Sunday, August 18, 2024

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

Sunday, August 4, 2024

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! (