Diabetes News Roundup: November 2018

Patients Lose Weight in Online Diabetes Prevention Program

Online Diabetes Program Proves Successful in Weight Loss. Authors conducted a large, non-randomized trial of 268 obese or overweight veterans with prediabetes in an online DPP. The 2nd group of 273 veterans were enrolled in an in-person DPP which consisted of 8 to 22 face-to-face sessions that focused on 7% weight loss and at least 150 minutes per session of moderate physical activity. Lastly, 114 veterans were enrolled in Move! which consisted of 8 to 12 face-to-face healthy lifestyle sessions with monthly maintenance sessions and no specified goals given. 

Online Diabetes Program Proves Successful in Weight Loss. Patients in the online DPP lost 10.3 lbs at 6 months and 8.8 lbs at 1 year. In a secondary analysis, the same participants who completed ≥1 modules/sessions saw a mean weight loss of 10.6 lbs at 6 months and 9lbs at 1 year. There was no significant difference in weight change between online and in-person DPP. Participants in Move! lost 1.1 lbs at 6 months and 10.6 lbs at 1 year. 

More Evidence Sweetened Drinks Raise Risk of T2DM

Sweetened Drinks Increase Risk of T2DM. In a systemic review and meta-analysis of 155 controlled intervention trials, researchers monitored 5086 patients for up to 12 weeks and assessed the effects of different food sources of fructose on blood glucose levels in people with or without T2DM. 

Sweetened Drinks Increase Risk of T2DM. Authors found that when fruit and fruit juice does not provide excess calories, they may have beneficial effects on blood glucose and insulin control, especially in T2DM patients. Foods that add excess "nutrient poor" energy to diet, especially sweetened drinks and fruit juices, seem to have harmful effects. Low glycemic index of fructose vs other carbohydrates and higher fiber content of fruit, may help explain improvements in blood glucose levels by slowing down the release of sugars. 

Night Shift Workers with Unhealthy Lifestyle Face Higher Risk of T2DM

Night Shift Workers Face Higher T2DM Risk. Authors of this prospective cohort study extracted data from 2 Nurses' Health Studies that included 143 410 women without T2DM, CVD, or cancer at baseline in order to evaluate the joint association of duration of rotating night shift work and lifestyle factors with T2DM risk.  

Night Shift Workers Face Higher T2DM Risk. During follow-up, 10 915 nurses reported a T2DM diagnosis and for every 5 years working rotating night shifts, nurses were 31% more likely to have a T2DM diagnosis. Women who exhibited any 4 unhealthy lifestyle factors and worked rotating night shifts had a 2.83 times higher risk of T2DM diagnosis.