Diabetes Self-Management Blog

Friday I went to a diabetes science day at the University of California, San Francisco. The speakers were hotshot researchers doing genetic studies on diabetes, mostly in mice. I really don’t know what results will come of their work, but they did have some interesting stories.

Michael German, MD, is working on therapies for revitalizing beta cells. He explained that beta cells have been regrown successfully in mice. Beta cells can grow in the intestines, not only in the pancreas. Unfortunately, the regrown cells have not worked well. They’re there, they can make insulin, but they don’t sense glucose, so they don’t help much.

The scientists are looking to find the genetic causes of diabetes as a pathway to either drug treatments or stem cell treatments. I advise not holding your breath while you wait. Immune system expert Christophe Benoist, MD, PhD, said that about 2,000 genes are suspected of playing roles in diabetes. That’s right, 2,000. He said probably no one gene will prove too important; it will be combinations of genes.

One way these guys explore the genes is with “knockout mice.” You take a mouse embryo and “knock out,” or inactivate, a particular gene. Then the mouse lives without the protein that gene would have produced. You can see what difference that particular protein makes. Many of these mice are so-called “non-obese diabetic” or NOD mice bred to have an illness like Type 1.

But there are so many genes, and their interactions with each other and with the environment are so complex, that I think it will be a long time before anything practical comes of this work. For now, I’m afraid they’re just bothering mice.

At one point, Dr. German categorically stated that “All Type 2s have beta cell damage.” He said that no matter how much insulin resistance there is, normal beta cells can overcome it. So Type 2 is a genetically-based illness, just like Type 1 is.

Suneil Kolliwad, MD, is studying the relationship between inflammation and insulin resistance. He reported research that visceral fat (fat around the abdominal organs) seems to promote inflammation and insulin resistance, but subcutaneous fat (the fat we can see) does not. There is no relationship between subcutaneous fat and the onset of metabolic illness such as diabetes, he said.

I came away from the day thinking that all types of diabetes are the result of unhealthy environments, genetic damage, or both. Fatness doesn’t play nearly as big a role as we think, and may play no role at all (although that is not certain).

Lots of drug companies and meter makers had tables at the event, promoting medicines and pumps. This was good, because drug company sponsorship usually comes with good food, in this case breakfast and lunch. Yummy, and presumably healthy, breakfast sandwiches!

I received literature from several of the pharmaceutical representatives. One medicine I came across had a one-year success rate of only 22%. People could potentially have to take the drug long-term, but that might not be so good, because it has been linked to suicide in some cases. Medicines are not always the answer.

POST A COMMENT       
  

Comments
  1. There are no comments at this time.


Post a Comment

Note: All comments are moderated and there may be a delay in the publication of your comment. Please be on-topic and appropriate. Do not disclose personal information. Be respectful of other posters. Only post information that is correct and true to your knowledge. When referencing information that is not based on personal experience, please provide links to your sources. All commenters are considered to be nonmedical professionals unless explicitly stated otherwise. Promotion of your own or someone else's business or competing site is not allowed: Sharing links to sites that are relevant to the topic at hand is permitted, but advertising is not. Once submitted, comments cannot be modified or deleted by their authors. Comments that don't follow the guidelines above may be deleted without warning. Such actions are at the sole discretion of DiabetesSelfManagement.com. Comments are moderated Monday through Friday by the editors of DiabetesSelfManagement.com. The moderators are employees of Madavor Media, LLC., and do not report any conflicts of interest. A privacy policy setting forth our policies regarding the collection, use, and disclosure of certain information relating to you and your use of this Web site can be found here. For more information, please read our Terms and Conditions.


Diabetes Research
Statins May Reduce Risk of Nerve Damage, Other Diabetes Complications (09/18/14)
Antibiotics Linked to Lows in People Taking Certain Diabetes Drugs (09/11/14)
Low-Carb Diet Benefits Type 2 Diabetes, Heart Health, Studies Show (09/03/14)
Pistachios Offer Protection for People With Diabetes (08/29/14)

 

 

Disclaimer of Medical Advice: You understand that the blog posts and comments to such blog posts (whether posted by us, our agents or bloggers, or by users) do not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified health care professionals to meet your individual needs. The opinions and other information contained in the blog posts and comments do not reflect the opinions or positions of the Site Proprietor.