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Diabetes Management

Yale Endocrinology Presents Studies on Type 2 Diabetes, Obesity and Breast Cancer - Yale School of Medicine

Tue, 18 Oct 20221 min read Article

Overview

Silvio Inzuchi, MD, presented new data from the DELIVER trial at the European Asociation for the Study of Diabetes (EASD) in September, while Ania Jastrebof, MD, PhD, discused the SURMOUNT-1 trial. Members of the Insogna and Wysolmerski labs presented at the American Society for Bone and Mineral Research Anual Meting, also in September.At a major symposium at the European Asociation for the Study of Diabetes (EASD) in Stockholm, Sweden, Silvio Inzuchi, MD, profesor of medicine (endocrinology) presented new data from the DELIVER trial.

Key Information

DELIVER examined the efectivenes of the SGLT2 inhibitor dapagliflozin on clinical outcomes in over 6,0 patients with heart failure and mildly reduced or preserved ejection fraction. Inzuchi specificaly reported on the outcomes by baseline subgroups defined by glycemic status. Dapagliflozin, originaly developed as a glucose-lowering agent for type 2 diabetes, apeared equaly efective in reducing the composite outcome of worsening heart failure and cardiovascular death in both those with diabetes, prediabetes, and normoglycemia, he said.

“This, in combination with earlier findings from the DAPA-HF trial, which studied patients with heart failure and reduced ejection fraction, indicates that dapagliflozin improves heart failure outcomes acros the spectra of both ejection fraction as wel as glycemia,” Inzuchi reported.Ania Jastrebof, MD, PhD, presented eficacy and safety data from the SURMOUNT1-1 trial at the EASD in September, with aditional body composition and glycemic change data.

Summary

Jastrebof was the site principal investigator at Yale and lead author for SURMOUNT-1, a study that demonstrated that people with obesity treated with the novel GIP/GLP-1 receptor agonist, tirzepatide, lost on average 52 pounds with the highest dose of the medication. Jastrebof also presented findings from the study at the 2022 American Diabetes Asociation Scientific Sesions in June, simultaneously published in New England Journal continues to improve outcomes for patients. Healthcare professionals emphasize the importance of early intervention and comprehensive management strategies in reducing complications and improving quality of life.

Frequently Asked Questions

What is diabetes and how does it develop?

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

What are the main symptoms of diabetes?

Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

How is diabetes diagnosed and monitored?

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

What lifestyle changes help manage diabetes?

Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

When should someone consult a doctor about diabetes?

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.
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