GUY’S GOTTA TALK ABOUT…TYPE 2 DIABETES #26: Fear That “A CURE!!!” Is A Con?

For the first time since I started this blog eleven years ago, it’s going to be about me. I was diagnosed with Type 2 Diabetes two weeks ago. While people are happy to talk about their experiences with diabetes, I WASN’T comfortable with talking about diabetes. My wife is Type 2, as are several friends of ours. The “other Type” of diabetes was what caused the death of my Best Man a year after my wife and I got married. He was diagnosed with diabetes when he was a kid. It was called Juvenile Diabetes then. Today it’s Type 1. Since then, I haven’t WANTED to talk about diabetes at all. But…for my own education and maybe helping someone else, and not one to shut up for any known reason, I’m reopening my blog rather than starting a new one. I MAY take a pause and write about Breast Cancer or Alzheimer’s as medical headlines dictate; but this time I’m going to drag anyone along who wants to join my HIGHLY RELUCTANT journey toward better understanding of my life with Type 2 Diabetes. You’re Welcome to join me!

Every one of us who has been diagnosed with Type 2 diabetes has seen this Youtube: https://www.youtube.com/watch?v=aES9XjAg09U

Every one of you who, like me, would like something MAGIC to happen if I do something simple like drinking lemon water after I get up in the morning.

And just like me, you have a healthy aversion to being conned.

But, maybe like me, I sometime wonder if the Medical Establishment IS conning me to sell Metformin; and in my case…well, it was one of the biggest shocks of my life.

My doctor suggested I start taking the solid form of Ozempic; it’s called Rybelsus. I talked about my adventures with it in this entry: Guy's Gotta Talk -- About DIABETES; breast cancer, Azheimer's: GUY’S GOTTA TALK ABOUT…TYPE 2 DIABETES #23: Ozempic, Rybelsus, and Me

So, he increased it a couple times, and at this last checkup, I A1c had dropped from 7.7 to 6.8!!! I was thrilled. He upped it one more time, I suppose thinking that “more is better”. I had the prescription for 14 mg (double my most recent prescription) of Rybelsus filled. I went to pick it up, and when the pharmacist tendered it, in addition to my cheaper meds, I had to pay over $535 for the new prescription! I about fainted!

I was even more stunned, when I read on the receipt that the RETAIL price for my three-month prescription of Rybelsus was… $3420.99! (I’d add about thirty exclamation points here, but I don’t feel like wasting perfectly good ranting space!

So, it makes sense that I (who have really good health insurance) was stunned to find out what anyone who does NOT have access to good insurance would have to face. IT WOULD BE IMPOSSIBLE TO ACCES THE MEDICATION. Possibly a medication that would save or extent their lives.

That explains then, the “confidence schemes” set up by people without scruples of any kind that claim to want to “help” others cheaply. Others like me, only with lesser (or even NO) insurance.

It explains the FEAR we have a claims of “amazing stuff” like an artificial pancreas, regrowing our own pancreas, diabetes-damaged cells being regenerated, I react like “I get suspicious that gobbledygook is being written to cover up a lack of facts with absurdly used terms substituted for straightforward language.” I am a suspicious kind of person when it comes to medicine: especially when young doctors – or physicians assistants (whose training, while different from mine in the INTENT, is no more than the education I got my Masters of Science in School Counseling for – both are Masters degrees. A PA cannot practice in the US WITHOUT a MD supervising them.

So, when something DOES come along that sounds FAKE, we shout FAKE and run the opposite direction.

While I am NOT a PA or an MD, I am a reasonably intelligent person who has a Bachelor of Science in Biology, and who reads constantly (journals, biology summary sites, science research, and am in contact with some of my former students who ARE researchers in medical biology or are doctors themselves) in my field as it has advanced since I graduated (when I took an Immunology class in 1977, the textbook had NO MENTION OF AIDS!))

I can only state to you that when I DO report on some new advancement, I’m not getting my information from whacky sites, but from SCIENCE sites. Check the links below each article. I always link to the source of my information.

So, while I am SKEPTICAL BY NATURE, I delight when I am convinced through data that something NEW is coming out to help us with Type 2 diabetes live longer and healthier lives.

EVIDENCE THAT PEOPLE AVOID RESEARCH THAT SOUNDS TOO GOOD TO BE TRUE. So, from my own blog:

Articles on CURES for Type 2 diabetes: 5
Number of hits: 166

NEARBY Articles NOT about CURES for Type 2 diabetes: 5
Number of hits: 314

The numbers speak for themselves -- maybe we're giving up HOPE because of the TRASH out there. But not ALL of it is trash.

THERE IS HOPE THAT THERE MIGHT BE A CURE FOR TYPE 2...

Image: https://www.hcd.com/wp-content/uploads/2021/01/living-well-with-diabetes.jpg

DIABETES RESEARCH RIGHT NOW! #22: New Treatment Eliminates Insulin for Most Insulin-Dependent Patients!

From the first moment I discovered I had been diagnosed with DIABETES, I joined a HUGE “club” that has been rapidly expanding since it stopped being a death sentence in the early 20th Century. Currently, there are about HALF A BILLION PEOPLE who have Type 2 Diabetes. For the past 3500 years – dating back to Ancient Egypt – people have suffered from diabetes. Well, I’m one of them now… Not one to shut up for any known reason, I added a section to this blog…

Every month, I’ll be highlighting Diabetes research that is going on RIGHT NOW! Harvested from different websites, journals and podcasts, I’ll translate them into understandable English and share them with you. Today: “Diabetes Breakthrough: New Treatment Eliminates Insulin for 86% of Patients”

OK, I read the SECOND article at the link below after I ran into the last few sentences from the SciTechDaily website report by something calling itself “United European Gastroenterology.

“Looking ahead, the researchers plan to conduct larger randomized controlled trials to further validate these findings. Dr. Busch added, ‘We are currently conducting the EMINENT-2 trial with the same inclusion and exclusion criteria and administration of semaglutide, but with either a sham procedure or ReCET. This study will also include mechanistic assessments to evaluate the underlying mechanism of ReCET.’ Reference: ‘Durable effects of duodenal ablation using electroporation combined with semaglutide to eliminate insulin therapy in patients with type-2 diabetes; the 24-month results.’” C.B.E Busch et al., 14 October 2024, UEG Week 2024.”

Now, I don’t know about you, but when I see phrases like “the same inclusion and exclusion criteria” and “mechanistic assessments to evaluate the underlying mechanism”…I get suspicious that the gobbledygook is being written to cover up a dearth of facts with absurdly used terms substituted for straightforward language.

I could translate the above into something more understandable, but I needed to check this whole article out.

So, I went to my “go to” reliability monitor: the Mayo Clinic. I live in the birth state of the Mayo brothers and like most Minnesotans, know how the clinic came about – and because of its immense reach, also know someone who has either worked there or who has been treated for some mysterious ailment there. That’s their reputation: if it’s a challenge, let’s go to the Mayo.

It has worked with sports heroes, rulers of nations, religious leaders, and writers: Lou Gehrig, Muhammad Ali, Former King Hussein of Jordan, George HW Bush and his wife Barbara, Billy Graham, the Dalai Lama, and Helen Keller, and Ernest Hemingway.

The article from the Mayo Clinic reports in February of 2024 on the process. “This novel procedure could potentially transform the treatment landscape for type 2 diabetes, offering a more efficient and less burdensome alternative to current pharmacotherapies for some individuals. The procedure's potential to reduce the daily burden associated with diabetes management, coupled with the significant preliminary results of the REGENT-1-US trial, positions ReCET as a promising alternative in the diabetes care arsenal.”

I’ve run on long enough. Next time, I’ll come back to a far-more detailed description of what the two trials – one in the US (REGENT-1-US) and one in Europe (Re-Cellularization via Electroporation Therapy (ReCET) with semaglutide) – discovered.

Links: https://www.mayoclinic.org/medical-professionals/digestive-diseases/news/researchers-study-novel-endoscopic-therapy-for-type-2-diabetes/mqc-20563134#:~:text=ReCET%20is%20nonthermal%20procedure%20that,delivers%20PEF%20to%20the%20duodenum. https://scitechdaily.com/diabetes-breakthrough-new-treatment-eliminates-insulin-for-86-of-patients/
Image: https://asploro.com/wp-content/uploads/2019/12/Diabetes-Research_Open-Access.jpg

GUY’S GOTTA TALK ABOUT…TYPE 2 DIABETES #25: Know What LEAD Stands For? [Neither Did I: Life Expectancy Estimator for Older Adults with Diabetes]

For the first time since I started this blog eleven years ago, it’s going to be about me. I was diagnosed with Type 2 Diabetes two weeks ago. While people are happy to talk about their experiences with diabetes, I WASN’T comfortable with talking about diabetes. My wife is Type 2, as are several friends of ours. The “other Type” of diabetes was what caused the death of my Best Man a year after my wife and I got married. He was diagnosed with diabetes when he was a kid. It was called Juvenile Diabetes then. Today it’s Type 1. Since then, I haven’t WANTED to talk about diabetes at all. But…for my own education and maybe helping someone else, and not one to shut up for any known reason, I’m reopening my blog rather than starting a new one. I MAY take a pause and write about Breast Cancer or Alzheimer’s as medical headlines dictate; but this time I’m going to drag anyone along who wants to join my HIGHLY RELUCTANT journey toward better understanding of my life with Type 2 Diabetes. You’re Welcome to join me!

Did you know that there are medical standards of care that doctors can refer to when they’re working with seniors with Type 2 diabetes?

Neither did I.

Also, while the document was JUST revised in December of 2023, there’s an entire section that applies to seniors. One of the early sections had an interesting statement, and I’ll go through the part that applies to me and wife a bit later.

I was startled to find this: “The recommendations and text of Section 5 were adjusted to place focus on guiding the behavior of health care professionals rather than people with diabetes, thus aligning with the purpose of the Standards of Care as guidance for health care professionals.” (13. Older Adults: Standards of Care in Diabetes—2024)

One of the reasons for greater involvement and expected reliance on a person’s health care professional is something I’m SURE all of you are familiar with (if not with the fancy-pants name), “polypharmacy”. Never heard of it ‘til I read this document: “noun: polypharmacy; the simultaneous use of multiple drugs to treat a single ailment or condition; the simultaneous use of multiple drugs by a single patient, for one or more conditions.” I see it as “make sure you put the right pills in the right box so you can take them at the right time!”

I can see that – even though when I was trying to help my mother self-manage the numerous pills she had to take, the freakin’ condition didn’t have a NAME!) Of COURSE I need the advice of my doctor (who isn’t actually a DOCTOR per se, but a Physicians Assistant) to know when to take what I need to take and HOW to take it! Now the American Diabetes Association has made an official recommendation.

Another thing I’ll be talking to my PA about is this: “Notably, the Life Expectancy Estimator for Older Adults with Diabetes (LEAD) tool was developed and validated among older adults with diabetes, and a high-risk score was strongly associated with having a life expectancy of less-than five years.”

The heck is THIS????

Here’s what I found out: “A tool based on data from the electronic health record (EHR) may help clinicians estimate life expectancy in older adults with diabetes, a recent study found. The tool uses gender, body mass index, serum creatinine level, dementia, metastatic cancer, peripheral vascular disease, albuminuria, home oxygen use, wheelchair use, current smoking, and the interaction between age and heart failure to generate a risk score.”


They noted, “The authors noted that their tool…was not validated in patients younger than age 65 years and was less accurate over longer periods (among other limitations.) They also cautioned that the tool's results should be considered in a broader context along with other factors that influence individualized care, such as patient preferences.”

So…why would I get this test if it offers such limited amount of information? (The “conspiracy theorist in me would say, “So insurance companies can deny MORE seniors health care coverage…”) But, I’m CERTAIN that’s not what it would be used for! It’s a tool to…what?

I suppose looking at ALL of those things, would give a doctor or other caregiver different things to both watch for and begin to work on. For example: body mass index – if I knew my BMI was too high, I could certainly start to work to lose weight. Nothing STUPID, but certainly change the fact that I eat a package of OREO Cookie DoubleStufs before bed once a week! I could stop smoking (if I did, but I didn’t, so let’s just go back to eating Oreos); I could get screened for Alzheimer’s (which I do twice a year); I could make sure I exercise regularly to keep my heart strong (I ride about 12-15 miles a week during the summer; and stationary bike 2-5 hours a week in the winter in addition to walking a couple of miles every other day.)

I could have my PA give me the LEAD: Life Expectancy Estimator for Older Adults with Diabetes (LEAD)…which I will when I go in for my shots in a week or so…I’ll report then!

Source: https://diabetesjournals.org/care/article/47/Supplement_1/S244/153944/13-Older-Adults-Standards-of-Care-in-Diabetes-2024; https://diabetesjournals.org/care/article/47/Supplement_1/S5/153943/Summary-of-Revisions-Standards-of-Care-in-Diabetes; 13. Older Adults: Standards of Care in Diabetes—2024 | Diabetes Care | American Diabetes Association (diabetesjournals.org) Image: https://www.hcd.com/wp-content/uploads/2021/01/living-well-with-diabetes.jpg

DIABETES RESEARCH RIGHT NOW! #21: FIRST EVER CURE FOR TYPE 2 DIABETES!!!! (SELF-Harvested Stem Cell) Therapy

From the first moment I discovered I had been diagnosed with DIABETES, I joined a HUGE “club” that has been rapidly expanding since it stopped being a death sentence in the early 20th Century. Currently, there are about HALF A BILLION PEOPLE who have Type 2 Diabetes. For the past 3500 years – dating back to Ancient Egypt – people have suffered from diabetes. Well, I’m one of them now… Not one to shut up for any known reason, I added a section to this blog…

Every month, I’ll be highlighting Diabetes research that is going on RIGHT NOW! Harvested from different websites, journals and podcasts, I’ll translate them into understandable English and share them with you. Today: Repairing the Pancreas!

While the headline is from a report from China published this past May, the DREAM of restarting a pancreas damaged enough to initiate Type 2 diabetes has been around at least since 2011.

Today, there is not only hope that this might happen, but AT LEAST ONE person whose Type 2 diabetes was reversed using his own treated stem cells to regrow pancreas cells in large enough numbers to reinitiate his body’s production of the correct amount of insulin.

In the September 2011 issue of Genome Medicine, the author wrote: “Stem cells hold great promise for pancreatic beta cell replacement therapy for diabetes. In type 1 diabetes, beta cells are mostly destroyed, and in type 2 diabetes beta cell numbers are reduced by 40% to 60%. The proof-of-principle that cellular transplants of pancreatic islets, which contain insulin-secreting beta cells, can reverse the hyperglycemia of type 1 diabetes has been established, and there is now a need to find an adequate source of islet cells.” At this time, the only real hope was using human embryonic stem cells.

Ten years later, in Amsterdam, the research team discovered that, “all acinar and ductal cells – cells that produce digestive enzymes and transport them to the gut – actually contribute to [the] process [of repairing pancreatic cells]. All cells in the pancreas that produce digestive enzymes and transport them to the gut can contribute to its regenerative capacity.”

The initial study was fifteen YEARS ago, and in genetic research, that’s like decades. The work in Amsterdam took place in 2021. Today, researchers in Shanghai, China, “Utilizing the patient’s own endoderm stem cells (EnSCs), they were able to differentiate these stem cells into functional pancreatic islet cells – cells in the pancreas that secrete hormones, including insulin and glucagon, that help regulate blood sugar levels.”

What does this mean? It means the team in China found that they could use…the patient’s own “undifferentiated cells, found throughout the body after development, that multiply by cell division to normally replenish dying cells and regenerate damaged tissues...” All of us have them, they’re what heals the skin or any kind of internal damage we suffer during routine surgery. These stem cells do not depend on the use of fetal tissue. “[researchers] were able to differentiate [the patient’s own] stem cells into functional pancreatic islet cells – cells in the pancreas that secrete hormones, including insulin and glucagon, that help regulate blood sugar levels then transplant them into the patient’s pancreas.”

What happened? “Following a kidney transplant in 2017, the patient experienced a decline in pancreatic islet function, necessitating daily multi-dose insulin injection.” His stem cells were removed and grown, and after they injected them in the pancreas…”the patient achieved insulin independence within a mere 11 weeks post-transplantation. Oral medication for diabetes management was gradually reduced and ultimately discontinued a year later. Follow-up examinations conducted over a prolonged period revealed restored pancreatic function, with the patient no longer requiring insulin or oral or injectable medications that had become in short supply due to their use as weight-reduction drugs. Additionally, normal kidney function was maintained, suggesting a potential long-term cure for both type 2 diabetes and the underlying complications associated with the initial kidney transplant.”

NOTE! The procedure had been successfully attempted on this single patient at the time of the publication of the article in May of 2024. There may be others in the pipeline; but there’s no further evidence of any wide-spread study or a call for volunteers.

What it SHOULD inspire is HOPE. If not for me, then for anyone else in the future who finds themselves facing Type 2 diabetes for a real cure in our lifetime!

Links: https://cells4life.com/2024/05/stem-cell-therapy-achieves-cure-for-type-2-diabetes/, https://nyscf.org/resources/uncovering-the-unique-way-the-pancreas-regenerates/, https://genomemedicine.biomedcentral.com/articles/10.1186/gm277; https://nyscf.org/resources/uncovering-the-unique-way-the-pancreas-regenerates/ Image: https://asploro.com/wp-content/uploads/2019/12/Diabetes-Research_Open-Access.jpg

GGTA…TYPE 2 DIABETES #24: People Over 65 Have Been EXCLUDED From Diabetic Research!”

For the first time since I started this blog eleven years ago, it’s going to be about me. I was diagnosed with Type 2 Diabetes two weeks ago. While people are happy to talk about their experiences with diabetes, I WASN’T comfortable with talking about diabetes. My wife is Type 2, as are several friends of ours. The “other Type” of diabetes was what caused the death of my Best Man a year after my wife and I got married. He was diagnosed with diabetes when he was a kid. It was called Juvenile Diabetes then. Today it’s Type 1. Since then, I haven’t WANTED to talk about diabetes at all. But…for my own education and maybe helping someone else, and not one to shut up for any known reason, I’m reopening my blog rather than starting a new one. I MAY take a pause and write about Breast Cancer or Alzheimer’s as medical headlines dictate; but this time I’m going to drag anyone along who wants to join my HIGHLY RELUCTANT journey toward better understanding of my life with Type 2 Diabetes. You’re Welcome to join me!

Dr. Elbert Huang, director of the UChicago Center for Chronic Disease Research and Policy, wrote in April of 2024: “The exclusion of older adults from early [Type 2 diabetes] trials stems in part from the complexity of aging, which can include multiple diseases and medical conditions occurring simultaneously. However, their absence meant the studies essentially did not represent how diabetes presents in the real world. “The majority of people with diabetes are over 65, so our evidence was not based [on data from those people].”

Startlingly, I now find myself in the class of people who have not appeared to matter to the medical establishment. We’ve lost perhaps a decade of time in looking for treatments for older adults who have Type 2 diabetes. How many people – I ask this sarcastically, because what do people who are more familiar with paper letters than cellphones and are usually over 65 REALLY matter in this 5G world [which is, I read, how FAST we get our internet information. (3G was born in 2008 and let us get our data at a rate of 3 megabytes per second. 4G boosted that to 14 megabytes pers second (MBPS). 5G boosted that to 100 MBPS to its SIX AND A HALF BILLION USERS.]

Clearly, not worth talking about.

That appears to be changing. Dr. Huang was of the opinion that “…[to the medical world] the sickest patients should get less medication because they're [un]likely to…benefit from [them]…it goes back to insulin: the original trial comparing moderate and intensive glucose control…was conducted during a time when the number of available drug classes were very limited [ie: no Glipizide, Metformin, Ozempic, or any of the other modern treatments]...that trial showed that people do better with lower blood sugar, but you had to live for at least 10 years to see the benefit.” The subtext there of course, is “and all these old people won’t make it that long, so why bother studying them because NOTHING IS GOING TO CHANGE.

Huang goes on to say, “…cancer and heart disease can disqualify people from participating in [drug treatment] trials. Yet…patients with such conditions are representative of average geriatric diabetes patients, and physicians must be able to treat them.”

Huang concludes: “For many years people have talked quite vaguely about older patients, saying, ‘This older patient is complex,’ ‘This older patient is frail. Now we have tools that are much more specific and reproducible,” Huang said. “And now we can with greater specificity say who is missing from the trials, which could help us reexamine trial data and reshape how we design trials in the future.”

A recent result of this changed attitude led to Mounjaro and Zepbound: “A key study of [tirzepatide, the main ingredient of those two “Brand Name” drugs, discovered that there was] a significant reduction in the risk of progression to type 2 diabetes in adults with pre-diabetes and obesity or overweight…[which] achieved significant results, demonstrating a 93-94% reduction in risk of progression to type 2 diabetes [compared to placebo].”

The implication is that testing the drug on people 65+ discovered that not only could we TREAT Type 2 diabetes, we can now PREVENT it altogether – and avoid the concurrent drain on the cash-payout of the massive profit-driven insurance companies that are required by law to cover us “Golden-Agers”!

Source: https://biologicalsciences.uchicago.edu/news/new-diabetes-drugs-prompt-reassessment-care-strategies-older-patients; https://investor.lilly.com/news-releases/news-release-details/tirzepatide-reduced-risk-developing-type-2-diabetes-94-adults Image: https://www.hcd.com/wp-content/uploads/2021/01/living-well-with-diabetes.jpg

DIABETES RESEARCH RIGHT NOW! #20: First-Ever Cure for Type 2 Diabetes??? Through Stem Cell Treatment?

From the first moment I discovered I had been diagnosed with DIABETES, I joined a HUGE “club” that has been rapidly expanding since it stopped being a death sentence in the early 20th Century. Currently, there are about HALF A BILLION PEOPLE who have Type 2 Diabetes. For the past 3500 years – dating back to Ancient Egypt – people have suffered from diabetes. Well, I’m one of them now… Not one to shut up for any known reason, I added a section to this blog…

Every month, I’ll be highlighting Diabetes research that is going on RIGHT NOW! Harvested from different websites, journals and podcasts, I’ll translate them into understandable English and share them with you. Today: New research points to using a person’s OWN stem cells to “switch on” genes that could turn it into an insulin-pancreas cell!

The article starts, “Scientists undertook a study centered around a 59-year-old male patient with a 25-year history of type 2 diabetes. Following a kidney transplant in 2017, the patient experienced a decline in pancreatic islet function, necessitating daily multi-dose insulin injections.”

To translate this into English and also give you a framework for this entry:

A guy with Type 2 diabetes who had to get a kidney transplant because his own kidneys stopped working. (You might or might NOT know is that, according to Wikipedia, “Long-term complications from high blood sugar include heart disease, stroke, diabetic retinopathy which can result in blindness, kidney failure, and poor blood flow in the limbs which may lead to amputations.”)

His 25-year-long struggle with diabetes destroyed his kidneys; so, with 21st Century medicine, they found a donor (possibly from his family; possible from a stranger), and gave him a new kidney. But what happened to his ORIGINAL kidney would likely happen again – this time more quickly.

To prevent that and to MAYBE kick-start his own pancreas into making the correct levels of insulin again, they began an experimental procedure that MIGHT start his pancreas making insulin again.

The next bit is difficult even for ME to understand and I have a BS degree in Biology. So, let me see if I can translate it into “normal people” English:

“Utilizing endoderm stem cells (EnSCs)”: using a big needle under sterile conditions, doctors remove these endoderm stem cells…

PAUSE. At one time, the ONLY place to get these kinds of cells was through the use of the embryos of aborted fetuses. That has changed in the third decade of the 21st Century. They CAN use the stem cells that are found in all of us, no matter our age. “‘Induced pluripotent stem cells’” are a type of cell that can be generated directly from a somatic (YOUR body cell) with the introduction of four specific genes. Doctor Shinya Yamanaka was awarded the 2012 Nobel Prize along with Sir John Gurdon “for the discovery that mature cells can be reprogrammed to become pluripotent.”

Not ONLY that, Pluripotent stem cells hold promise in the field of regenerative medicine. Because they can propagate indefinitely, as well as give rise to every other cell type in the body (such as neurons, heart, pancreatic, and liver cells), they represent a single source of cells IN EVERY PERSON'S BODY that could be used to replace those cells or organs lost to damage or disease.

“Since these stem cells can be derived directly from adult tissues, they can ALSO be made in such a way that EVERY PERSON could have their own pluripotent stem cell line. The unlimited supplies of these pluripotent cells could be used to generate transplants without the risk of immune rejection. ***This technology has not yet advanced to a stage where therapeutic transplants have been deemed safe.** They ARE being used in personalized drug discovery efforts and understanding the patient-specific basis of disease. And work continues to make the use of these organs an effective and common procedure.

“The hope is that personalized pluripotent stem cells may one day be able to differentiate these cells into functional pancreatic islet cells – cells in the pancreas that secrete hormones, including insulin and glucagon, that help regulate blood sugar levels.”

Another advantage of using these ‘Induced Pluripotent Stem Cells’ is “to generate germ layer/tissue-specific stem cells from PSCs, which proliferate in vitro and are capable of differentiating into mature lineages, in this case, mature, functioning islets of Langerhans – the cells that produce insulin – because they are developmentally close to the desired mature cell type from the beginning, changing them into insulin-producing cells should be more efficient. Also, their restricted developmental potential provides a system to study various cell-cell interactions during differentiation into insulin-producing pancreas cells.

This treatment is NOT coming to a hospital near you any time soon!

HOWEVER, it IS COMING! Maybe not soon enough for me, but MAYBE soon enough for any of my kids or grandkids should they find themselves in the same situation I am!

Source: https://en.wikipedia.org/wiki/Induced_pluripotent_stem_cell
Links: https://cells4life.com/2024/05/stem-cell-therapy-achieves-cure-for-type-2-diabetes/
Image: https://asploro.com/wp-content/uploads/2019/12/Diabetes-Research_Open-Access.jpg

GUY’S GOTTA TALK ABOUT…TYPE 2 DIABETES #23: Ozempic, Rybelsus, and Me

For the first time since I started this blog eleven years ago, it’s going to be about me. I was diagnosed with Type 2 Diabetes two weeks ago. While people are happy to talk about their experiences with diabetes, I WASN’T comfortable with talking about diabetes. My wife is Type 2, as are several friends of ours. The “other Type” of diabetes was what caused the death of my Best Man a year after my wife and I got married. He was diagnosed with diabetes when he was a kid. It was called Juvenile Diabetes then. Today it’s Type 1. Since then, I haven’t WANTED to talk about diabetes at all. But…for my own education and maybe helping someone else, and not one to shut up for any known reason, I’m reopening my blog rather than starting a new one. I MAY take a pause and write about Breast Cancer or Alzheimer’s as medical headlines dictate; but this time I’m going to drag anyone along who wants to join my HIGHLY RELUCTANT journey toward better understanding of my life with Type 2 Diabetes. You’re Welcome to join me!

So…I’ve started to take the pill-form of OZEMPIC (Which helps control blood sugar spikes and reduces hunger pangs.) …AND “certain people” have leaped on the bandwagon DEMANDING to be able to use the WONDER-WORKING MIRACLE WEIGHT LOSS DRUG THEY CAN INJECT AND EAT ANYTHING THEY WANT AND *POOF!!!* THEY WILL LOSE WEIGHT WITHOUT MAKING A SINGLE CHANGE IN THEIR LIVES!!! AND WHY SHOULD DIABETIC PEOPLE GET TO HAVE ALL THE FUN????)

Anyway, I’ve started taking Rybelsus® because my A1c climbed to 7.7 this last time after holding at 7.1 from 9/22-4/23; jumping to 7.6 in 1/23; dropping to 7.0 on 10/26; and re-leaping to 7.7 on 7/25…

So, besides having to start taking Rybelsus (I DID NOT FEEL LIKE GIVING MYSELF SHOTS!!!), what does all this MEAN?

Let’s start at the beginning.

Both Rybelsus and Ozempic are from a family of drugs called “semaglutides” What precisely does that MEAN in relation to Type 2 diabetes?

So, there seems to be no simple explanation of what a semaglutide is, so I get to do my Translating the Science schtick again! It’s been a while. Hope I’m not too rusty.

Before delving into WHERE it came from, I thought I’d share some startling information with you. So often, I hear about how “AMERICANS” are big, old fat food pigs and that the epidemic of Type 2 Diabetes is caused by our extravagant food-eating and exercise-o-phobic society.

The semaglutide and tirzepatide, which was being developed for the control of Type 2 diabetes SEEMED TO ME to be subsumed by the absolutely INSANE demand for the drugs known as the semaglutides Ozempic, Wegovy, HERS, HIMS, Mounjarno, IVY RX, or the oral, tablet version of semaglutides called tirzepatide Rybelsus, Zealthy, Effecty, and others.

But what do they DO?

From the Mayo Clinic (main HW is here in my home state of Minnesota, in the place my sister and her husband live); “Semaglutide injection is used to treat type 2 diabetes. It is used together with diet and exercise to help control your blood sugar. This medicine is also used to lower the risk of heart attack, stroke, or death in patients with type 2 diabetes, obesity, and heart or blood vessel disease.”

OK, still a bit vague. Let me dig a bit more. First an image:

Then an explanation...

First, the semiglutide is a molecule that MIMICS the effect of a glucagon-like peptide-1 (GLP-1) receptor agonist. Glucagon is “a hormone formed in the pancreas which promotes the breakdown of glycogen to glucose in the liver”.

Glycogen is “a substance deposited in bodily tissues and is a form of “stored” carbohydrates in the liver and your muscles. It’s an ABSOLUTELY INSANELY complicated molecule formed of zillions of glucose molecules. Glucose is the SIMPLEST sugar and THE energy packet that powers EVERYTHING in your body. It is broken down by “hydrolysis”, which happens when enzymes chop up a glucose molecule and release energy and something called pyruvic acid (don’t worry about it here!)

Ozempic, Rybelsus and all the rest are a molecule that MIMICS the effect of a glucagon-like peptide-1 (GLP-1) receptor agonist…

The #&$%@*!!! Does THAT mean????

I thought you’d never ask, because it’s really simple: “GLP-1 agonists are medications that help lower blood sugar levels and promote weight loss.”

YOU probably don’t really want to know what that means, but me being me (a former science teacher and a biology major in college), I DO want to know…

More specifically, an agonist is a chemical that turns on some kind of reaction in a cell when it hooks up with a receptor. The receptor is a molecule on the outside of a cell’s skin that reacts to a particular kind of molecule. When the two hook up, in the case of active ingredient of Ozempic or Rybelsus or Monjarno, or any one of the others, it does a WHOLE BUNCH OF STUFF:

First, it makes your pancreas dump insulin into your blood, scooping up the extra sugar that gives you high blood sugars.

Second, it blocks glucagon – which is out of whack in anyone that has Type 2 diabetes – from telling your liver, “MORE SUGAR! MORE SUGAR!”

Third, it slows how much food gets digested (turned into glucose) and gets dumped into the blood stream, leading to (duh) high blood sugar!

Fourth, it makes your stomach feel full, so you don’t eat so much. If you don’t EAT so much, there won’t be so much food being digested, and there won’t be as much glucose released into your blood.

So– now that I UNDERSTAND what Rybelsus does to my insides; what Ozempic used to do to my wife’s insides…I can take the (stupid…but LESS stupid now that I know what my meds do…) meds to keep me from getting all the other crap I can get if I don’t try and get my diabetes under control…

The drugs are to HELP ME do something I can’t do anymore. Get it? Got it? Good! (

Me, too!

Source: https://en.wikipedia.org/wiki/Semaglutide, https://www.worksheetsplanet.com/what-is-glycogen/
The Actual Real Science Article: https://www.ncbi.nlm.nih.gov/books/NBK603723/#:~:text=Mechanism%20of%20Action&text=The%20mechanisms%20through%20which%20semaglutide,tract%2C%20pancreas%2C%20and%20brain.

Image: https://www.hcd.com/wp-content/uploads/2021/01/living-well-with-diabetes.jpg