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General discussion

Since diabetes rears up on SE from time to time,

Jun 28, 2007 3:07PM PDT

here's some encouraging news:
http://www.newscientist.com/channel/health/mg19426104.200?DCMP=NLC-nletter&nsref=mg19426104.200

How to stop diabetes wreaking lasting havoc
30 June 2007 From New Scientist Print Edition.
Andy Coghlan
ONE of the nasty tricks that diabetes has up its sleeve is the ability to carry on harming people long after they have got the level of glucose in their blood under control. Now researchers think they may be able to stop this, using cheap available drugs.

Including vitamin C injections, per the rest of the article.

BTW I encourage signing up for the New Scientist E-newsletter; it's quite comprehensive for a freebie.

Discussion is locked

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reply to: Since......
Jun 28, 2007 8:36PM PDT

Sounds like they publish some interesting articles. Thanks.

Charlie

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(NT) Wonder if just taking vitamin C would work at all?
Jun 28, 2007 10:36PM PDT
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I wondered that myself.
Jun 29, 2007 8:27AM PDT

C is water-soluble and does its antiscorbutic thing through merely eating or drinking citrus, so why not diabetes? We'll have to wait for the medical heavyweights to tell us.

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Wouldn't it be funny
Jun 29, 2007 9:57AM PDT

if Linus Pauling was right all along and megadoses of vitamin C is the cureall for everything?

Diana

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Many years ago, when Pauling was still alive,
Jun 29, 2007 2:58PM PDT

a college chemistry prof of mine admitted that the vitamin C stuff and other of Pauling's ideas seemed crackpot by mainstream standards. He also pointed out Pauling's track record and advised betting against him. He said that others had looked down on Pauling's research before- like the chemical insights that got him his science Nobel and contributed to Watson and Crick's. Happy

Later, of course, he became the only person to win a Nobel in two different fields. His "peacenik" views, which kept him from traveling to England when Watson was appropriating Rosalind Franklin's x-ray diffraction pictures, are now also more mainstream and accepted.

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C by itself isn't enough, Doug.
Jun 30, 2007 1:56AM PDT

You should combine vitamin C with 400 iu/day of the lipid-soluble vitamin E. A friend of mine at UTMB did a small clinical trial down in the Valley (where the Type II rate in some towns approaches 50% of those over 40 -- Hispanics, because of their Indian blood, are at greatly elevated risk for Diabetes and attendant complications). BTW, you should be sure to get a timed-release vitamin C, as the stomach/intestines can only absorb about 250 mg at a time, and higher single doses have a laxative effect.

The really ugly thing about Type II is that it eventually morphs into Type I (insulin-dependent) because once insulin resistance appears in the insulin target tissue, Type II diabetes becomes a protein misfolding disease; accumulation of a misfolded form of the
Islet Amyloid Polypeptide (IAP), a member of the same family as the APP protein that is cleaved to beta-amyloid, whose misfolding causes amyloid plaques in the brains of those with Alzheimer's, eventually killing the pancreatic beta cells that secrete insulin (This makes a lot more sense than the previous explanation that the pancreas "got tired" or "wore out" from secreting excess insulin in a futile attempt to overcome the target-tissue resistance). And the scary thing, which has got very little attention in the press, is that 100% of Type II diabetics eventually develop Alzheimer's -- which throws a whole new perspective on the "diabetes epidemic." The good news is that we're probably less than five years away from the first effective anti-Alzheimer's drugs (which treat the underlying protein misfolding and pathology, not just try to slow disease progression), and the same drugs or their derivatives are likely to be effective against such other misfolding diseases as Type II diabetes, prion diseases (notably Mad Cow), Parkinson's, Cystic Fibrosis, ALS, and some forms of Multiple Sclerosis, to name but a few. Provided there's enough money for the research, we live in a time of unprecedented and exciting promise for effectively treating diseases that were previously completely refractory to all but supportive, palliative therapy. The next 5-10 years should be to such diseases (as well as cancer) what the late 40's and early 50's were for bacterial and viral diseases with the widespread availability of antibiotics and anti-viral vaccines, in the developed world at least.


-- Dave K, Speakeasy Moderator
click here to email semods4@yahoo.com

The opinions expressed above are my own,
and do not necessarily reflect those of CNET!

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Sounds like good info, although I haven't the
Jun 30, 2007 6:15AM PDT

medical knowledge to judge it. That business of the 250mg absorption could explain why IV application is effective. And almost any vitamin has negative side effects in large doses.

A note about New Scientist: Their articles tend to be on cutting-edge research, but filtered through a mainstream science mindset, so it's more tenable than the tabloid stuff.

Out here in First Nations country the diabetes rate is high. The genetic predisposition is there, but isn't the major factor; mostly poor dietary choices and/or poverty. There's a campaign on many of the reservations to 'return to the Three Sisters'. (Corn, beans, squash) In Custer's day, Indian deaths tended to be from starvation or Army bullets, not diabetes. I've seen Apache and Navajo school kids swarm to the food machines at recess like buffalo to a water hole. There are campaigns also to remove junk food from schools, but it's hard for a rural district to turn down the revenue that Coke graciously provides. (In many cases they can have the Minute Maid products, but only if they keep the Coke. That is changing, though.)

"Provided there's enough money for the research, we live in a time of unprecedented and exciting promise"
'Dontcha know there's a war on?' Sad

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Hi, Doug.
Jun 30, 2007 1:05PM PDT

I forget the exact rate of diabetes among native Americans, but I think it's well over 50%. It's that Indian blood that most have which makes Mexicans and Mexican-Americans so high-risk for diabetes. Incidentally, I wonder what the rate is among native Tibetans? When we were in tibet, we noticed striking similarities in facial structure, costumes, the use of the "backwards Swastika," and some other elements with both North and South American Indians. For one example, in my office at work I have a circular painting of a yak and a Tibetan in what looks for all the world like an Andean costume, and there are threee tassels before. When I ask most people where they think it comes from, the usual answer is that it's an unusual form of dream-catcher!
-- Dave K.

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And that's why it's also a particularly New Mexican
Jun 30, 2007 1:21PM PDT

epidemic, as well. Many Hispanics here have Native blood and Moorish, since here the background tends to be Spanish, not Mexican. I believe Africans have a predisposition, too. Plus the levels of poverty abet bad diet choices in the home.

I was teaching a middle school science class by coincidence when Channel 1 had a special on childhood diabetes. I segu

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Form follows function, especially among
Jun 30, 2007 1:34PM PDT

"primitive clothing designers" not familiar with such advanced ideas as the Spring fashion shows and planned obsolescence. Happy

The similarities of other customs are also explainable, but only under the Forbidden Head. Happy Even among those disinclined to believe the Noah story there are many who have noted, and assumed the significance of, the many cross-like emblems in religious history. Some trace it back to Babel's founder. You can find much of this in Mankind's Search for God, published by ... oh, I forget who.

BTW there's some new and probably final word on Oetzi; looks like he may have been ambushed by a determined assailant. Perhaps a tribal or clan matter.

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Interesting reading ...
Jun 30, 2007 6:19AM PDT

I have not kept up on the basic science stuff as much as I used to so I did not realize how many diseases are believed to be caused by problems with protein folding. When I was in medical school the notion that disease could result from protein folding was not really in the mainstream. Prions were still a novel infectious agent that nobody really understood. There has been a lot of progress since then.

I think, though, that it would be easy to misinterpret the article Type 2 Diabetes Mellitus as a Conformational Disease. The authors make a good case that the progressive failure of the pancreas is related to protein folding problems, but pancreatic failure is clearly not the only (and perhaps not the major) cause of complications in diabetes. As the authors pointed out in the article, the phenomenon of insulin resistance is critical to the development of diabetes and is not presently believed to be a result of protein folding errors. The primary cause of diabetic complications is not the loss of pancreatic function per se but rather the damage that excessive sugar does to the brain, eyes, kidneys, nerves, immune system and vascular system. IOW, eliminating the protein mis-folding in the pancreas would not necessarily prevent diabetes (although it might make diabetes easier to treat) and it would not prevent the development of diabetic complications.

It may be that some diabetic complications are a result of protein folding problems in the target organs, but I don't think anybody really knows that for certain. High glucose levels do produce abnormal proteins as a result of glycosylation, but I do not know how they damage the tissues in the end organs. Maybe we will find out that the complications from diabetes are the result of protein folding problems ... but we don't know that yet.

As for the Vit C and Vit E ... It will be interesting to see how that plays out. As you know, large trials of anti-oxidant therapy have not produced the improvements we expected. If Vit C and Vit E can reduce the rate of pancreatic failure in diabetics that would be good news indeed but I would like to see large scale data before recommending it.

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Good post, as usual.
Jun 30, 2007 12:53PM PDT

New Scientist reports on good research IMO but their headline writers were trained at the National Enquirer. Happy IOW the research may not ever pan out as a "cure", but a scientist in that field would be well advised to look into it.

To me, having seen long-term Type I in my family and near-family, the best part was the possibility of damage prevention and maybe reversal, as I'm sure you would welcome as well. I'm sure you guys are tired of treating blindness and gangrene in patients who have the diabetes under control.

Same with Dave's 'small experiment in an obscure place', although the concentration of diabetics there makes the results worth perhaps more. BTW I have some evidence that the BIA and USPHS medical and hospital facilities out this way are greatly improved from the old days. If so, then probably there's plenty of diabetes research on the reservations here. In any case, our big problem (incl. the cities, with their Hispanic and Black populations) is lifestyle.

Gotta go now; just dribbled some of my Twinkie on the keyboard.

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Hi, Dr. Bill.
Jun 30, 2007 1:20PM PDT

No, I don't think the authors of that article believe that most of the diabetic complications are due to protein misfolding -- they were speaking mainly of the pancreatic failure due to those IPA aggregates. And unfortunately, I doubt that antioxidant therapy will help in that phenomenon -- it's main benefit is with such nonetheless serious complications as nephropathy, retinopathy, and cardiovascular complications. Incidentally, for a preview of what's coming down the pike in terms of really effective drugs against these diseases (apparently one drug helps all), see this abstract of an editorial by Claudio Soto, Director of UTMB's new Mitchell Center for Alzheimer's Disease Research. Incidentally, I forgot to mention Huntington's as another protein misfolding disease (and so are the other poly-Glu repeat diseases). He has a peptide that actually reverses misfolded protein aggregates (as do some other labs), and in animals blocks progression of the diseases.

-- Dave K, Speakeasy Moderator
click here to email semods4@yahoo.com