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Researchers May Have Found Cause of Type 2 Diabetes

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.'"

181 comments

  1. Nice by rbochan · · Score: 5, Insightful

    ...This discovery may allow pharmaceutical companies to develop a drug to block the enzyme, allowing cells in the pancreas to function normally...

    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.

    --
    ...Rob
    The American Dream isn't an SUV and a house in the suburbs; it's Don't Tread On Me.
    1. Re:Nice by Anonymous Coward · · Score: 0

      Fortunately, you'd almost certainly have to take such a treatment continuously, not just once. "Fortunately" in the sense that I don't have to argue with your economic illiteracy about why a one-time cure would be worth developing anyway.

    2. Re:Nice by moosehooey · · Score: 5, Insightful

      This probably would be a treatment. If you stop blocking the enzyme, it probably comes back.

      Also, it would be a new drug that could be patented, as opposed to insulin, which is no longer patented (if it ever was).

    3. Re:Nice by drachenstern · · Score: 1
      http://www.medicalnewstoday.com/printerfriendlynews.php?newsid=84724
      What about the enzyme mentioned in this article?
       
      Quoting:

      Scientists at the Medical Research Council have made a discovery that could pave the way for better treatments of type II diabetes. The teams at two MRC institutes (the National Institute for Medical Research and the Clinical Sciences Centre) have determined the structure of the enzyme that regulates cellular energy levels.

      The enzyme the scientists have been studying is called AMPK (AMP-activated protein kinase).
      --
      2^3 * 31 * 647
    4. Re:Nice by techpawn · · Score: 2, Insightful

      A treatment means that you can prolong it. At least street dealers give you the first one for free... Wait, don't drug reps give doctors offices free samples to hand their patients?

      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...

      --
      Ask not what you can do for your country. Ask what your country did to you
    5. Re:Nice by binaryspiral · · Score: 3, 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.

      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.

    6. Re:Nice by bluce · · Score: 1

      You bring up a really good point. It reminds me of discussions on why billions of dollars are poured into creating new treatments for HIV/AIDS but precious few of those dollars actually go towards researching a cure.

      Current per year cost for medicine for a single HIV patient is around $25,200. So there is a real financial incentive to continue treating the symptoms rather than finding a real cure.

    7. Re:Nice by moosesocks · · Score: 1

      Insulin's a generic drug. It's not the most terribly profitable thing to manufacture and sell, especially given the relatively static demand for it.

      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 mark at which it's profitable to produce the stuff.

      --
      -- If you try to fail and succeed, which have you done? - Uli's moose
    8. Re:Nice by jonadab · · Score: 1

      > 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.

      For all we know this may *be* a symptom. The patient has observable problems (e.g., mood swings, swolen feet, and so on and so forth) because the blood sugar is not what it should be. The blood sugar is wrong because the insulin production is wrong. Now we think the insulin production is wrong because there's too much of this enzyme, but why is there so much of the enzyme, and if we treat the patient with drugs that tie up the enzyme, will the body just produce more of the enzyme to compensate? What happens if there's too *little* of the same enzyme?

      In other words, finding something like this is just the next step down a long road of trying to understand what's really going on, and for all we know we could still be figuring it out three hundred years from now.

      --
      Cut that out, or I will ship you to Norilsk in a box.
    9. Re:Nice by Anonymous Coward · · Score: 0

      >> 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.

      Would you rather have 5% of a market with 5% margins forever or 95% of a market with 80% margins for 10 years?

    10. Re:Nice by VanessaE · · Score: 2, Informative
      Sorry, you're just wrong here. First of all, not all insulins are available in generic. Second of all, there are several different types of insulin, each with it's own benefits and cautions. Because some types have a different response curve than others, or different side effects, you can't always replace one with another. "Insulin is insulin" is definitely not the truth.


      My husband used to take your basic 70/30 mix (generic). In order to improve his sugar control, his doctor eventually switched him to a combination of Lantus and Humalog (both still brand-name only from what I can tell). Unfortunately, we discovered some time after that that Lantus is hard on the kidneys. With his kidneys already declining in function (common in diabetics), the doctor switched out the Lantus for old-school NPH (generic) with Humalog.

    11. Re:Nice by djasbestos · · Score: 2, Insightful

      All the more reason to nationalize pharmaceuticals, or at the very least reform the drug patent system.

    12. Re:Nice by Attila+Dimedici · · Score: 1

      Of course, as soon as your competitor develops a cure, you won't make any more money treating the disease and you won't make anything off of curing it either. See, the thing you have to realize is that pharmaceutical companies is plural. That means there are more than one of them. The first one to develop a cure makes money off of it, the rest stop making money off of treatments for the symptoms. There is more money to be made as the only one with the cure than there is as one of many treating symptoms.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    13. Re:Nice by Antique+Geekmeister · · Score: 1

      Not for the company that comes up with the cure, or a vastly better treatment. The existing treatments are all tied down with numerous patents, as are the glucometers. The diabetes associations have a lot of older, powerful people with Type 2 diabetes who will take anyone caught doing that kind of obstruction and have their guts for garters.

    14. Re:Nice by east+coast · · Score: 1

      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.

      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 brilliant business model. Think about it.

      --
      Dedicated Cthulhu Cultist since 4523 BC.
    15. Re:Nice by Ksisanth · · Score: 1

      In addition to what the OP said, while the patent on Humulin expired in 2001 (the Novolin patent expired in 2002, I think), the regulatory hurdles for biogenerics have been conveniently increased to keep others out of the market, at least in the US. The ANDA process for FDA approval of generics doesn't apply to biogenerics, and the biotechs have been lobbying to make sure that they will have to go through lengthy, costly testing to get that approval. Last I checked, Congress hadn't yet even introduced the legislation for biogenerics, so it'll be in limbo until then anyway.

      Thus insulin, and not just the newer patent-covered analogs, continues to be a tremendous cash-cow, as it has been since the synthetics were introduced. Drs. Banting and Best sold the original patent to Lilly for $1, btw. Improvements continued to be made, new patents granted, but insulin continued to be relatively cheap. When the human rDNA insulins were first marketed, they said that it would be much cheaper because it's cheaper to produce. The price quickly began to soar, though, as animal-source insulin was removed from the market.

    16. Re:Nice by pokerdad · · Score: 1

      as opposed to insulin, which is no longer patented (if it ever was).

      My understanding is that Banting 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.

    17. Re:Nice by N1ck0 · · Score: 1

      Exactly why our friends over at Pfizer created Exubera.

      Why sell insulin in a competitive market when you can get government protected monopoly.

    18. Re:Nice by Anonymous Coward · · Score: 0

      the best treatment for diabetes is to eat so that you won't get it or, at the very least, minimize the chance that your diet, combined with your genetics, will create type ii diabetes.

      i keep harping on this and folks will keep ignoring it, but the zone diet attacks about every predictor of type ii diabetes...

      type ii diabetes is associated with being overweight - i weigh 162 lbs at 5'11" and over 40 years old (i've lost over 16 lbs on the zone since june. the reason why i only weighed 178.5 lbs is because i have semi used the zone to control my weight for the last decade.

      my tg/hdl is well below 1 (the american average is 3.3). my resting heartbeat has dropped from a steady steady 68 to the low 50s since june (due to both diet and exercise as my diet maximizes my energy, enabling lots of good workouts, and then my diet allows my body to efficiently handle the effects my workouts).

      the first thing you notice while working out on the zone is you don't get that nasty lactic acid soreness in your muscles. i lifted weights to exhaustion for the first time in 20 years - and i could've done it again the next morning because i wasn't sore b/c my body didn't over produce lactic acid.

      more information can be found here...

      http://drsears.com/zoneresearch.page

      San Antonio Type II Diabetic Study

      http://drsears.com/zoneresearchdetailopen.page?zoneResearchID=1

      Note: notice the TG/HDL ratio for the diabetics... they average 3.7 to 4.7. being on the zone has kept me well below 1. my risk of getting a chronic disease like diabetes or heart disease is dramatically reduced due to my balanced and moderate diet.

      Study Shows Zone Diet Trounces AHA Diet

      Note: in his comments dr sears says the 40/30/30 dieters lost 260% more fat than the AHA dieters, but his math is wrong. they actually lost 160% more fat. it is 2.6 times the amount of fat lost, but dr sears used the word "greater" and that isn't right.

      the diet close to the zone again trounced a high carbohydrate diet.

      http://drsears.com/zoneresearchdetailopen.page?zoneResearchID=5

      i love my diet - i eat lots of fruits and veggies and i can eat anything at all as long as i eat smaller portions of dense carbs. i eat lean protein at every meal and snack and i've grown to absolutely love the monounsaturated fat that i eat at every meal (peanuts, almonds, macadamia nuts, hummis, olive oil, salad dressing, etc...

      diet typically plays a huge roll in the formation of type II diabetes and many people have avoided taking or been able to stop taking medication due to improved blood work readings.

      oh, and my cardio capability has literally exploded and i've added at least 3 new pounds of lean body mass since started the zone.

      yes this diet is too good to be true. moderation, balance, reasoned... all producing exceptional results. it is too good to be true.

      but it is true - my six pack* at 41 years of age - just 4 months since ending my drought of zero exercise for 2 years - is proof of that.

      *my six pack is already showing, although it can imporve a bit as the muscle get bigger (thanks, zone!) and the fat melts off (thanks, zone!). i will be ripped after i lose about 30% of what i've already lost in the last 4 months. i tried and failed to reach my current state of the six pack over 20 years ago and crashed and burned due to the typical crappy high carb diet.

      moderate carb, moderate protein and moderate fats is the only way to go. it should be more obvious.

    19. Re:Nice by Have+Brain+Will+Rent · · Score: 1

      This also wouldn't be the cause of all Type 2 diabetes by a long shot. Much of type 2 is actually insulin resistance not lack of insulin production. The body makes the insulin but doesn't respond to it with the sensitivity of a normal person. Only Type 1 is always low or no insulin production - which arises because the cells in the pancreas are being killed off or inhibited. There has been recent research showing that that may be an inflammatory response.

      Diabetes is one of those diseases that is defined by the symptoms not an underlying mechanism. Like AIDS was until consensus became that it was caused by HIV. If you look at the diagnostic criteria for type 2 diabetes it is solely defined in terms of how much blood sugar you have in your blood at a particular instant in time. That's it - no mention of insulin or anything else - just what your blood glucose levels are under certain conditions. You can get diagnosed as diabetic and then drop 20 lbs of body weight and never again show those same glucose levels for the rest of your life - but you will still be labelled as having diabetes for the rest of your life. That has a lot of repercussions on your ability to get health coverage, insurance etc.

      --
      The tyrant will always find a pretext for his tyranny - Aesop
    20. Re:Nice by Anonymous Coward · · Score: 0

      Excuse me, but the American Diabetes Association is not run by PWD, they get most of their money from big pharma and the rest from the junk food industry.

    21. Re:Nice by Cretin+de+Troyes · · Score: 1

      Oh, so nationalizing an industry ensures accessibility for people? Sheesh, how more naive can that assumption get?

      --
      Artificial Intelligence is preferable to Natural Stupidity.
    22. Re:Nice by djasbestos · · Score: 1

      At least the government does not have a legitimate incentive for profit. The more people who are permanently healthy, the less expenses the .gov has (which is ideal for it). With privatized pharmaceuticals, companies' incentive is to keep people buying their products...that is, never cure a disease, only treat it.

      Not to mention that you shouldn't have to afford to not suffer from a painful/fatal nontransmissible disease over which you have no control, such as MS or Lupus.

      Are there some people in the corporate world who want to cure disease instead of treat it? Yes. But I don't have much faith in most of humanity, and only slightly more in the government than in the private sector. I hold my opinion out of both idealism and cynicism. Who is naive now?

    23. Re:Nice by Cretin+de+Troyes · · Score: 1

      As much as I agree with you that from a normative standpoint it makes more economic sense for the goverment to ensure the health of its citizens, this might never be the case. You seem to assume that there exists a clear-cut separation between government and corporations. Allow me to disabuse you of such an unbecoming misconception with a few well-known examples:

      This article mentions Donald Rumsfeld's role, as former COO of G.D Searle (the makers of Aspartame, a well-known cancerigen) in not only avoiding the indictment of the company on charges of misrepresenting findings and concealing facts about aspartame's effects but in "persuading" the FDA under Reagan's administration to approve aspartame for human consumption. You might have noticed that Rumsfeld eventually went on to become Secretary of Defense (again) under President G.W. Bush.

      A brief perusal of the wikipedia entries for other relevant members of Bush's cabinet will show their close ties to the corporate sector, particularly in strategic areas such as energy (cf. Dick Cheney or Condoleezza Rice, who even had an oil tanker named after her as a token of gratitude from Chevron.) This argument can nevertheless be extrapolated to other public officials of previous and present administrations, both in the US and most other countries for that matter.

      Stemming from a common misconception (what I think Weber called the 'holistic vision' of the State, i.e. the State as a monadic, discrete entity), the notion that, as you write "the government does not have a legitimate incentive for profit" is, at best, incorrect. It might not be "legitimate" inasmuch as normative thinking would (dis)allow, but that does not make it any less real. You would probably be hard pressed to find an instance in history where a monopoly or an economic crisis was not created with the collussion of government.

      --
      Artificial Intelligence is preferable to Natural Stupidity.
    24. Re:Nice by djasbestos · · Score: 1

      This is true, but I still stand by my statement and would add "death penalty for such abusers of fiduciary trust as actors for the government." Its caveat is that such a nationalized program would be instituted ethically and in a balanced, controlled manner, but that's a bit too much to ask of Washington, I suppose.

      I can understand a pragmatic criticism of that solution on the grounds you listed, as the government is (now more than ever, or maybe I *am* naive and it's just the same as it's always been) corrupt as fuck. Assuming viable, reliable, and fully-toothed oversight programs were put into place to mitigate such disgusting abuses of power, THEN my solution would be practical.

      By legitimate, I meant by definition, the government should not strive to make a profit...it should (ideally) be a zero balance, and its agents are not ethically or morally justified in "skimming off the top". Which, as you noted, is the case.

      I just thought were one of those militantly laissez-faire capitalist assholes. My bad.

      Then again, is the sustained privatized system any better?

  2. Said one researcher to the other... by SterlingSylver · · Score: 2, Insightful

    "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?"

    1. Re:Said one researcher to the other... by ozmanjusri · · Score: 4, Informative
      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 Garvan Institute is a non-profit organisation. They do patent discoveries, but any income earned is used to fund other research projects.

      --
      "I've got more toys than Teruhisa Kitahara."
    2. Re:Said one researcher to the other... by paulpach · · Score: 2, Insightful

      "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:
      1. Current patent system: Someone discovers this, protects it with patents, and locks it up for a few years
      2. No patents for medical advances: Why would anybody spend any money on research if someone can come along and reproduce the formula? Philanthropy money is very limited. You really need the big capitalist bucks to back research or nothing significant will ever be discovered. You need to provide some sort of economic incentive if you want people to invest in research, and that is why patents exist
      3. Goverment sponsored research: The problem with this system is that the government has no incentive whatsoever to be efficient. If they used the money to give away medicine rather than research, they would get more votes. Moreover, some of the most promising research like steam cell, are so controversial that most politicians would steer clear from it. This also opens the door for religion to influence research since the vast majority of voters belong to some religion.
      The absolute best system is one where helping people and researching is in your best economic interest. A system where by healing someone you make a profit. This way money will naturally flow towards health care. Of the three alternatives, patents is the one that is closer to that. If you can come up with another system, I would love to hear about it.
    3. Re:Said one researcher to the other... by Anonymous Coward · · Score: 0

      You really need the big capitalist bucks to back research or nothing significant will ever be discovered.

      And thanks to those big capitalist bucks, 90-year-olds can once again pop a woody.

      When it comes to production of goods, what happens when neither centralized government control of the market nor capital control of the market is capable of producing a desirable outcome?

    4. Re:Said one researcher to the other... by Alzheimers · · Score: 1

      Just like the X-Prize: A bounty system.

      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 incidental or unrelated discoveries into the public domain for peer review.

      This will remove the pharmaceutical companies from the research phase and make them focus on the manufacturing and testing of better, safer drugs. The manufacturing processes may be patented for a limited time (5 years) before entering the public domain but the individual components may not be protected. All drugs must still be vetted through the FDA before they can be sold. Competition will keep prices down, while opening niche markets to smaller companies. Imported drugs are allowed to be sold here if the company holds the U.S. manufacturing patent or if the process is in the public domain, with appropriate tariffs at customs.

    5. Re:Said one researcher to the other... by paulpach · · Score: 1

      what happens when neither centralized government control of the market nor capital control of the market is capable of producing a desirable outcome? Neither centralized government control or capital can make you fly like superman either. What is your point?
    6. Re:Said one researcher to the other... by darkfire5252 · · Score: 1

      Can you imagine the budget we'll get when we lock up this discovery so that no one else can cure diabetes but us?

      There, fixed that for ya.

    7. Re:Said one researcher to the other... by catman · · Score: 1
      And thanks to those big capitalist bucks, 90-year-olds can once again pop a woody.

      (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. A lot like Peptide-7 in the Arthur Hailey novel Strong Medicine, developed to improve mental capacity in the elderly and having the nice side effect of improving their sex lives... Serendipity :-)

  3. Researchers just don't get it by benzapp · · Score: 1, Interesting

    Your body constantly works to maintain equilibrium of all functions. The is a reason Type 2 diabetes almost exclusively occurs in gluttonous people, and is virtually unknown in countries where food is comparatively expensive and scarce. 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 is no different than people who drugs or alcohol. Using drugs or alcohol long term results in your body assuming that is "normal" and it stops producing similar chemicals, which drugs mimic. When you stop using drugs or alcohol, withdrawal symptoms result until your body readjusts.

    This particular enzyme is the way your body controls this behavior in regards to insulin, it is not the "cause".

    --
    I don't read or respond to AC posts
    1. Re:Researchers just don't get it by JamesP · · Score: 0, Troll

      Thanks

      Type 2 diabetes == being a lard ass

      It's not that difficult

      And now, look, they have a drug to fix it!!! ... NOT!

      Way to go people...

      --
      how long until /. fixes commenting on Chrome?
    2. Re:Researchers just don't get it by ypps · · Score: 2, Informative

      Let me be the first to inform you that the number of countries where food is expensive and scarce has declined to a point where you can almost count them on the fingers of your two hands. Over-eating is a major problem in the poor world. Poor people are more likely to have serious problems, which means that they are more likely to eat for comfort. Also, poor people are more likely to have less knowledge about good nutrition.

      Diabetes is on its way to becoming a poor man's disease. A cheap medicine against diabetes might do miracles for people in the developing countries a couple of decades from now.

    3. Re:Researchers just don't get it by moseman · · Score: 0

      Well then. We should really ramp up corn-based ethanol production so food in the USA will be scarce and expensive too. We can then let the rest of the world starve to death thereby lowering man's demand on the environment.

      Or maybe we should elect some good socialists (like Hillary) who will have the guts to force all the "gluttonous" people to go on diets of tofu and water.

      --
      Those who cannot remember the past are condemned to think "profiling is worse than the slaughter of innocent people..."
    4. Re:Researchers just don't get it by CorporalKlinger · · Score: 5, Insightful

      Unfortunately, you've got this wrong. Type II Diabetes is a failure of equilibrium functionality, not a case of hyperactivity of equilibrium mechanisms in the body. The body works to maintain equilibrium by releasing insulin following consumption of a meal, which in turn tells the cells of the body (primarily skeletal muscle cells) to take up glucose from the bloodstream. Type II diabetes, at its core, is a syndrome of insulin resistance, not a syndrome in insulin insufficiency. The skeletal muscle cells become less attentive to insulin signalling and refuse to take up glucose from the bloodstream in response to normal insulin levels within the body. The pancreas attempts to compensate by up-regulating the insulin thermostat, producing more and more insulin to try to get the muscles to respond by taking up the glucose. Glucose, if not taken up rapidly by the body's cells, can be harmful as it results in glycosylation of proteins all over the body (including in hemoglobin, in the form of HbA1C, which is a useful marker for long-term diabetes management analysis). The muscles become less willing to respond to the increased doses of insulin produced by the pancreas. Eventually, if not managed carefully, the pancreas may "burn itself out" - producing sub-normal levels of insulin, causing a type II diabetic to become insulin-injection dependent.
       
      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.

    5. Re:Researchers just don't get it by LWATCDR · · Score: 1

      "The is a reason Type 2 diabetes almost exclusively occurs in gluttonous people"
      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 down. But my doctor was shocked that I had it when it was discovered. I was ridding my bike 10 miles a day, had been a vegiterain for two years and was only 35 years old.
      I think you will find that people attribute type II diabetes to the sin of gluttony are exclusively arrogant and ignorant.

      --
      See my blog http://ilovecookes.blogspot.com/ for light hearted technical information.
    6. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      I know people with type 2 diabetes who are not gluttonous individuals at all..
      so your theory doesn't hold water,sorry.

    7. Re:Researchers just don't get it by Hoi+Polloi · · Score: 1

      It isn't just a genetic predisposition. There is a proven link between obesity and type 2. It may simply be a matter of body mass or fat cell signals or both. That said some people do have it in their families. My grandfather died of it, my mother has it (skinny, eats like a bird), and my brother has it (athletic). Fortunately I had a diabetes specialist as a primary physician who made sure I was tested and never saw signs of it so I think I dodged the genetic bullet.

      --
      It is by the juice of the coffee bean that thoughts acquire speed, the teeth acquire stains. The stains become a warning
    8. Re:Researchers just don't get it by Frankie70 · · Score: 3, 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.

    9. Re:Researchers just don't get it by Scubaraf · · Score: 2, Informative

      Klinger you're right on the ball. I logged in to say exactly what you did. Type II diabetes is a failure of insulin signalling at the target tissues (liver, fat, muscle). Some people, particularly those exposed to high levels of insulin over a prolonged period (think fat or refined sugar eaters), downregulate the way their tissues respond to insulin. This means they are less effective at clearing glucose from the blood. To compensate for the elevated glucose levels, the pancreas secretes more insulin. At some point, the pancreas can no longer secrete enough insulin to lower the blood sugar and diabetes is diagnosed. In fact, the disease process had been ongoing for months to years prior to the person having high blood-sugar levels. Since islet cell shut down in the pancreas is one mechanism by which insulin levels become insufficient, an inhibitor of PKCepsilon may prevent this form happening. The diagnostic criteria of elevated blood-sugar may then not be recahed and, in that sense, a case of diabetes prevented or delayed. The underlying insulin resistance syndrome will still persist, therefore this drug does not treat the ultimate cause of Type II diabetes. As a pill, it would be a perfect drug company product. It would replace an injectable, need to be taken lifelong, used for a disease that is rapidly rising in incidence, and the drug would be patentable ($$$). The caveat is that PKC is a fairly important kinase. Off-target side effects could be prohibitive to drug development.

    10. Re:Researchers just don't get it by LWATCDR · · Score: 2, Interesting

      "It isn't just a genetic predisposition. There is a proven link between obesity and type 2. "
      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 around the middle do!
      Yes it is a genetic predispositions. With a very good diet and exercise if you have that disposition you may put it off until old age or maybe never. But there are many genetic issues that can helped by lifestyle changes and not just diabetes. That is why it is a predisposition. Depending on the gene load it may be treatable with just diet and exersice or it may not be.
      But to blame it on gulttiony is ignorant and cruel.

      --
      See my blog http://ilovecookes.blogspot.com/ for light hearted technical information.
    11. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      I'm glad you said "almost". There are ways to become type-2 without being an over-eater. I, for one, was (relatively) healthy when a rogue gallstone blocked the outlet from the pancreas to the GI tract. The enzymes in the pancreas usually don't become active until they're in the tract and the constantly flowing mucous protects the walls of the intestines from it.
      Unfortunately the enzymes activated within the pancreas and ate their way out (these things have a pH of 1, slightly stronger than battery acid). Destruction of a large part of your pancreas (along with most of the large intestine and the islets that produce insulin) is a quick way to type-2 that has nothing to do with being a lard-ass (or lard-arse in my country). If anyone's looking for a quick way to lose 30kg in several weeks, and isn't overly worried by intense pain, I'd suggest this is a good way to go :-).

    12. Re:Researchers just don't get it by HikingStick · · Score: 2, Informative

      For those looking for the Cliff's Notes version of the parent:

      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]

      --
      I use irony whenever I can, but my shirts are still wrinkled...
    13. Re:Researchers just don't get it by CorporalKlinger · · Score: 1

      Sorry, I know I can be verbose sometimes. You got the summary right on the ball. :-) Thanks HitchingStick.

    14. Re:Researchers just don't get it by CyberZen · · Score: 1

      Necrotizing pancreatitis? Ouch.

    15. Re:Researchers just don't get it by juniorkindergarten · · Score: 1

      The is a reason Type 2 diabetes almost exclusively occurs in gluttonous people, and is virtually unknown in countries where food is comparatively expensive and scarce.
      That's a pretty big (and wrong) supposition on your part.
      I probably know an equal amount of skinny people and fat people on insulin.
      If you did a little research you would find that diabetes is directly proportional to the amount of refind sugar a person eats. For example, as sugared soda-pops were introduced into countries in the late 1800s adn early 1900s, it was discovered that a short time (5-10 years) later the amount of cases of diabetes increased. If you wish to check, read Dr. Atkins New Diet Revolution, the papers are cited there.

      So let me correct what you said... The is a reason Type 2 diabetes almost exclusively occurs in "rich western countries" and is virtually unknown in countries where junk food is expensive.

      So enjoy that Jolt Cola with your morning fruit loops!

      --
      "Every security scheme that is based on secrets eventually fails." - Steve Jobs
    16. Re:Researchers just don't get it by bughunter · · Score: 1
      As a type 2 diabetic (without mod points today) who has eaten healthy (can has occasional cheezburger), I profusely thank you for your insightful and informative post. I came in here to ask a technical question about the article and was really disappointed to find all the stereotype-driven hate and disgust dominating the higher rated comments... From a (supposedly intelligent) crowd that prides itself on its four major food groups of sugar, caffeine, alcohol, and salt. The irony is not funny, just sad...

      My question was: I was told I was insulin resistant, and that my body is not efficiently using the insulin it creates. I take Actos, which supposedly improves this efficiency, and glipizide during hyperglycemic episodes, to force my pancreas to overproduce insulin. How does finding an insulin production problem help an insulin resistant type 2 diabetic?

      --
      I can see the fnords!
    17. Re:Researchers just don't get it by nbauman · · Score: 2, Informative

      That's right. My understanding is that diabetes type II is not a problem of the pancreas producing too little insulin, but of the muscle cells and fat cells not responding to insulin properly. But that's not what the investigators are saying. http://www.garvan.org.au/news-events/news/solving-a-critical-part-of-the-insulin-puzzle.html

      Interestingly, the journal Cell Metabolism http://www.cellmetabolism.org/ which published the Australian paper http://www.cellmetabolism.org/content/article/abstract?uid=PIIS1550413107002574 has another article in the current issue http://www.cellmetabolism.org/content/article/abstract?uid=PIIS1550413107002598 by Chinese scientists about another protein, SIRT1, which regulates insulin resistance by the target cells.

      Cell Metabolism, Vol 6, 320-328, 03 October 2007
      Short Article
      Inhibition of PKC? Improves Glucose-Stimulated Insulin Secretion and Reduces Insulin Clearance

      Carsten Schmitz-Peiffer,1, D. Ross Laybutt,1 James G. Burchfield,1 Ebru Gurisik,1 Sakura Narasimhan,1 Christopher J. Mitchell,1 David J. Pedersen,1 Uschi Braun,2 Gregory J. Cooney,1 Michael Leitges,2 and Trevor J. Biden1,

      1 Garvan Institute of Medical Research, Sydney, NSW 2010, Australia
      2 Biotechnology Centre of Oslo, University of Oslo, Oslo N-0317, Norway

      Corresponding author
      Carsten Schmitz-Peiffer
      c.schmitz-peiffer@garvan.org.au

      Corresponding author
      Trevor J. Biden
      t.biden@garvan.org.au

      Summary

      In type 2 diabetes, pancreatic ? cells fail to secrete sufficient insulin to overcome peripheral insulin resistance. Intracellular lipid accumulation contributes to ? cell failure through poorly defined mechanisms. Here we report a role for the lipid-regulated protein kinase C isoform PKC? in ? cell dysfunction. Deletion of PKC? augmented insulin secretion and prevented glucose intolerance in fat-fed mice. Importantly, a PKC?-inhibitory peptide improved insulin availability and glucose tolerance in db/db mice with preexisting diabetes. Functional ablation of PKC? selectively enhanced insulin release ex vivo from diabetic or lipid-pretreated islets and optimized the glucose-regulated lipid partitioning that amplifies the secretory response. Independently, PKC? deletion also augmented insulin availability by reducing both whole-body insulin clearance and insulin uptake by hepatocytes. Our findings implicate PKC? in the etiology of ? cell dysfunction and highlight that enhancement of insulin availability, through separate effects on liver and ? cells, provides a rationale for inhibiting PKC? to treat type 2 diabetes.

      Cell Metabolism, Vol 6, 307-319, 03 October 2007
      Article
      SIRT1 Improves Insulin Sensitivity under Insulin-Resistant Conditions by Repressing PTP1B

      Cheng Sun,1 Fang Zhang,1 Xinjian Ge,1 Tingting Yan,1 Xingmiao Chen,1 Xianglin Shi,1 and Qiwei Zhai1,

      1 Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Graduate School of the Chinese Academy of Sciences, Shanghai 200031, China

      Corresponding author
      Qiwei Zhai
      qwzhai@sibs.ac.cn

      Summary

      Insulin resistance is often characterized as the most critical factor contributing to the development of type 2 diabetes. SIRT1 has been reported to be involved in the processes of glucose metabolism and insulin secretion. However, whether SIRT1 is directly involved in insulin sensitivity is still largely unknown. Here we show that SIRT1 is downregulated in insulin-resistant cells and tissues and that knockdown or inhibition of SIRT1 induces insulin resistance. Furthermore, increased expression of SIRT1 improved insulin sensitivity, especially under insulin-resistant

    18. Re:Researchers just don't get it by Artifakt · · Score: 5, Informative

      I'm a 50 year old type 2 diabetic. I weigh 210 lbs, have a 34 inch waist, and stand 6'1", can bench press more than my body weight, and run an average of 12-14 Miles/week. Even in this condition, I have to use an oral medication (Glucophage) to fully control my blood sugar.
          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.

      --
      Who is John Cabal?
    19. Re:Researchers just don't get it by Frank+T.+Lofaro+Jr. · · Score: 1

      Because insulin resistance alone doesn't cause type 2 diabetes. Your beta cells need to fail to produce enough insulin to overcome the resistance for it to become diabetes.

      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 all one did; production would still not be enough or keep declining until it was too low.

      Fixing both problems will be best.

      --
      Just because it CAN be done, doesn't mean it should!
    20. Re:Researchers just don't get it by Frank+T.+Lofaro+Jr. · · Score: 1

      You don't really have "type 2", at least in the US you wouldn't be considered to. The treatment may be similar, but you would be said to have "other type" diabetes.

      --
      Just because it CAN be done, doesn't mean it should!
    21. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      Hey I am not a lard ass, u insesitive clod. I am in my 30s and was recently diagnosed with Type 2 diabetes. I had no symptoms whatsoever, just happened to find elevated blood sugar levels during a health check at work ( we get paid 50 bucks for having ourselves checked ;) ) . I have never been overweight, exercise regularly. I do a lot of strenuous hiking, have hiked the Grand Canyon non stop Rim-To-Rim every year for the past decade in addition to several backpacking trips into the Canyon. So screw you for calling me a lard ass and oh yeah I welcome the news of the new research.

    22. Re:Researchers just don't get it by nbauman · · Score: 1

      A doctor friend of mine just called me to talk about computers, so I asked him about this.

      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.

    23. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      Bullshit. I developed diabetes after 20 years of restricting my sugar intake due to hypoglycemia. If anything, my diabetes was triggered by drinking too much orange juice, which has NO refined sugar. Here's a different theory: if you have a genetic disposition to insulin resistance, you're probably going to get type II diabetes at some point in your life. Granted, obesity and excessively sugar intake may speed up the process, but managing your food intake and exercise is NO guarantee that you won't develop diabetes.

    24. Re:Researchers just don't get it by db32 · · Score: 1

      Very good point, very well said. I wish I had mod points for you today. I love how some stupid slashdot pundit can comment how a room full of PhDs and such "don't understand" a disease but they do. Arrogance of an unfathomable level. I would pay so much to see any of the clowns in this thread stand in that room and tell these guys "they don't get it".

      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 way "Hooah" is HUA and it belongs to us. :P

      --
      The only change I can believe in is what I find in my couch cushions.
    25. Re:Researchers just don't get it by HikingStick · · Score: 1

      Wow, thanks for the compliment. I, too, tend to get very verbose--it can be a struggle to be concise when conveying my own thoughts, but it always is easier to summarize the thoughts of others.

      --
      I use irony whenever I can, but my shirts are still wrinkled...
    26. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      There is fundamentally no difference between "refined" sugar and starch. Starch is in fact more rapidly converted into glucose than is table sugar.

    27. Re:Researchers just don't get it by JamesP · · Score: 1

      Sorry for being rude, your post is quite enlightening

      Even though 225lb at 6'1 is overweight (of course, by your text you come off as a 'big guy'), it is much less than several people with T2D.

      And, as somebody said, 95% of cases of type 2 comes from being obese.

      Hope this news is what is going to help you.

      --
      how long until /. fixes commenting on Chrome?
    28. Re:Researchers just don't get it by Maxo-Texas · · Score: 1

      Agreed.

      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.

      --
      She was like chocolate when she drank... semi-sweet at first and then increasingly bitter.
    29. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      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.

      regarding the lactic acid based soreness - this is typical of high carbohydrate diets. when i was on one, i would get that nasty soreness. however, when i'm on the zone diet (designed to prevent diseases like heart disease and type ii diabetics), i don't get that soreness. due to a nerve injury, i didn't lift weights at all for 20 YEARS. i finally decided to workout and did so to exhaustion. my body didn't over produce the lactic acid and i didn't get that nasty soreness.

      diet plays a HUGE role in the soreness you talk about.

      (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!).

      i've carried my own burden (nerve damage) for almost the entirety of my adult life. i can't understand your situation, but i *highly* recommend the zone diet. it is the single biggest contributor to my quality of life. it is *HUGE*.

      here is a study that shows the kinds of results the zone offers type ii diabetics:

      http://drsears.com/zoneresearchdetailopen.page?zoneResearchID=1

      they are pretty amazing. sign up for http://drsears.com/welcome.page , go to lifestyles, testimonials, archives... here's a sample of the testimonial titles:

      The Zone saved me from injections
      The Zone helped him avoid statins
      She's diabetes free
      It's a miracle! (pre-diabetic avoids diabetes)
      End of the road for diabetes
      Zone keeps diabetic off medication
      Zone nips Type 2 diabetes in the bud
      Diabetic now free of insulin injections
      Threat of Diabetes guides her to the Zone

      these is just the diabetic testimonial headlines. there are tons of other issues resolved by the zone, too.

      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.

      fortunately, this isn't true. it is not about "deserving," it is about what is. 2 doesn't deserve to be 1 + 1. it just is.

      if you eat a high carb diet and stress your body under a high glycemic load over decades, the probability of you getting type ii diabetes goes up DRAMATICALLY.

      it. just. is.

      i'm 5'11" and 162 lbs (and dropping - i have about 5 lbs to go before my 6 pack is ripped). my tg/hdl is significantly less than 1. my resting heartbeat is 50 (i've only been exercising for 4 months after taking 2.5 years off). i'm in my 40s.

      my risk of getting type ii diabetes is extremely small compared to my 5'8" 210 lb friend. it doesn't matter that he's incredibly athletic with unreal quickness and very good strength. he consistently applies a MASSIVE glycemic load on his body day after day - and it takes its toll on him.

      does he deserve diabetes? no. but he might still get it and the difference between dying from diabetes and not even getting

    30. Re:Researchers just don't get it by El_Oscuro · · Score: 1

      I had been in the army about 9 years when I started getting thirsty and having to go to the bathroom all of the time. I also lost 20 pounds in about a month, which was a lot considering I was already skinny. After a few months of this, I finally went to sick call after almost passing out after playing about 5 minutes of basketball. The dumbshit doctor advised to eat more food and come back in 2 weeks if I didn't feel better, even though I had (unknowingly) read him the classic symptoms of diabetes right out of the book. I said "shouldn't you give me some sort of test, make sure nothing is wrong?" Grudgingly, he took a blood test. A few days later, I got a call from Walter Reed saying my blood sugar was 465 and I needed to come in immediately.

      At Walter Reed, they determined I had adult-onset type-1 diabetes and prescribed insulin. My body responded well, and soon my blood sugar was in the 100-160 range. Life was good, and I pretty much put my diabetes on auto-pilot. Big mistake. I took my insulin daily and never skipped doses, but didn't really monitor it otherwise. Very gradually it got worse without obvious symptoms until my blood sugar was in the 200-300 range, and I didn't know it.

      These days, I am on a sliding scale and take 2 different types of insulins. I have to take at least 5 shots a day and test my blood sugar at least as often. I have been in the emergency room twice for low blood sugar. My blood sugar can go from 100 to 400 in an hour if I eat the wrong food, and I avoid the obvious wrong foods like sweets and such. Despite such difficulty in controlling blood sugar, my 3 month average is only 6.5

      If you have either type of diabetes, test your blood sugar daily, even if you thing everything is fine. $30/month isn't really that much. Do it daily, and get the 3 month test done regularly. If eating a certain food hoses your blood sugar, stop eating it. Just keep an eye on it. You can't count on your doctor to do it.

      --
      "Be grateful for what you have. You may never know when you may lose it."
    31. Re:Researchers just don't get it by Artifakt · · Score: 1

      Not realizing how bad it's getting is common - Mary Tyler Moore found out she was Type 2 when her initial test came back 775. Her doctor said "Don't take this wrong, but how come you're not dead?". You have it tougher with Type 1, as levels can change so fast. Plus, at 5 shots a day, you're probably putting some real wear and tear on your abdomen - I never had to do more than 2 at a time.
            I test every morning before eating anything, and do a second sample 2 hours after a meal, every other day. If I feel off for any other reason (like the flu), there's extra testing to make sure it's not diabetes related. There is one study from last year that says people in my particular category can probably cut back to maybe 3x a week, but I'm not going to consider it unless some more studies confirm it. If you're testing 5 times a day, I'll bet there are tiny black dots all over the sides of most of your fingers - you can never really catch up at that level - you're constantly looking for a fresh spot, etc.

      --
      Who is John Cabal?
    32. Re:Researchers just don't get it by Rich0 · · Score: 1

      I'm not sure I completely buy the charts. Granted, I'll admit that I'm overweight, but the charts are often SO far below what my weight was when I looked pretty normal that they practically represent emaciation - at least for my build.

      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 to say that the disorder that makes somebody prone to diabetes doesn't also make somebody prone to gaining weight.

      Sure, in theory losing weight is just about willpower - in theory. The problem is that there is a lot more to it in practice. Some folks don't even have to try to maintain a trim figure. They have high metabolisms, or they just don't feel as hungry. Others feel like they're suffering torture just to try to lose a few pounds a week.

      I wouldn't be surprised if you could influence your body temperature with careful and deliberate action - however you'll end up driving yourself crazy if you try to influence it to any degree. Your body has a setpoint and a whole slew of regulatory mechanisms that will attempt to maintain it despite your willful action. In the same way I think that people have setpoints with regard to weight that for whatever reason get messed up. Sure, there is a large behavioral component, but the behavior is also driven by natural wiring. It is like asking a guy not to think about sex for a week - sure it is just behavioral but good luck getting it to happen.

      I think that eventually we'll understand the mechanisms the body uses to maintain weight and as a result we'll find better ways to help people maintain a particular weight. That might involve drugs, or maybe some kind of conditioning - or who knows what.

    33. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      There may be other drugs and other strategies that will slow the progression of your disease. I wouldn't take either one of those drugs without a gun pointed at my head.

      http://www.phlaunt.com/diabetes/

    34. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      Orange juice is sugar, that's why PWD drink it to raise their blood sugar when they've taken too much insulin. There is probably more sugar in orange juice than there is in Coke. It makes no difference that the sugar was put there by mother nature instead of ADM.

    35. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      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 to say that the disorder that makes somebody prone to diabetes doesn't also make somebody prone to gaining weight.

      Insulin resistance causes more insulin to be produced. Insulin causes weight gain because it mops up as much blood sugar as it can and stuffs it into the fat cells as triglycerides instead of into your muscle cells as glycogen, causing blood sugar levels to drop and slowing recovery after exercise. Fluctuations in blood sugar causes hunger. If you're hungry a lot and exercise wears you out, why wouldn't you get fat? High levels of insulin increase insulin resistance. Hypoglycemia often precedes diabetes like a pre-pre-diabetes. At diagnosis some type 2s are producing 5 times the normal amount of insulin with only half the normal number of ß-cells but it's no longer enough to overcome the IR.

      The lines between the different kinds of diabetes are starting to blur. Besides types 1 & 2 there are different types of MODY, maturity onset diabetes of youth (some are prevalent in thin people) and LADA, latent autoimmune diabetes in adults, (sometimes misdiagnosed as type 2 because of the slow onset and sometimes different antibodies than type 1.) Some people seem to have more than one type at the same time. Even your garden variety type 2 is different from your neighbors type 2 because there may be different genetic defects behind the IR and the loss of pancreatic function. There is even some research hinting that your Grandmother's diet while pregnant with your mother has an effect on your IR and pancreas.

    36. Re:Researchers just don't get it by Anonymous Coward · · Score: 0

      high-fat-diet-induced insulin resistance

      High-fat diet indeed. When will the low fatters give it up. Fat does not fuck up carbohydrate metabolism. Carbohydrate fucks up fat metabolism.
      http://www.ajcn.org/cgi/content/full/86/2/276
      http://www.nutritionandmetabolism.com/content/2/1/21

  4. Hmm... by DiannaoChong · · Score: 5, Insightful

    Seems like whenever the thought of "a Cure" or extremely important treatment comes up, its always 10 years away. When I first got type 1 diabetes they estimated that a cure would be ready in 10 years (This is 10 years ago), and my doctor also promptly told me that that is what they had said 10 years earlier. Every year now or so if I bother to try and keep up on whats new with diabetes, all I see is "d00dz 10 years till we got us a cure!". Diabetes, keeping funding and grants in pockets of people 10 years at a time, for the past 40 years.

    1. Re:Hmm... by obergfellja · · Score: 0

      that is true for not just diabetics but other body related issues. The pharmacy companies are not going to jump up and onto something that could cut their cash cow. That is why you see companies like Lilly Co. pressing to keep a certain drug in their grasp. (ie. prozac).

      I know that example is not with diabetics but that is one of the many examples of these drug companies trying to make money. Sure, there is the select few within each company who solely do it for the benefit of mankind, but not the overall corporations. I know that I am flaming the corps here, but the truth is out there, and the facts are there for your eyes to view. Take it or leave it.

    2. Re:Hmm... by moseman · · Score: 0

      A corporation's sole function is to make money for it's share holders, and to do it within the law. Compare the number of drugs made by corporations to those made by the public sector. Yes the public sector does a lot of research which benefits the drug companies, but R&D, drug studies, manufacturing, and lawsuit "taxes" COST A LOT.

      --
      Those who cannot remember the past are condemned to think "profiling is worse than the slaughter of innocent people..."
    3. Re:Hmm... by maxume · · Score: 1

      There are huge incentives for cures. Millions of people multiplied by thousands of dollars for a one time cure is billions of dollars. Some money somewhere will chase after opportunities like that, entrenched "pharmacy" companies be damned.

      --
      Nerd rage is the funniest rage.
    4. Re:Hmm... by Anonymous Coward · · Score: 0

      Cure: Thousands of dollars, say $5000 for sake of argument.
      Treatment: Fair amount each month, say $50.
      If they live with treatment for 10-20-30 years, the treatment will be many times that.

    5. Re:Hmm... by maxume · · Score: 1

      And if you aren't the company with the treatment, one of the things you can do to get hold of the money people are using to pay for the treatment is to develop an outright cure. It isn't some stupid zero sum game where the existence of a treatment excludes other players from developing a cure, and the greed of the potential cure developers is just as reliable as the greed of the 'bastard' treatment developers.

      --
      Nerd rage is the funniest rage.
    6. Re:Hmm... by Anonymous Coward · · Score: 0

      It takes about 10 years to get FDA approval for a new drug. You have to do all this, complete with the appropriate complement of reports, lobbyists, and lawyers, before you can even start to sell your drug.

    7. Re:Hmm... by capnez · · Score: 1

      I was diagnosed with Type I Diabetes three years ago, and I was told from the beginning by my doctors that there is no cure right now and that there is no practical cure in sight at all. They told me that there is, of course, a lot of research going on and everything may change quickly, but that there is no use in me hoping every day for a miracle cure. (I simplified this all) I did not see this as a pessimistic, but pragmatic view and took it up for myself. I am glad to read about any advancement on DM Type I, but I expect to use my glucometer and insulin injections until the end of my life (which, considering how easy it is to use these things and keep my blood sugar under control with them, will be a long time! :-) ).

  5. Huh. by SatanicPuppy · · Score: 2, Interesting

    I guess "being overweight and unhealthy" wasn't scientific enough.

    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.

    --
    ad logicam Claiming a proposition is false because it was presented as the conclusion of a fallacious argument.
    1. Re:Huh. by failedlogic · · Score: 1

      You didn't mention if you have to use testing strips. I think the only people benefitting from Diabetes are the drug companies. They give away the meters for free and price gouge the testing strips. I can't be convinced that the cost to develop, manufacture and test these strips is anywhere near what they cost.

      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 to diabetic seizures.

    2. Re:Huh. by Hoi+Polloi · · Score: 1

      Finally, a medical cure for self discipline! Is there a pill I can take that'll give me a trust fund so I don't have to work too?

      --
      It is by the juice of the coffee bean that thoughts acquire speed, the teeth acquire stains. The stains become a warning
    3. Re:Huh. by jejones · · Score: 1

      Ah, the same way bluenoses want to prevent girls from getting vaccinated against HPV, so that, by golly, sex will have consequences!

    4. Re:Huh. by sheehaje · · Score: 1

      Every time I see comments like this I think of my uncle. He was always athletic, fit, and ate well. He was a moderate drinker, maybe having 1 or 2 light beers while watching football, and sometimes a little more on special occasions. He dispised smoking of any kind. He ended up with Diabetes. So, while I don't discount that eating and drinking to excess will make it more likely that Diabetes will occur later in life, I do discount that this is the only group of people that is effected by Diabetes. So I cringe when I see people so misinformed.

      Btw, my uncle did very well living with Diabetes, probably because of his healthy lifestyle. In the end though, he ended up dying of leukemia at the age of 68. I felt really bad for him, especially seeing I am a bit overweight, smoke and drink, and spend way too much sentinet time on the computer posting on places like slashdot. I always figured he would live into his 80's.

    5. Re:Huh. by Roxton · · Score: 2, Interesting

      Unhealthy lifestyle choices are only really frowned on because they result in poor health. Isn't it perverse to perpetuate that moralistic norm if the poor health consequence goes away? (There are some cases where poor health isn't the only negative consequence, but I'm not referring to those.)

    6. Re:Huh. by Guidii · · Score: 2, Insightful
      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.

      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 people I'm diabetic.

    7. Re:Huh. by SatanicPuppy · · Score: 1

      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.

      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.

      --
      ad logicam Claiming a proposition is false because it was presented as the conclusion of a fallacious argument.
    8. Re:Huh. by SatanicPuppy · · Score: 1

      I have massively high blood pressure and cholesterol; it's hereditary, mostly...But I could still kick it by exercise and diet. But I don't. Not enough exercise. Had two fat cinnamon rolls for breakfast, instead of the half bowl of horkin fibre chunks I should have had.

      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 (like myself) who eat and sloth themselves into health problems don't deserve sympathy.

      --
      ad logicam Claiming a proposition is false because it was presented as the conclusion of a fallacious argument.
  6. prevention may be better ... ? by weighn · · Score: 1
    perhaps stop feeding your pancreas so much freaking glucose?

    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.

    --
    Mongrel News all the news that fits and froths
  7. The cause is... by svendsen · · Score: 3, Interesting

    people eat like shit and don't exercise. That's it. Pretty simple huh? Fiances father got diagnose with type 2 diabetes. Effecting him pretty badly for a year. Decides to eat healthy, drop weight, and exercise. Guess what happened? He is healthy now, no issues. You read tons of studies saying the same thing.

    But that isn't profitable to companies....

    1. Re:The cause is... by Anonymous Coward · · Score: 1

      It can be hard to eat healthily when your food source is packaged produce. Have you ever really looked at the contents of food? Almost everything has multiple forms of sugar in it these days. It really is no wonder the western world is catching up to the US in lard-ass terms. It's becoming harder and harder to get food, other than raw stuff, that isn't loaded up with crap we don't need in out diet.

    2. Re:The cause is... by the_humeister · · Score: 1

      It's profitable precisely because people aren't willing or aren't able to lose weight to become healthy. Why do you think there are so many overweight/obese people in this country?

    3. Re:The cause is... by Hoi+Polloi · · Score: 2, Interesting

      My brother is athletic and in good shape, he just ignored the signs of it (inherited type 2) and ended up needing an emergency heart bypass in his 40s. He sure watches his blood sugar now.

      --
      It is by the juice of the coffee bean that thoughts acquire speed, the teeth acquire stains. The stains become a warning
    4. Re:The cause is... by skeptictank · · Score: 1
      "It's becoming harder and harder to get food, other than raw stuff, that isn't loaded up with crap we don't need in out diet."

      That's why you get the raw stuff and prepare it yourself. Lack of exercise and convenience food will kill you. Almost all cases of T2D are curable by a lifestyle change.

    5. Re:The cause is... by Frankie70 · · Score: 4, Informative


      Almost all cases of T2D are curable by a lifestyle change.


      Wrong.
      It's controllable by a lifestyle change.
      Not curable.

    6. Re:The cause is... by Anonymous Coward · · Score: 0

      Don't buy junk, then. That's like saying it's hard to eat healthy food when you do all of your shopping at a candy store.

    7. Re:The cause is... by stoicfaux · · Score: 1

      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.)

      Needless to say, I've learned to cook.

    8. Re:The cause is... by Hoi+Polloi · · Score: 1

      I'd rank Domino's Oreo Dessert Pizza right up there on the food abomination scale with Kentucky Fried Chicken's "Famous Bowls". I have never had one but they look like bowls of slop and they must be extra special when they have cooled off and congealed.

      --
      It is by the juice of the coffee bean that thoughts acquire speed, the teeth acquire stains. The stains become a warning
    9. Re:The cause is... by Anonymous Coward · · Score: 0

      At the age of 46 I found I had Addison's disease (had to nearly die from it before it was diagnosed). Now I take prednisone and aldesterone tablets and I'm okay as far as that's concerned, however my weight jumped 30 lbs within six months of treatment, in the course of which I developed type II diabetes. Prednisone unfortunately makes control of it complicated, since it's a glucosteroid, and elevates blood sugar all by itself.

      Though I could stand to lose 15lbs, I'm not exactly obese.

    10. Re:The cause is... by hackingbear · · Score: 1

      My dad gets Type II and is on diet program but he decides to injecting insulin every day so he can eat more normal. He said if he has to eat tasteless veggie everyday for the rest of his life, what's left in his life?

      Eating is probably the most important source of entertainment of human life, likely ahead of sex.

    11. Re:The cause is... by rs79 · · Score: 1

      " Why do you think there are so many overweight/obese people in this country? "

      Fructose and starches?

      Just a guess.

      --
      Need Mercedes parts ?
    12. Re:The cause is... by HikingStick · · Score: 1

      I'm glad your future father-in-law lost weight and is doing well managing his sugar, but you should be aware of one thing: while his symptoms have gone away due to his reduced weight (and the associated fat), he has not been "cured" of diabetes. He still has the underlying factors which, in all likelihood, will reappear again when he is older or when his insulin-resistance increases. I lost 70 pounds after my diagnosis. Now, six years later, my sugar levels are climbing again.

      While obesity is a huge factor for diabetes, such an oversimplification discounts other contributing factors (things that promote the increase in obesity as well). Diabetes was largely unknown among the indigenous inhabitants of North America until introduced to the colonists'/settlers' richer foodstuffs. The increased consumption of increasingly refined (as time progressed) starches and sugars was a huge factor in influencing the increase of diabetes and obesity among indigenous peoples. The astonishing thing was the rate at which indigenous peoples developed diabetes. Although their eating and activity patterns mirrored those of the rest of the population, far more indigenous individuals developed diabetes. This same result has happened among numerous people groups across the globe, suggesting that other metabolic factors play a role as well.

      While not playing the blame game and going so far as to say that simple sugars are the reason diabetes is so prevalent, it is a major factor. Were our diets still largely composed of less-refined foods (particularly various grains and sugars), the sugars would not so easily be absorbed into our systems, leading to imbalances in insulin levels and production, excess fat, and possible insulin resistance. Physical exertion levels, as you also noted, are also important. In pre-industrial revolution agricultural communities (and, I might add, in indigenous subsistance cultures), food was gathered at the cost of great physical exertion. How much effort must we now expend to gather and prepare food? Drive to a store, place items on a wheeled cart, drive home, unload the groceries, grab an item from the shelf, and (for many these days) just heat and serve. Even meals people claim to "prepare" these days are usually just a gathering and assembly of partially prepared items (a can of this, a pound of that). The closest most people in the United States get to making meals from scratch is around the holidays, when one or more members of the family might make fresh baked goods, roast a turkey, and prepare fresh mashed potatoes--and even then they have not done most of the preparations like killing and plucking the bird, digging up and washing the potatoes, and making the pie crust from scratch. My family and I do still do a lot of "scratch" cooking, but we don't plant, cultivate, and harvest most of our vegetables. We don't raise and butcher our own meats.

      Yes, losing weight and exercising more are key to staying healthy, avoiding things like diabetes, and counteracting the impact of such a condition, but it is not all by personal choice that such large portions of our society are moving toward obesity. We have a mindset of comfort and being entertained, rather than one of hard work and rigorous recreation. You may be one of the soon-to-be minority who is trim and healthy, but think about the overall culture that has developed--it does not reward those who go and do as much as it rewards those who sit and watch.

      Just food for thought.

      --
      I use irony whenever I can, but my shirts are still wrinkled...
    13. Re:The cause is... by svendsen · · Score: 1

      Didn't mean to imply he was cured. It is, right now, 100% under control.

      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 though go into a non organic food store (which we still do) and look at what is in people's carts. Soda, cookies, ice cream (not the good kind), etc. Maybe they can't afford the fresh fruits and veggies all the time...but one has to wonder if the eliminated the junk snacks could the savings at least add a little better food to their diets?

      But I think this is like cigarettes. Everyone knows they are bad. Everyone knows eating junk and not exercising is bad. Seems most people maybe just done care?

      However it is a HUGE issue that will have social and economic impacts that I think will make the current housing issue look small.

    14. Re:The cause is... by julesh · · Score: 1

      people eat like shit and don't exercise. That's it. Pretty simple huh?

      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.

  8. Yep that's what we need by KiwiCanuck · · Score: 0, Troll

    Pump more money into big Pharma. Let's not spend money on health education and disease prevention, because that doesn't benefit big buissness. It only benefits the enitre population.

    1. Re:Yep that's what we need by Billosaur · · Score: 1

      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.

      --
      GetOuttaMySpace - The Anti-Social Network
    2. Re:Yep that's what we need by Anonymous Coward · · Score: 0

      "Your local university" probably isn't the best place to send your money if you want it to fund breakthrough research. It requires a tremendous investment in the newest instruments and reagents and salaries to make efficient scientific progress. The best places to put your money are some of the major research universities or national centers which have the resources and amassed brainpower to tackle these huge scientific challenges. Unless you're a multi-millionaire and can endow a chair or a building, your donation won't matter too much. Labs require millions of dollars per year to run and need to have stable, long-term funding to address any problem of significance. Your best efforts would be spent on lobbying the government to invest more heavily in research. The US certainly is the leader in research investment and the NIH's annual budget at around $30 billion is huge, but you will never find a scientist whose lab had "too much money." Its budget is almost a pittance compared with the expenses of many other programs that this country funds (Medicare, at $2.7 trillion and Iraq War, nearing $2 trillion) and the long-term gains that we derive from such research more than justify the investment.

    3. Re:Yep that's what we need by hesaigo999ca · · Score: 1

      Your right of course, in a perfect world not run by democratic companies making the big dollar, however, to hold the patent on such a feat of chemical accomplishment, also means, you dictate how long it will be before the general public can get their hands on it.....wait till 80% of population is obese and diagnosed with diabetes before bringing out the cure...if it will be a cure, or more a medication you have to take for life....??? To give money for granst that would SHARE that knowledge
      such is the way of universities....you risk loosing your advantage in the big wheel spinning world we live in.

    4. Re:Yep that's what we need by KiwiCanuck · · Score: 1

      The true "cure" is having a proper diet and exercise regularly, just ask any doctor or physiotherapist. True. Capitalism is filling a need. However, it is the governments responsibility to ensure that the basic necessities are delivered to its people. This includes wellness, clean food and water, as well as security. All enemies, foreign and domestic. It is possible to be your own enemy (to have an internal struggle). A simple health class in junior high school (or elementary) could solve the problem. I, honestly, don't think that people are aware of what they are doing to their bodies. The ones that are trying to do something are fed drugs, and told to exercise and eat right. In reality, if they knew how to exercise properly and eat right, they (or at least some of them) wouldn't be in the trouble they are in. The big wheel will keep spinning, regardless. If you take people off one project you can deploy them onto another. Well, that's my opinion anyway.

  9. No No No... by LaRoach · · Score: 2, Insightful

    It's not from being a fat-ass, it's from being a victim of food! The food is leaping off the plate...

    1. Re:No No No... by svendsen · · Score: 1

      Damn it I wish I had mod points for you...funny!

  10. Step 1 : Remove tinfoil hat. by Shivetya · · Score: 5, Insightful

    You do realize that there is a lot of money to be made in preventive medicines of which this would be one. I doubt that they could cure it but removing the need for insulin would be a major benefit to both consumer and drug companies. My mom receives her insulin via overnight shipment - the packaging weighs many multiples compared to what was shipped. If its delivered improperly someone else eats the cost... meaning you and me. If the pharms could elminate medicines that require special handling it saves them money too.

    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

    --
    * Winners compare their achievements to their goals, losers compare theirs to that of others.
    1. Re:Step 1 : Remove tinfoil hat. by Hoi+Polloi · · Score: 3, Informative

      Isn't type 2 diabetes basically dietary related (adult onset) and controled by monitoring blood sugar while type 1 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.

      --
      It is by the juice of the coffee bean that thoughts acquire speed, the teeth acquire stains. The stains become a warning
    2. Re:Step 1 : Remove tinfoil hat. by redcaboodle · · Score: 3, Informative

      Isn't type 2 diabetes basically dietary related (adult onset) and controled by monitoring blood sugar while type 1 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.

      --
      -- Put crudely, the world is an extremely large problem instance. (Russel/Norvig Artificial Intelligence)
    3. Re:Step 1 : Remove tinfoil hat. by Smordnys+s'regrepsA · · Score: 0

      Don't forget the Canadian researcher who cured mice of diabetes for a few months at a time with an injection of capsaicin, the active ingedient in hot peppers.
      They state that the two diseases are very closely related - more so than previously thought. Oh, and something about them being chronic inflammatory diseases as well.
      http://www.canada.com/nationalpost/news/story.html?id=a042812e-492c-4f07-8245-8a598ab5d1bf A quick link to a news story about it, since I'm almost positive you have to pay for the report itself.

      --
      Just -1, Troll talking to another.
    4. Re:Step 1 : Remove tinfoil hat. by techno-vampire · · Score: 1

      Type II diabetes can be caused by many things. Mine was possibly caused by Agent Orange. It's controlled by diet, blood sugar monitoring and oral medicines, such as Glypizide and Metformin. Part of Type II is insulin resistance, meaning that your cells don't react as well as they should to whatever insulin is present and causing your body to make more isn't the only, or even best answer. Better is something that increases your body's reaction to the insulin they have, and drugs such as Metformin already do that.

      --
      Good, inexpensive web hosting
    5. Re:Step 1 : Remove tinfoil hat. by manuelhp42 · · Score: 1

      I would like to you invite your mom (and anyone else reading this who may be touched by diabetes) to join TuDiabetes.com, a community for people touched by diabetes. As a person with type 1 diabetes, I sure am excited about any new development with the potential for a cure and this one sounds like one to me!

    6. Re:Step 1 : Remove tinfoil hat. by pawnb · · Score: 1

      Not exactly. Type 2 diabetics have a combination of compromised insulin production and insulin resistance that result in high blood-sugar levels. Treatment is a many pronged attack.

      Diet: This obviously has a major impact on glucose levels. The basic goal is to control sugar intake. What this means mostly is that diabetics need to reduce their consumption of carbohydrates to healthy levels. Increasing dietary fiber (a carbohydrate) helps with this as it seems to slow the uptake of glucose. When counting carbs you can subtract the number fiber grams from the total. Carbs are also rated based on how quickly they are converted to sugars (glycemic index). A low glycemic index is better and will result in a more gradual rise in glucose and avoid spikes.

      Exercise: There is an undeniable link between glucose levels and exercise. This link goes beyond what one would expect if the body merely used up the glucose in the blood for the activity at hand. It has been shown that the regulatory effect lasts for days. Besides, exercise is just plain good for you.

      Weight Loss: Initially, one of the best things a type 2 diabetic can do is lose (not loose!) some weight. Significant weight loss can often lead to a complete elimination of drug and insulin dependency. Is this because losing weight typically requires eating better and exercising? Probably but there is some uncertainty here.

      Drugs: There is a surprising amount of mystery involved with most diabetes drugs. They just don't really know what is going on with them. All they can guess is that they are either helping with the production of insulin or somehow reducing the fat cell's resistance to insulin.

      Misc: There are a number of suspected 'natural' treatments. The only one I have any interest in is a possibility that cinnamon helps lower glucose. I haven't done a scientific test of the effect, it just seems to help in my case. I also believe in the power of the mind so if I think it works, and my blood sugar isn't out of control then that's good enough for me.

      Medical Procedures: I'm vaguely aware of some treatments being successful, such as pancreatic cell transplants and such but have not really investigated it.

      Insulin Injection: When all of the above fails, there is no other choice but to start insulin injections. To address the parent post, type 2 diabetes is generally a degenerative disease and most sufferers will eventually end up needing insulin injections so the 'mom' in question my still be a type 2 diabetic and a beneficiary of this research.

      If you are a Type 2 Diabetic. Do your research. Be vigilant and monitor your glucose. Eat well, and get off your butt as much as possible. Manage your cholesterol and blood pressure. Live. Don't worry, be happy.

      I advise non-diabetics to do the same.

    7. Re:Step 1 : Remove tinfoil hat. by Anonymous Coward · · Score: 0

      Once a type 2's ß-cells are gone there is no way to stimulate more production of insulin. There are plenty of drugs that will stimulate what ß-cells you have left but eventually you're beating a dead horse. What you would need is to produce more ß-cells because, while people without diabetes grow new ones when the old ones die off or prove inadequate to the job, PWD do not. Remember there are a lot of fat, insulin resistant people that will never develop diabetes. There is a substance, osteocalcin, produced in the bones that may have an effect on ß-cell proliferation, but it is too early to tell if this will pan out.

      What you really need to do if there is type 2 diabetes in your family is to restrict sugars and starches in your diet because that is what causes production of more insulin, putting stress on the failing insulin producing cells. Get most of your carbohydrate from veggies and the less sweet of the fruits (berries, melon, stone fruits.) If you want to put off developing type 2 diabetes, the last thing you want to do is put more pressure on your ß-cells. I developed diabetes while eating whole grains every day for many years and always buying the low fat versions of products at the store. If I had known better 15-20 years ago I would have stopped most of the grains and bought whole milk and real butter, instead.

  11. Even Better! by thatskinnyguy · · Score: 1

    I found a cure for Type 2 diabetes (Oblig. [voice=Wilford Brimley]Di-a-bee-tus). My aunt had type 2 diabetes for most of her life. Then she started exercising, eating right and lost 120lbs. She hasn't been on the needle for over a year. She still checks her blood sugar regularly just in case.

    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 have found what causes type 2, they should see what causes juvenile diabetes and cure that.

    --
    The game.
    1. Re:Even Better! by julesh · · Score: 1

      My mother spent a large portion of her life on a 1600kcal/day diet. She worked 6 days per week on a physical job, getting more exercise each day than most of us get in a week. Then she was diagnosed with type II diabetes. Reducing her food intake any more than fractionally was implausible. Increasing her exercise equally. Fortunately, it seems the currently available medication is capable of controlling it reasonably, and her blood sugar levels aren't getting much worse at the moment. Also changing to a low carbohydrate diet seems to have helped. Hard to tell how long that will last, though.

  12. No we only need a cure for..... by pete.com · · Score: 0

    Some forms of Cancer, Heart Disease, High Blood Pressure, Strokes, and Oseoarthritis. Then we can all eat fast food 24 hours a day until we look like Jabba without any consequences.

    1. Re:No we only need a cure for..... by 19thNervousBreakdown · · Score: 1

      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.

      --
      <xml><I><am><so><damn>Web 2.0</damn></so></am></I></xml>
  13. new slashdot tree lacks a REPLY button by peter303 · · Score: 0, Offtopic

    Cant comment on main article anymore. -Dumb.

    1. Re:new slashdot tree lacks a REPLY button by ebingo · · Score: 1

      Yes you can it's in that little floating box at the top left.

  14. not a "single cause" disease by peter303 · · Score: 1

    The insulin metabolic pathway is very old in terms of evolution and very pervasive. Dozens of genes have been identified regulating such. I dont thing there will be single-point cures.

  15. Possible Forms of the Cure by Polemicist · · Score: 1
    The one thing that seemed to be missing in this article was an explanation of some of the possible forms the cure may take. Recent advances in other areas of medicine offer some new tricks for combating this disease. Of course, as mentioned often throughout this discussion, diet and exercise are the best ways to prevent it in the first place, and is ultimately the best solution for the individual. While the cure would enable people to continue living unhealthy lifestyles, it would also reduce the risks of death while the people who will change alter their lifestyles to eliminate the problem.

    As for the possible forms of the cure, it would most likely come as either a signaling molecule or a RNAi treatment.

    The signaling molecule will work similarly to aspirin, as it would bind to the cells, but unlike aspirin, it would cause gene regulation to change, reducing the insulin inhibiting protein's rate of production. This has the benefit to the drug companies of requiring long term dosing requirements (hopefully to be used by the customer as a risk reducer until they change their own lifestyle), which would make it a profitable path that companies are likely to pursue. The main disadvantage of this approach is that it would require the identification of receptor sites that would trigger this effect (which may not exist) and then, if they did exist, the signal molecule would have to be determined, and a synthetic pathway found before it be produced on the needed scale.

    The second alternative of RNAi treatment is showing real promise as a more permanent solution, as it would be able to eliminate or severely reduce production of the inhibitor protein. In a recent advance, David Bumcrot and Daniel Anderson of MIT announced that they had found away around reported toxic effects of RNAi, a major hurdle to this emerging technique. The use of a different type of RNAi made the difference, as Reuters http://www.reuters.com/article/latestCrisis/idUSN26235373 recently explained. This would also be profitable to drug companies even thought it would consist of only one, or at most a few, treatments, as it would likely be an expensive procedure. It would likely be applicable only to the most life-threatening cases due to the cost, but it does provide another possibility for a cure.

    --
    We are made wise not by the collection of our past, but by the responsibility for our future. -George Bernard Shaw
  16. There is no reason by ultraparanoid · · Score: 0

    "Researchers May Have Found Cause of Type 2 Diabetes"

    There is no reason, and looking for one is futile and unpatriotic! Type 2 Diabetes simply hate our freedom!

  17. Actually, the costs are self inflicted by mollog · · Score: 1

    Drug companies are in the business of making money for their stockholders. If they have a billion dollars to invest in research and they have to choose between a treatment for a disease that will make them ten billion dollars, and a cure for a disease that will make them 2 billion dollars, they have a moral obligation to their stockholders not to cure disease, but to treat disease.

    The "lawsuit taxes" are an direct result of the constant development of treatments instead of cures. When you cure a disease, there might be risk during the course of the therapy, but the therapy will end when the disease is cured and the risk of side-effect also ends. When, instead, you are simply treating the symptoms of the disease, the risk of side-effect does not end; as long as you are undergoing therapy, you are exposed to its side effect. In fact, the risk of side-effect can be shown to increase with the longevity of the therapy.

    So, your implication that lawsuits related to the effects of drugs are some sort of random externality being exploited by cynical lawyers is stupid. If they actually cured a disease, their risk to lawsuits would be much lower. Since the motivation is to produce therapies that don't cure, they're going to be making treatments, not cures. If they're in business to make money for their stockholders, they're going to be exposed to risk. Attempting to protect business from risk is never a good idea. Ask Adam Smith.

    And, you ought to try doing your own thinking instead of repeating the ideas of the radical right wing. They'll be the first ones to clamor for 'open markets', 'free trade', yet they'll also ask for government regulation to help them with their supposedly 'free markets'.

    --
    Best regards.
  18. There is a bit of insightfulness in your comment. by Anonymous Coward · · Score: 1, Insightful

    It's not from being a fat-ass, it's from being a victim of food!

    You may think you were only being funny there... but the sad truth is that the producers of fast food, processed foods, and the way they overwhelm American society with their marketing tactics -- we are indeed "victims" of food (from the makers of such "foods") to at least some degree.

    (How fitting also, is that the captcha I had to type to post this is "humorous")

  19. Diabeetus? by Anonymous Coward · · Score: 0

    You disappoint me Slashdot, no "diabeetus" in the tags list?

  20. Slashdot Ignorance by Grym · · Score: 1

    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 effects of insulin. Insulin injections are used for Type 2 diabetics as a way of overwhelming the resistant transporters, but that should not be misconstrued as a failure of the insulin-producing beta cells of the liver. In fact, there's good evidence to believe that when these cells become overactive other pathologies can result.

    Secondly, the cause of Type 2 diabetes is not so clear-cut. Of course, diet plays a role. Of course, exercise plays a role. But that is not mean that every person with type 2 diabetes is a lazy glutton or that diet and exercise are effective treatments for those who already have diabetes.

    -Grym

    1. Re:Slashdot Ignorance by svendsen · · Score: 1

      No but it means most of T2D is caused by lack of exercise and bad eating. They are always exception to every medical rule. However please note the rise of T2D over the past few decades. Could there be something else causing it and not the poor eating and exercise? Maybe...but as of right now the medical studies (which I have read a lot) say bad food and lack of excercise.

      Does that mean every single person with T2D is fat/lazy of course not, just the high percentage of them. But at least science (and my opinions) can change with new evidence and studies. Heck 5 years from now maybe it is found out to be a gene or something else.

      But it seems really weird that those with T2D with poor eating and exercise, can begin to eat health and exercise and see the issues associated with T2D go away. You can get T2D under so much control you need no medication.

    2. Re:Slashdot Ignorance by Frank+T.+Lofaro+Jr. · · Score: 1

      The quality of the scientific articles and comments on slashdot are absolutely atrocious lately. ...failure of the insulin-producing beta cells of the liver.

      Case in point! Beta cells are in pancreas, not the liver!

      (possibly unless you have metastatic pancreatic cancer)

      --
      Just because it CAN be done, doesn't mean it should!
  21. Eh. by SatanicPuppy · · Score: 1

    Vaccinations are out of control these days; it's not that they're available, it's that they're required, and for fricking EVERYTHING.

    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 than 5, you want it over with EARLY. You don't want to forget your 15 year booster at 45 and get hit with it at the worst time in life.

    HPV is a vaccine which I think is pretty useful. But I guarantee you the drug companies are going to start lobbying that all girls outta get it by like age 2, THINK OF THE PROFITS! UH, I MEAN CHILDREN!

    --
    ad logicam Claiming a proposition is false because it was presented as the conclusion of a fallacious argument.
    1. Re:Eh. by Anonymous Coward · · Score: 0

      I'm glad I had the real chickenpox, and now don't have to worry about it at all ever.

      Chickenpox does occasionally kill, but those who survive are never left disabled and can never get it again.

      Vaccines can cause autism, retardation and things worse than death.

      The one exception is shingles, and I don't see why one couldn't get it from the vaccine.

  22. No, actually, the cat does not "got my tongue." by Impy+the+Impiuos+Imp · · Score: 1

    > It's probably going to take another 10 years at least to get something that's effective in humans

    This is where good old-fashioned capitalist greed comes in, and why socialized medicine is murderous.

    I'll take a loan out for $100,000 to buy this drug. Let's get the show on the road, shall we? There's tens of billions of dollars to be made in fat old sedentary USA.

    --
    (-1: Post disagrees with my already-settled worldview) is not a valid mod option.
  23. Slashdot Is Right [Was: Slashdot Ignorance] by MauriceV · · Score: 1

    No, it's really true. Type 2 diabetics NOT produce enough insulin. This is apparently an effect that occurs later in the disease progression and hence ordinary science articles only mention the insulin resistance aspect.

    Here is a link to the real article,

    http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B7MFH-4PT7RDC-B&_user=10&_coverDate=10%2F03%2F2007&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=842a09e850c1253f0206f93a68320da0

    1. Re:Slashdot Is Right [Was: Slashdot Ignorance] by Anonymous Coward · · Score: 0

      T2 diabetics SOMETIMES produce normal levels of insulin, other T2 patents may not produce enough, however insulin resistance is always present to some degree, even in healthy non-diabetic people. You become type 2 when you don't produce enough insulin to overcome your resistance, even if the amount you produce is normal.

  24. Slashdot Comment of the Day Award by Gary+W.+Longsine · · Score: 1

    The day isn't even over and the Slashdot Comment of the Day Award has been granted, to you. Congratulations! Comments like yours, rational, informative, interesting, well written and maybe even checked for spelling and grammar, are a reason to keep reading Slashdot. Thank you for contributing to Signal amidst the growing crap flood of Noise. I will make you a Friend, regardless of how many times your insightful comments have been flagged as Troll or Flamebait.

    --
    If you mod me down, I shall become more powerful than you could possibly imagine.
  25. What is wrong with Slashdot/rendering? by B5_geek · · Score: 1

    In the last couple of days Slashdot has looked horrible. "Reply" buttons are missing (except for this weird floating comment box on the left hand-side of the screen.

    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 Mozilla/5.0 (X11; U; Linux i686; en-US; rv:1.8.1.6) Gecko/20061201 Firefox/2.0.0.6 (Ubuntu-feisty). With the usual scripts: NoScript/Adblock.

    --
    "The price good men pay for indifference to public affairs is to be ruled by evil men." ~Plato (427-347 BC)
    1. Re:What is wrong with Slashdot/rendering? by Daniel+Dvorkin · · Score: 1

      AFAICT, everyone got switched over the to new-style comments system by default. And unchecking the "I am willing to test the new discussion system" box doesn't fix it -- you have to change your preferences. Once that's done, the change seems to stick.

      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 use /. it will probably be the death of the site. It makes Windows ME look like a successful product launch by comparison.

      --
      The correlation between ignorance of statistics and using "correlation is not causation" as an argument is close to 1.
    2. Re:What is wrong with Slashdot/rendering? by DustinB · · Score: 1

      They are testing some god-awful piece of crap new comments system.

      Hopefully it won't stick. IT SUCKS!

  26. think of the implications... by ch0ad · · Score: 1

    [scrubs geek] turk might be cured!

    http://www.youtube.com/watch?v=3_H4Q9ex3ik about 35 seconds in... [/scrubs geek]

  27. Re:There is a bit of insightfulness in your commen by LaRoach · · Score: 1

    I was being half ironic, half serious. The more I read food labels the more I aim for basic whole foods that are as unprocessed as possible. A lot of people I know survive off of "health" food that is heavily processed. Many of them have trouble controlling their weight (which is why they aim for the "health" bars and supplements to begin with). OTOH, I knew someone who is giant huge, fat fat fat. The standard breakfast? Donuts nuked in the microwave and buttered. They then complain about their weight (over 300 lb, 5 feet, 4 inches tall) bleating about being a victim of their metabolism...

  28. don't be so hard on people by cinnamon+colbert · · Score: 1

    I was recently diagnosed with type 2
    I went on a crash diet exercise program; it is hlping, don't know if it will cure me yet, but hoping
    I talked to my doctor, and he said, you would be amazed at how many 300+ pound people get your diagnosis and ask for a pill

    Now if it is true, as pointed out, that type II diabetes is unkown in "poorer" countrys,You could say people in the USA are lazy gluttinous slobs who just want a pill,
    but
    people are human: many of us really cna't handle the surfiet of food available in the us

    Today I got donuts for the group (friday) at dunkin donuts here in boston you can get 12 dountus - virtually all fat and sugar, enoiugh calorys for a week, for less then 6 bucks !!! Many of us just have a lot of problems with this.
    If you look around at suff like aircraft, or medical devices, or any industry where safety is thought about, the number 1 rule is
    design so it can't happen
    applying this, what is most important is increasing the cost or decreasing the availability of junk food and getting people out of their automobiles and walking

  29. Doctors != Evil by Cedric+Tsui · · Score: 4, Insightful

    Ok. So Doctors are people too. People with consciences. If a Doctor comes up with a promising cure to Diabetes, there is no corporate ethos in the world that will stop him from developing it.

    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."

  30. Link please... by gillbates · · Score: 1

    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 population.

    One of the problems in this country is that people assume overweight people are overweight simply because they eat too much food, when in reality, a person's size has a lot more to do with heredity than with their diet (assuming the diet is not nutritionally deficient). And some diseases, like heart disease and diabetes, heredity plays a much larger role than diet and exercise. For example, I know of physically fit people who had their first heart attack in their late thirties. I also know of a recent heart attack victim - at 58, who had eaten essentially a vegetarian diet for 15 years prior to the attack.

    Sure, I suppose if one wanted to have a heart attack, eating nothing but lard and sugar would be a good start. But I have always been told that heredity plays the largest factor in determining heart disease and diabetes, with lifestyle and diet coming in second.

    Incidentally, studies have shown that having two servings of alcohol a day are more effective at reducing the risk of heart attack than exercise (60% reduction, versus 42% for cardio exercise, and 23% for weight lifting). So it makes you wonder if those beer-swilling couch potatoes aren't actually doing themselves a favor.

    --
    The society for a thought-free internet welcomes you.
    1. Re:Link please... by east+coast · · Score: 1

      I also know of a recent heart attack victim - at 58, who had eaten essentially a vegetarian diet for 15 years prior to the attack.

      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 off with my current intake and exercise program as I would be with meat? Potentially, but don't hold me to it. I'm sure I'm still reaping some of the benefits of it but that doesn't make it an absolute cure for anything aside from knowing that I'm not going to choke to death on a chicken bone.

      --
      Dedicated Cthulhu Cultist since 4523 BC.
  31. Shouldn't competition produce a cure? by tepples · · Score: 4, Insightful

    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.
    1. Re:Shouldn't competition produce a cure? by techpawn · · Score: 1

      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. I'll try keep my tinfoil hat off and not say there is some kind of "you scratch my back, I'll scratch yours" going on between companies to keep research and patents the way they are.

      --
      Ask not what you can do for your country. Ask what your country did to you
    2. Re:Shouldn't competition produce a cure? by Anonymous Coward · · Score: 0

      Competition, yeah. That'd be great, but it ain't all that common in the "free" market we have.
      I'd say the pharmaceutical industry operates much like the agribusiness industry, since they're both about farming the customer.

        As Dwayne Andreas, former CEO of agribusiness giant Archer Daniels Midland, explained:

      "There isn't one grain of anything in the world that is sold in a free market. Not one! The only place you see a free market is in the speeches of politicians."

        And ADM's President, James Randall said the following:

              "We have a saying in our company: 'Our competitors are our friends.
      Our customers are the enemy.'"

        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.)

        - mantar

    3. Re:Shouldn't competition produce a cure? by j-pimp · · Score: 1

      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 competition unless its in their best interest.

      --
      --- Justin Dearing http://www.justaprogrammer.net/ We're just programmers.
    4. Re:Shouldn't competition produce a cure? by j-pimp · · Score: 1

      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.

      --
      --- Justin Dearing http://www.justaprogrammer.net/ We're just programmers.
  32. Great news but... by localman · · Score: 1

    This is not the cause of type 2 diabetes. It's just a slightly earlier item in the chain of effects. The cause would explain why type 2 diabetics have more of this enzyme, or why they respond to it differently. I'd be willing to bet dollars to doughnuts that when the true cause is discovered, it will be a lifestyle change and not a drug.

    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 whole "make a drug to block a symptom" methodology.

    My mother recently got her early-stage diabetes completely under control: blood glucose was floating from 180-200. Now with dietary changes that almost completely contradict the ADA's recommendations, she's always between 90-110. Thankfully we figured things out ourselves before putting her on meds, where the only path seems to be higher and higher insulin resistance over time. I'm not saying we understand why she has diabetes; why foods that are okay for me, and used to be okay for her, now cause her trouble. But we have kept it under control for months now.

    I don't know... I just feel some disappointment with medical research in many areas.

    Cheers.

    1. Re:Great news but... by Anonymous Coward · · Score: 0

      I'm not saying we understand why she has diabetes; why foods that are okay for me, and used to be okay for her, now cause her trouble.

      Foods that are ok for you now may not be in the future. If I were you I'd borrow her glucometer from time to time just to be on the safe side.

    2. Re:Great news but... by localman · · Score: 1

      Wise advice... I am trying to model the diet that we found for her. It's a good healthy diet anyways, by most standards :)

  33. YOU just don't get it by Anonymous Coward · · Score: 0

    While I agree with your characterization of alcohol/drug dependency, I feel that you are full of shit when it comes to understanding diabetes. And by the way, at 6 foot tall and 175 pounds, I really don't feel like my type 2 diabetes is caused by obesity -- it is obviously due more to genetic factors. Also, even women from countries where food is scare may suffer from gestational diabetes, it just usually goes undiagnosed.

  34. What causes the PKCepsilon overproduction?!? by Theovon · · Score: 2, Interesting

    I'd say that, far more than people realize, health problems can be nailed down to nutritional issues. I don't mean "too much fat" or that sort of thing. People suffer weird symptoms from specific vitamin deficiencies and the like.

    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!

    1. Re:What causes the PKCepsilon overproduction?!? by julesh · · Score: 1

      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.

      Not everything is dietary. Sure, type II diabetes can often be controlled by dietary changes, but it usually still remains after that. Also many of your examples are about treating the symptoms of some problem, not treating the problem itself. What caused your unusual reaction to soy protein? It's not the protein itself, but something unusual about your metabolism. You can control it by avoiding soy protein, but that's exactly the kind of bandaid you're talking about. A cure would remove the need to avoid it.

      I'd suggest, given strong evidence that type II diabetes has a genetic cause, that PKCepsilon overproduction is probably caused by a genetic defect. Perhaps there are multiple possible causes, but that one's quite likely, given current evidence.

    2. Re:What causes the PKCepsilon overproduction?!? by Theovon · · Score: 1

      As far as I understand both the dairy allergy in the other patient I mentioned and the soy allergy that I have are things that run in the family. My mother has a mild soy allergy, and the other patient's mother and grandmother have problems with dairy. I would agree with you that, often, some other thing can be the cause of the sensitivity, but in these two cases, they seem to be more examples of "genetic defects."

  35. Blaming people for diabetes? How about AIDS? by KWTm · · Score: 1

    people eat like shit and don't exercise. That's it. Pretty simple huh?

    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 really help. Yes, in an ideal isolated system, that's the cause of your ailments. But if we can't even isolate a ones-and-zeroes construct like Microsoft Outlook from getting Some Computer Virus, what makes you think we'd fare any better trying to isolate diabetes?

    Just as virus infections have a social context --it doesn't work when you tell people, "Just have safe sex, ok?" (or, for computer viruses, "Just have safe hex")-- it also doesn't work when you tell people, "Just eat less."

    Research into obesity is showing that eating habits and hunger interact in all sorts of metabolic pathways that control appetite in the brain, behaviour, ability of the body to mobilize stored fat (and thus get enough energy without feeling hungry), etc., not to mention the stuff you already knew about the body physically needing to eat energy and nutrition, and the complex social interactions surrounding meals and food that have developed in every single culture.

    So, yeah, diabetes can be aggravated by poor eating and exercise habits. But that argument is such a straw man that it can pose for a photo in the Pictorial Encyclopedia of Straw Man Arguments.
    --
    404555974007725459910684486621289147856453481154 in hex is "You sank my Battleship?"
    [GPG key in journal]
  36. new topics by SoyChemist · · Score: 1

    In your wired interview, you said, "Over the years the site has developed something of a personality. There are certain subject matters that we're going to discuss and there are certain subjects we're not going to discuss. We're going to cover what's happening with Linux, who's building new technology and what companies are taking your right away to play with that technology. There aren't a lot of websites that are focuses. Everybody tries to be everything and no one does one thing that they're really good at." Would you agree that it is time for slashdot to find some new focal points, like systems biology, and bring them into the mainstream?

  37. Although you make a good point by Anonymous Coward · · Score: 1, Insightful

    The OP accurately describes probably 95% or more of Type-2 diabetics.

  38. Nah by paranode · · Score: 1

    The naysayers always bring this argument up, and you can see on its face how it would seem plausible to a pessimist but there is no evidence to back it up. If it was true there wouldn't be many cures at all. Instead some problems even very recently have been solved by simple vaccines, and the pharmaceutical companies behind them still sell the "cure". Moreover, there is never a whole lot of positive feeling towards people getting rich off disease but somebody has to MAKE the drugs and that costs LOTS of money.

    1. Re:Nah by Anonymous Coward · · Score: 0

      Who did the research for those "cures"? It sure as fuck wasn't the drug companies. It was most likely government-funded labs who then have to turn over research to drug companies who "productize" it (i.e. get it through FDA approval and then slap a fancy name/label on it, and then market it).

  39. Celebration! by Solokron · · Score: 1

    Let's celebrate this with a German chocolate cake.

    --
    30% off web hosting. Coupon code "SLASHDOT".
  40. The Real Cause of type 2 diabetes by The+Mighty+Gerkin · · Score: 2, Insightful

    is overconsumption of refined carbohydrates. This causes an insulin overproduction and consequential insulin resistance and tiring of the pancreas. If type II diabetes were not caused by diet, then why does it respond so well to a low carbohydrate diet? All symptoms disappear. This indicates that it is not a permanent condition but one brought on by the sufferers own dietary habits. See the following: "the Cure for Diabetes" in Men's Health http://www.menshealth.com/cda/article.do?site=MensHealth&channel=health&category=other.diseases.ailments&conitem=4a935e4e40fae010VgnVCM20000012281eac____

    1. Re:The Real Cause of type 2 diabetes by Major+Blud · · Score: 2, Insightful

      As someone who has Type 1, I can tell you that there is no difference between "refined" cabs and "regular" carbs. Carbohydrates are carbohydrates, no matter if they come from bread, rice, ice cream, or a big ole' bucket of sugar. The only thing to keep in mind is that you're limited to a certain amount of carbs a day, and you have to decide on what food you will eat to get those carbs....would it be more beneficial to get carbs from a wheat bread sandwich or a twinkie? I think that's what you're getting at.

      --
      If you post as Anonymous Coward, don't expect a reply.
  41. Drug to block the enzyme, huh? by jhylkema · · Score: 1

    This discovery may allow pharmaceutical companies to develop a drug to block the enzyme, allowing cells in the pancreas to function normally . . .

    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? Oh, I know, there's no money in that. If we were fighting polio today, there never would have been a vaccine for it. Instead, they would have introduced a drug that, if taken daily, prevents polio-induced paralysis about 70% of the time. And since it can causes both liver and kidney failure, regular tests are required. All of this can be yours for the low, low price of, again, about three grand a month.

    Hey, this is what happens when medicine is first concerned about profit than about patient care and the public good. It's good for the economy and if you're against it, you're a terrorist.

  42. Blaming people for diabetes? How about ulcers? by mbstone · · Score: 1

    Remember before they invented a cure for ulcers? People with ulcers were blamed for having "too much stress." Then they found out ulcers were caused by virii, end of blame.

    1. Re:Blaming people for diabetes? How about ulcers? by Anonymous Coward · · Score: 0

      Gastrointestinal ulcers are commonly cause by bacteria, not viruses.

  43. Where is the diabetes X Prize? by mbstone · · Score: 1

    Attention, Slashdot-reading philanthropists!!

    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).

    1. Re:Where is the diabetes X Prize? by El_Oscuro · · Score: 1

      I wish I had mod points. I spend at least 5$/day in test strips. Diabetes is too profitable to be actually cured.

      --
      "Be grateful for what you have. You may never know when you may lose it."
  44. PKCepsilon by Luigi30 · · Score: 2, Funny

    Now we just need someone to invent PKUnCepsilon.

    --
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    The Signature could not be accessed. Please try again later or contact the administrator
  45. Me-too drugs by tepples · · Score: 1

    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 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 vardenafil and tadalafil. Likewise, different companies sell different benzodiazepines (azepam and azolam families) and different bisphosphonates.
  46. Recent Diabetes Discoveries by NormAtHome · · Score: 1

    Since one of my best friends and my mother suffers from diabetes I try and keep my eye open for news on this kind of thing, while this is an interesting discovery there was this piece of news from back in December that seems even more promising:
        http://www.canada.com/nationalpost/news/story.html?id=a042812e-492c-4f07-8245-8a598ab5d1bf&k=63970&p=1/

    I really home that one or both of these discoveries lead to better treatments for people with this disease.

  47. This is good... by bandmassa · · Score: 1

    ...but exercise is better. The single biggest cause of type 2 diabetes after genetic disposition is bad diet and lack of exercise. This is not judgement on those with type 2 (I have it), there is much that we're brought up to think is healthy food that actually isn't in the quantities we eat it, and the modern lifestyle is VASTLY lower exertion than a pre-industrial lifestyle.

    At the lower end of seriousness, diabetes can be pretty much controlled without drugs, simply by eating a wide variety of fresh fruit and veg in appropriate quantities for your exercise level and increasing your daily exercise levels. I cycle or walk regularly and that with a sensible diet manages my blood sugar levels really well.

    Mind you, if they know the enzyme that is the problem, we don't necessarily need a drug to block the enzyme. It may be better to look at what in the diet enhances production of this enzyme.

    --
    "I hope you like Guinness, Sir. I find it a refreshing substitute for, er... food." Col. Jack O'Neil, SG-1
  48. Re:No Cure for Cancer; we're too different, Dr. Ev by Cedric+Tsui · · Score: 1

    Hey ImitationEnergy

    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 cancer will give ME money. Screw those other doctors, I don't care about them. I want money for ME.

    The same thing goes with the miracle engine you propose. If it really works, then someone who isn't associated with the oil companies will make their fortune off of it. That's the beauty of competition. I'm going to produce the best thing I can and sell it to move money towards me and away from my competitors. I don't care about status quo, or about the pocket books of my competitors. I care about MY pocket book.

    If there is a miracle cure for cancer, and there is some group of doctors who have this and aren't sharing it. You need either one moral doctor or one greedy doctor for the cure to become public. Only if the group consists entirely of loyal (and morally indifferent) people would you be able to keep the cure secret.