scispace - formally typeset
Search or ask a question

Answers from top 10 papers

More filters
Papers (10)Insight
Younger age, good metabolic control and intensified insulin therapy are associated with a better health-related quality of life.
Intensive glycemic control using insulin therapy may be appropriate for many healthy older adults to reduce premature mortality and morbidity, improve quality of life, and reduce health care costs.
We conclude that the deterioration in glucose tolerance that occurs in healthy elderly subjects is due to a decrease in both insulin secretion and action with the severity of the defect in insulin action being explained by the degree of fatness rather than age per se.
Open accessJournal ArticleDOI
Helen Vlassara, Gary E. Striker 
209 Citations
Studies in healthy humans and in those with diabetes mellitus show that consumption of high amounts of food-related AGEs is a determinant of insulin resistance and inflammation and that AGE restriction improves both.
However, steady‐state insulin levels during the insulin‐clamp period were higher in the older subjects, suggesting that age leads to an impairment in insulin catabolism; thus it is likely that the impairment of in vivo insulin action with age was underestimated.
Thus, in healthy older men up to the age of 73 yr, insulin sensitivity and glucose tolerance are affected primarily by the regional body fat distribution, not age, obesity, or VO2max.
Adiposity and fitness continue to be significant predictors of insulin sensitivity into old age, with abdominal obesity being the most important single factor.

Related Questions

Why does age contribute to type 2 diabetes?5 answersAge contributes to type 2 diabetes due to various factors identified in the research. Studies show that aging is associated with increased risk for type 2 diabetes, characterized by reduced insulin sensitivity and secretion. Mitochondrial dynamics play a critical role in maintaining cellular metabolic homeostasis, and dysregulation of these dynamics has been linked to age-associated type 2 diabetes, leading to β-cell dysfunction and insulin resistance. Additionally, aging impacts β-cell glucose metabolism, resulting in hyperactive glycolysis, compromised cellular identity, and β-cell dysfunction, which are shared phenotypes with diabetic mouse models. The prevalence of type 2 diabetes significantly increases with age across different BMI ranges, highlighting the impact of aging on diabetes risk independent of obesity.
Are diabetes type 2 only develops in people over age 45?5 answersDiabetes type 2 (T2DM) is not exclusive to individuals over 45 years old. Research shows that T2DM can develop in young people aged 18-45, with a more aggressive course and higher risks of complications. Additionally, a study on Chinese T2DM patients revealed that the age of onset significantly impacts the development of diabetic retinopathy (DR), with the risk being highest in those aged 31-45 years. Furthermore, individuals diagnosed with T2DM at a younger age exhibit distinct clinical characteristics, such as higher BMI, adverse lipid profiles, and faster deterioration in glycemic control, indicating a more pathogenic condition compared to late-onset T2DM. Therefore, T2DM can affect individuals of various age groups, emphasizing the importance of early detection and tailored care approaches for better outcomes.
How does agedo not affect the progression of type 2 diabetes?5 answersOlder age does affect the progression of type 2 diabetes. Individuals who develop type 2 diabetes at a younger age have a more adverse lipid profile, higher HbA1c levels, and a faster deterioration in glycaemic control compared to those who develop diabetes later in life. Additionally, younger individuals diagnosed with type 2 diabetes have a higher BMI at diagnosis and during follow-up, as well as higher triacylglycerol levels and lower HDL-cholesterol levels. These differences in disease characteristics between age groups suggest that early-onset type 2 diabetes may be a more pathogenic condition than late-onset disease. Furthermore, the use of self-monitoring of blood glucose (SMBG) is associated with a better clinical outcome in both age groups. Therefore, age plays a significant role in the progression and management of type 2 diabetes.
After how many hours of interval we can take insulin9 answers
I am take 30 mg insulin in morning and 28 mg evening9 answers
Is age a major risk factor for diabetes?10 answers

See what other people are reading

What are the benefits of a carbohydrate fiber ratio?
5 answers
The carbohydrate-to-fiber ratio (CFR) plays a crucial role in metabolic health and disease prevention. Studies have shown that a higher CFR is associated with better body composition, including lower fat mass and body fat percentage. Additionally, a lower CFR is linked to poor blood pressure control in hypertensive patients, making it a significant risk factor for blood pressure management. Furthermore, adherence to specific carbohydrate ratios (simple, modified, or dual) is associated with higher nutrient intake and overall diet quality, with the dual ratio providing the greatest improvements in nutrient intake. Overall, maintaining an optimal carbohydrate-to-fiber ratio in the diet can positively impact metabolic parameters, body composition, and overall health outcomes.
What is the role of Crosstalk CB1 and CB2 receptors in regulating appetite?
4 answers
Crosstalk between CB1 and CB2 receptors plays a crucial role in regulating appetite. Activation of CB1 receptors promotes appetite and stimulates feeding, while CB1 blockade suppresses hunger and induces hypophagia. The peripheral CB1 receptor activation impacts energy balance by inhibiting satiety, increasing food intake, altering taste sensation, and promoting energy storage. Additionally, CB1 receptors modulate food intake by interacting with classical neurotransmitters in neural networks controlling energy metabolism and feeding behavior. The endocannabinoid system, including CB1 receptors, influences feeding behaviors through partial agonism by Δ9-THC, inducing a preference for palatability. Understanding the intricate interplay between CB1 and CB2 receptors provides insights into potential therapeutic targets for managing appetite and body weight.
Does taking ginkgo biloba have any health benefits?
5 answers
Taking Ginkgo biloba does offer various health benefits. Research indicates that Ginkgo biloba has pharmacological effects, anti-inflammatory properties, and can aid in treating neurological and cardiovascular disorders, Alzheimer's disease, dementia, and cognitive impairment. Studies have shown that Ginkgo biloba can improve memory, cognition, and quality of life in patients, as well as reduce stress, inflammation, and biomarkers of oxidative stress. Additionally, Ginkgo biloba has been found to have potential therapeutic applications in various conditions such as macular degeneration, diabetes, hyperlipidemia, and neurological disorders. Furthermore, when combined with statins, Ginkgo biloba can enhance the treatment of hyperlipidemia by improving blood lipid parameters, liver fat content, and adipocyte size, while also providing liver protection and increasing plasma statin exposure.
Can Wolfram Syndrome be cured?
5 answers
Wolfram Syndrome (WS) is a rare genetic disorder characterized by diabetes mellitus, optic atrophy, and neurodegeneration. Unfortunately, there is currently no curative treatment for WS. Management focuses on treating individual clinical manifestations, slowing disease progression, and improving quality of life. Genetic testing plays a crucial role in early detection for precise diagnosis and coordinated multidisciplinary care. Recent findings suggest WS as a spectrum disorder, emphasizing the need for genotype-phenotype correlation analysis for diagnosis and therapeutic development. Studies highlight the poor prognosis of WS due to severe neurological dysfunction, underscoring the urgency for research on pathogenic molecular mechanisms and new therapies. While treatments like liraglutide and insulin pumps can help manage symptoms and improve quality of life, a definitive cure for WS remains elusive.
What is the vvv of blood pressure?
5 answers
Visit-to-visit variability (VVV) in blood pressure refers to the fluctuation in blood pressure values across multiple visits. Studies have shown that VVV in blood pressure is associated with cardiovascular disease risk. Factors influencing VVV include the number and timing of visits, measurement devices used, and patient characteristics. VVV can be quantified using metrics like standard deviation (SD), coefficient of variation, and average real variability of systolic blood pressure. VVV poses challenges in managing hypertension based on episodic clinic evaluations, emphasizing the need for a more comprehensive approach beyond periodic blood pressure readings in outpatient settings. Additionally, VVV of blood pressure is weakly correlated with 24-hour variability, suggesting that they are not interchangeable measures.
What is the correlation between macrosomia and maternal diabetes?
5 answers
Macrosomia, defined as a birth weight of ≥4000 g, is significantly associated with maternal diabetes, particularly gestational diabetes mellitus (GDM). Maternal blood glucose levels, especially fasting plasma glucose (FPG), play a crucial role in determining fetal weight and the risk of macrosomia. Elevated HbA1c levels in diabetic mothers post-delivery are linked to macrosomia in neonates. Factors like insulin resistance and β-cell dysfunction in GDM complicated with macrosomia contribute to the pathophysiology, affecting birth weight. Maternal factors such as gestational weight gain, BMI, and gestational diabetes significantly correlate with neonatal macrosomia in full-term singleton births, emphasizing the importance of maternal counseling for weight management and appropriate delivery methods to prevent adverse events.
How does blood sugar management affect a in individual life?
4 answers
Blood sugar management significantly impacts an individual's life by influencing their quality of life, treatment effectiveness, and risk of complications. Proper management, including self-monitoring with advanced technologies like cloud-connected devices, can enhance control over diabetes, reduce hospitalizations, and allow for personalized therapy. Glycated hemoglobin (HbA1c) plays a central role in diabetes management, but its accuracy can be affected by individual variations in red blood cell properties, leading to potential over- or undertreatment risks. Diabetes self-management education is crucial for all individuals with diabetes, as it reduces the risk of complications and improves outcomes. Innovative blood sugar management systems, incorporating blood sugar measurement, insulin dosing, and exercise tracking, aim to optimize blood sugar control while enhancing the patient's quality of life.
How does ketogenic diet affect homocysteine?
4 answers
A ketogenic diet (KD) can impact homocysteine levels in different ways based on the specific study conditions. Research suggests that a KD can induce mild hyperhomocysteinemia (HHcy) when combined with low methyl donors in the diet, leading to increased homocysteine levels in mice. On the other hand, studies on rats fed a high-fat—sucrose (HFS) diet showed that hyperinsulinemia correlated positively with plasma homocysteine levels, indicating a potential link between insulin resistance and homocysteine metabolism. Additionally, a high methionine low folate (HMLF) diet was found to cause HHcy in mice, altering gut microbiome profiles and impacting glucose homeostasis. Therefore, the effects of a ketogenic diet on homocysteine levels can vary depending on factors like diet composition and metabolic conditions.
Does magnesium supplementation help rheumatoid arthritis?
5 answers
Magnesium supplementation shows promise in aiding rheumatoid arthritis (RA) patients. Studies indicate that magnesium intake may have a protective effect against RA. Furthermore, short-term dietary modifications with low-magnesium diets have been linked to reduced arthritis severity and joint damage in animal models. Additionally, magnesium supplementation has been shown to reduce insulin resistance, fasting blood sugar levels, and inflammation in RA patients, potentially offering an alternative method for preventing type 2 diabetes in this population. Moreover, innovative approaches like using magnesium micromotors for hydrogen generation have demonstrated therapeutic efficacy in managing RA by reducing oxidative stress and inflammation. Overall, these findings suggest that magnesium supplementation could be beneficial in alleviating symptoms and mitigating the progression of rheumatoid arthritis.
What are the biomarkers of hypocalcium in the body?
5 answers
Hypocalcemia, characterized by low serum calcium levels, can be indicated by various biomarkers. Serum and ionized calcium levels are crucial indicators of hypocalcemia, with hypocalcemia being associated with mechanical ventilation and poor prognosis in COVID-19 patients with comorbidities like cardiovascular diseases and chronic kidney disease. Additionally, 24-hour urine calcium levels have been proposed as a diagnostic tool for low fractional calcium absorption, showing a positive correlation with net calcium absorption and the ability to predict calcium malabsorption in postmenopausal women. Different calcium minerals, such as CaHPO4, Ca gluconate, Ca lactate, Ca aspartate, and Ca citrate, have been studied for their impact on reducing the oral bioavailability of lead, cadmium, and arsenic, with varying effects on metal(loid) bioavailability in mice.
What is the normal ggt level in healthy young adults?
5 answers
In healthy young adults, the normal Gamma Glutamyl Transferase (GGT) levels typically range between 26.20 to 64.2 IU/L. Elevated GGT levels have been associated with various cardiovascular risk factors, including obesity, hypertension, dyslipidemia, and hyperglycemia. Additionally, GGT has been linked to oxidative stress, atherogenesis, and liver dysfunction, making it a valuable marker for assessing health status. Studies have shown that GGT levels can be influenced by factors like alcohol consumption, with even low levels of regular ethanol intake leading to elevated GGT activities, especially in individuals over 40 years of age. Therefore, monitoring GGT levels in young adults can provide insights into their cardiovascular and metabolic health status.