diabetes. Type 2 (NON insulin-dependent) diabetics do produce adequate levels of insulin! The problem is that adipose (fat) and muscle tissue, for unknown reasons, do NOT increase glucose transport in response, leaving an excess of the glucose in the blood. This effect is called "insulin resistance," because these cells are resistant to the eff
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Does that mean every single person with T2D is fat/lazy of course not, just the high percentage of them. But at least science (an
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Case in point! Beta cells are in pancreas, not the liver!
(possibly unless you have metastatic pancreatic cancer)
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people eat like shit
After reading the ingredients on a frozen pizza box, I would have to agree. The biggest thing I noticed was that the meat only contained 11% meat... The salt was an insanely high percentage (40% or so?) of the FDA recommended daily allowance. There were several brands of pepperoni pizza that stated that the pepperoni was partially made from chicken.
And does anyone else consider Domino's Oreo Dessert Pizza to be an abomination against humanity? (Funny commercials though.)
Needl
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Blaming people for diabetes? How about AIDS? (Score:2)
It's more complex than you make it out to be. By that yardstick, I could also say, AIDS is because "people fuck like shit and don't bother about fidelity/safe sex practices/monogamy. That's it. Pretty simple, huh?" You can substitute Hepatitis B or Chlamydia for AIDS if you want something more prevalent.
But you can see that applying reductionist principles to diabetes, Human Immunodeficiency Virus, or even Some Computer Virus doesn't
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While obesity is a huge fac
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Yes the sugars are a HUGE issue. High Fructose corn syrup is evil in a sweet sweet liquid. Eating health (organic, less refined sugars, etc) is expensive. My fiance's and my food bill went up by 30 bucks a week switching over to Whole foods, eating lots of fruit, non drugged up meat and diary products, etc. We feel a lot better but understand the economic issues with those forced to eat poor quality food.
That being said t
Blaming people for diabetes? How about ulcers? (Score:2)
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Not really, no. First of all, there's clearly a genetic component, the evidence for this is extremely strong. Also, it effects plenty of people who eat healthy diets. Various theories abound as to types of diet that may be more likely to cause it (high carbohydrate diets being a prominent leader, so everyone who put their effort into cutting fat out of their diet loses), and while overeating is a cause, it isn't necessary.
Re:The cause is... (Score:5, Informative)
Almost all cases of T2D are curable by a lifestyle change.
Wrong.
It's controllable by a lifestyle change.
Not curable.
No No No... (Score:2, Insightful)
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Even Better! (Score:2)
What are they trying to do now that they found the cause? Call me insensitive, but if they do find a medicinal cure it would only serve to enable some people to keep living unhealthy lifestyles. I think now that they h
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not a "single cause" disease (Score:2)
What is wrong with Slashdot/rendering? (Score:2)
The look of the comments reminded me of edlin or a really bad ncurses setup. Odd blocks of inverted text all over the place and very few actual comments are visible.
I have been reading Slash for a long time, and I am not a newb; but I can't figure out why it looks so wrong/broken. I'm tempted to use lynx just to read the site.
I am using Mozil
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If any editors are reading this: the new system sucks. I tried to make myself use it for a while, and it seemed like it sucked worse every minute. I mean, I really tried. Please rethink this; it's just a terrible idea, and if it becomes the only way to us
Great news but... (Score:2)
I have several type 2 diabetics in my family and so any drug developed from this discovery could be helpful, but I still feel medical science is a bit off track with this
What causes the PKCepsilon overproduction?!? (Score:3, Interesting)
For instance, I know one person who suffered from "hypothyroidism" for a long time and had to take T4 supplements. It turned out that her real problem was an iodine deficiency, that itself was likely caused by being on the birth control pill. Taking high doses of an iodine supplement cleared up the problem very quickly, and her thyroid began functioning properly again.
I know another patient who was inexplicably ill for many years. After an IgG panel blood test, it was determined that she had a food alergy to casein, the principal protein in milk and other dairy derivatives. This isn't the sort of IgE alergy that causes itching or anaphalaxis, but the IgG kind that takes days to set in, and the symptoms are less severe and can be flu-like. Part of the reason she never considered cutting out dairy was that she is not, in fact, lactose intolerant, so lactase ensyme didn't help. Eliminating dairy entirely solved her problem.
Just like the preceding case, I have an IgG reaction to soy protein. Imagine trying to avoid soy in the U.S. Soybean oil is the default "vegetable oil," soya lecithin is used as an emusifier in lots of foods, and soy protein isolate (not considered to be a food by the FDA) is added to lots of things that want to report having high protein content. Oh, and don't forget the estrogen analogues found in soy. Anyhow, challenging as it was, eliminating soy products resulted in a huge improvement to my energy level. (I suffer from chronic fatigue syndrome, and my nutritionist believes that it was caused by the soy alergy compromising my immune system.)
I know lots of people who have suffered from prolonged illness that was completely blown off by MDs that was then remedied very quickly by a nutritionist. And it frustrates me to no end how ignorant MDs are about nutritional effects and that they never refer people to nutritionists!
Ok, so what's my point? That in a lot of cases, I would not be surprised of there was some kind of food that people are sensitive to or which is eaten to excess that has compromised part of their metabolism. Taking insulin shots was a bandaid for diabetics. Taking something to inhibit PKCepsilon production is a BETTER bandaid, but it's still a bandaid. Someone's got to figure out the root cause.
Oh, did you know that a significant number of autism cases, when caught early enough, show remarkable improvement when wheat and dairy are removed from their diets? Many neurologists will tell you otherwise, but that's because they just don't study nutrition in school. The nutritionists know otherwise.
Oh, and BTW, I'm not against MDs. I just know their limitations. Got a broken bone, lyme disease, or a structural organ failure? Better go to an MD. But many of the little things that affect people's health are not in the "take this pill" or "let me operate" categories but rather in the "don't eat this" and "eat this instead" categories. The effect of environment and intake has a HUGE impact on the human body!
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Not everything is dietary. Sure, type II diabetes can often be controlled by dietary changes, but it usually stil
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Celebration! (Score:2)
The Real Cause of type 2 diabetes (Score:2, Insightful)
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Drug to block the enzyme, huh? (Score:2)
Suuuure . . . that the drug companies will sell you for the low, low price of three grand a month or so for the rest of your life, none of which your HMO will pay for because it's "experimental" (read: Too expensive). A few years from now we'll discover that it causes liver damage, too.
Why couldn't they just spend the resources to cure the underlying disease?
Where is the diabetes X Prize? (Score:2)
When is somebody going to offer a massive cash prize for:
1. A cure for diabetes;
2. A method of testing one's blood sugar without consumable ($1/test) test strips.
The prize would have to be massive enough to incentivize claiming the prize as opposed to the huge economic disincentives going the other way (pushing insulin, selling test strips).
PKCepsilon (Score:2, Funny)
Recent Diabetes Discoveries (Score:2)
http://www.canada.com/nationalpost/news/story.html?id=a042812e-492c-4f07-8245-8a598ab5d1bf&k=63970&p=1/ [canada.com]
I really home that one or both of these discoveries lead to better treatments for people with this disease.
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The money certainly doesn't have to go to big Pharma. Endow you local university with some cash, especially if they have a top-notch biological/medical research facility. Give your money to organizations that promote healthier living. The pharmaceutical industry makes its own money -- private-sector research is dependent on government funding and private grants.
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Yeah. Strike the Jabba thing too and I'd be cramming french fries and double bacon quarter pounders down my throat every chance I got. They're fucking delicious. I used to eat them damn near every meal from 17 to 25 without gaining a pound, then my metabolism changed on me. Now, I have to eat 300 kcal a meal and exercise every day. I haven't had a quarter pounder in probably a year, but if there were no consequences I'd go back in a second.