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FDA Approves New Drug for Type 2 Diabetes

Neopallium writes to tell us that the FDA has approved the first of a new kind of treatment for type 2 diabetes. From the article: "JANUVIA belongs to a new breakthrough class of prescription medications called dipeptidyl peptidase-4 (DPP-4) inhibitors that improves blood sugar control in patients with type 2 diabetes. JANUVIA enhances a natural body system called the incretin system, which helps to regulate glucose by affecting the beta cells and alpha cells in the pancreas. Through DPP-4 inhibition, JANUVIA works only when blood sugar is elevated to address diminished insulin due to beta-cell dysfunction and uncontrolled production of glucose by the liver due to alpha-cell and beta-cell dysfunction."

9 of 267 comments (clear)

  1. Brain aneurism! by tygerstripes · · Score: 3, Insightful
    O...kaaaay. So. We have these alpha & beta cells who aren't doing what they're supposed to do - they're producing too much glucose (or not preventing the liver from doing so), so the body's natural insulin isn't enough. So, when that happens, it would be good if the "incretin" system kicked in to regulate these naughty cells - but DPP-4 normally stops the system doing that (to a degree). So, this Januvia stuff stops the DPP-4 that stops the incretin stopping the dysfunctional cells, meaning Januvia indirectly stops your these cells from producing too much glucose.

    *faint*

    --
    Meta will eat itself
  2. Actually... by PreacherTom · · Score: 5, Insightful

    Folks, this is some pretty big news in biotech. While not a cure for cancer, over 20 million people have diabetes. Just taking insulin is a tricky business, and even in the best of cases leads to necrosis (cell death) in the hands and feet, along with blindness and kidney failure. Think of it like a pendulum...the more you mess with it, the farther it swings - like steroids. This works on fixing the problem without that pendulum swing. It's worthy of a front page.

    1. Re:Actually... by Anonymous Coward · · Score: 2, Insightful
      will make for nice profits for the company.

      Which, of course, may be the very reason why the treatment exists at all. If you want something, a good way to get it is to make it worth someone's while to do so.

    2. Re:Actually... by GigsVT · · Score: 2, Insightful

      you shouldn't attempt to make this into a ... warfare thing ... Insurance companies will pick up the bulk of the costs

      And insurance companies get their money from the magical money well where fairy elves shoot out of my ass?

      No. That money comes out of everyone's pocket. When you take money from everyone to support a few people, what's that called? Oh, right, welfare.

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      I've had enough abrasive sigs. Kittens are cute and fuzzy.
  3. Re:Fatties of the world... by Anonymous Coward · · Score: 1, Insightful

    It's nice that you're an idiot, and thanks for displaying that so openly. Now look at the statistics and you'll realize what the major cause (by far) of type 2 diabetes is.

    So where did he say ONLY fat people get it? Oh wait YOU added that so you'd sound higher and mightier when responding with your defense. Instead you sound like a reactionary slashdot asshole, twisting words in order to jam your self-righteousness down our throats.

  4. Inhibitor of Glucagon by ascotan · · Score: 4, Insightful

    It's an upstream inhibitor of glucagon. Glucagon signals the body that it has low blood sugar. It tells the liver to produce sugars in response, because the body thinks you're in a fasting state. In a normal person glucagon is inhibited when you eat food, because insulin is released. Insulin tells the body - 'It's Dinner Time!!' - and you're liver production of sugar stops as blood sugar is used up. Apparently this system gets screwed up in people with diabetes, as the balancing act between insulin and glucagon doesn't work properly. Therefore this medication will help the body realize, that when blood sugar is high, to stop liver production of sugars (and possibly tell the pancreas to release insulin), which should aid diabetics in controlling blood sugar levels.

  5. Why the hostility? by BenEnglishAtHome · · Score: 4, Insightful

    The medicine is great for the people that need it, I'm sure. But let's go off on a tangent; I see a number of posters already are doing so.

    Why are so many slashdrones so terribly hostile toward diabetics? It's not possible to post a story mentioning diabetes without various people posting inaccurate information ("Being lazy and getting fat causes diabetes!") combined with hearty invective ("You're sub-human slobs and you all deserve to die!").

    (Just for the record, obesity is associated with diabetes but is not the cause. Diabetes is a failure of various regulatory mechanisms and heredity plays a big part. There's lots of good research that indicates the process of becoming diabetic tends to make you fat rather than the reverse. And treatment is severely problematical, often because common drugs cause massive weight gain, a problem this new drug is supposed to address.)

    So why all the bile poured out on diabetes sufferers? I really don't understand it. There are lots of other diseases that make people unattractive or can be partially blamed on lifestyle, but I don't see anyone jumping on the "People get cancer because they're stupid!" or the "All alcoholics should be shot!" bandwagons, even though those ideas make about as much sense as condemning diabetics for being sick.

    What's up? Anyone want to clue me in?

  6. Instead of more drugs... by LGagnon · · Score: 5, Insightful

    Instead of making America take more drugs and waste more money, how about they just ban high fructose corn syrup? We might not have the big diabetes epidemic we have right now if we stopped filling all our food with such a dangerous sweetener. But of course, our government is more concerned with the "rights" of big business than the well-being of the people that it supposedly serves. And those pharmacutical companies that "donate" to our politicians stand to make a larger killing off of this than they would with an actual good plan.

  7. Cost Benefit? by q2k · · Score: 3, Insightful

    My wife is Type 1 diabetic, and her take on this is that $5 a pill is a lot of money for something that doesn't really work any better than the existing therapies available at 50 cents a pill. Getting A1C readings down to 7 is nothing to crow about. 7 is still too high. To minimize the long term complications of uncontrolled blood sugars, you really want your A1C down around 6.