Frontiers in Pharmacology,
Год журнала:
2024,
Номер
15
Опубликована: Ноя. 5, 2024
Diabetes
is
one
of
the
most
common
metabolic
diseases
worldwide,
leading
to
complications,
mortality,
and
significant
healthcare
expenditures,
which
impose
a
substantial
social
financial
burden
globally.
A
diabetic
environment
can
induce
changes,
negatively
affecting
tendon
homeostasis,
alterations
in
biomechanical
properties
histopathology.
Numerous
studies
have
investigated
mechanisms
through
diabetes
exerts
pathological
effects
on
tendons,
including
increased
free
radical
production,
oxidative
stress,
inflammatory
responses,
deposition
advanced
glycation
end
products
(AGEs),
microvascular
changes.
These
changes
damages
structure,
biomechanics,
repair
processes.
The
proliferation
stem
cells
decreases,
apoptosis
increases,
abnormal
differentiation,
along
with
expression
myofibroblasts,
ultimately
lead
insufficient
repair,
fibrosis,
remodeling.
Although
researches
unveiling
tendinopathy,
fibrosis
or
contracture,
injury
healing
are
growing,
systematic
understanding
still
lacking.
Therefore,
this
review
summarizes
current
research
status
provides
comprehensive
overview,
offering
theoretical
guidance
for
future
in-depth
exploration
impact
tendons
development
treatments
diabetes-related
diseases.
Diabetes Obesity and Metabolism,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 30, 2024
Abstract
Excess
adiposity
is
at
the
root
of
type
2
diabetes
(T2D).
Glucagon‐like
peptide‐1
receptor
agonists
(GLP‐1RAs)
have
emerged
as
first‐line
treatments
for
T2D
based
on
significant
weight
loss
results.
The
composition
using
most
diets
consists
<25%
fat‐free
mass
(FFM)
loss,
with
remainder
from
fat
stores.
Higher
amounts
(achieved
metabolic
bariatric
surgery)
result
in
greater
reductions
FFM.
Our
aim
was
to
assess
impact
that
GLP‐1RA‐based
We
analysed
studies
reported
changes
FFM
following
agents:
exenatide,
liraglutide,
semaglutide,
and
dual
incretin
agonist
tirzepatide.
performed
an
analysis
various
interventions
provide
a
reference
expected
evaluated
dual‐energy
X‐ray
absorptiometry
(DXA)
measuring
(a
crude
surrogate
skeletal
muscle).
In
evaluating
percentage
lost
(%FFML)
equal
ΔFFM/total
change.
%FFML
agents
between
20%
40%.
28
clinical
trials
evaluated,
proportion
highly
variable,
but
majority
exceeding
25%.
review
limited
small
substudies
use
DXA,
which
does
not
measure
muscle
directly.
Since
contains
variable
amount
(approximately
55%),
this
indirect
may
explain
heterogeneity
data.
Assessing
quantity
quality
advanced
imaging
(magnetic
resonance
imaging)
functional
testing
will
help
fill
gaps
our
current
understanding.
Frontiers in Pharmacology,
Год журнала:
2024,
Номер
15
Опубликована: Март 6, 2024
Affected
by
aging,
the
elderly
diabetes
patients
have
many
pathological
characteristics
different
from
young
people,
including
more
complications,
vascular
cognitive
impairment,
osteoporosis,
and
sarcopenia.
This
article
will
explore
their
pathogenesis
mechanism
of
Traditional
Chinese
medicine
(TCM)
intervention,
use
method
systematic
review
to
evaluate
clinical
application
TCM
in
diabetes.
The Russian Archives of Internal Medicine,
Год журнала:
2024,
Номер
14(1), С. 52 - 62
Опубликована: Фев. 13, 2024
Objective.
Materials
and
methods:
82
patients
with
type
2
diabetes
mellitus
participated,
which
were
divided
into
groups:
probable
sarcopenia
comparison
groups.
Conducted:
questionnaire
surveys
(Health
Status
Survey
(SF-36)),
Sarcopenia
quality
life
assessment
(SarQoL)),
strength,
assistance
walking,
getting
up
from
a
chair,
climbing
stairs
falling
—
Strength,
Assisted
Climbing
Falls
(SARC-F)),
of
walking
speed
physical
activity,
carpal
dynamometry,
bioimpedancemetry,
analysis
laboratory
parameters.
Results:
the
difference
between
conducted
questionnaires
is
statistically
insignificant.
According
to
bioimpedansometry,
obesity
1st
degree
was
recorded
in
lesions.
In
group
presarcopenia,
main
decrease
body
composition
parameters
decreases.
addition,
group,
rate
intake
reduced,
decompensation
carbohydrate
lipid
metabolism
occurs.
Differences
considered
significant
at
p
<
0.05.
Conclusion.
Dynamometry
bioimpedance
can
be
used
for
primary
screening
diabetes.
Maintaining
indicators
glycemia,
correction
dyslipidemia,
compensation
D
hypocalcemia
muscle
mass
mass.
Experimental and Clinical Gastroenterology,
Год журнала:
2024,
Номер
2, С. 141 - 148
Опубликована: Март 26, 2024
Sarcopenia
is
a
chronic
age-associated
disease,
the
prevalence
of
which
increases
with
aging.
The
primary
form
associated
aging,
when
no
other
causes
have
been
identified,
cause
secondary
sarcopenia
may
be
various
diseases,
including
type
2
diabetes
mellitus
(DM2).
One
common
links
in
pathogenesis
DM2
and
insulin
resistance.
A
combination
obesity
often
observed.
interrelation
these
pathological
processes,
etiology
are
presented
this
literature
review.
Diabetes Obesity and Metabolism,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 21, 2024
Abstract
Aim
Diabetes
is
an
independent
risk
factor
for
muscle
mass
loss,
with
possible
mechanisms
including
impaired
insulin
signalling
and
chronic
inflammation.
The
use
of
a
glucagon‐like
peptide
1
(GLP‐1)
receptor‐based
agonist
could
lead
to
weight
reduction,
which
might
result
from
the
loss
both
fat
skeletal
muscle.
However,
body
composition‐modifying
effects
GLP‐1
agonists
have
not
been
systematically
characterized.
Methods
PubMed,
EMBASE,
Cochrane
Center
Register
Controlled
Trials
Studies
Clinicaltrial.gov
were
searched
inception
October
2023.
Randomized
controlled
trials
receptor
or
glucose‐dependent
insulinotropic
polypeptide/GLP‐1
dual
agonist,
reported
changes
composition,
included.
results
computed
as
weighted
mean
differences
(WMDs)
95%
confidence
intervals
(CIs)
in
random‐effects
model.
Results
In
all,
19
randomized
When
compared
controls,
substantial
reductions
observed
patients
using
treatment
(WMD
=
−2.25
kg,
CI
−3.40
−1.10
kg),
decrease
areas
subcutaneous
−38.35
cm
2
,
CI,
−54.75
−21.95
)
visceral
−14.61
−23.77
−5.44
).
Moreover,
greater
lean
also
users
non‐users
−1.02
−1.46
−0.57
while
percentage
comparable
between
non‐users.
Conclusion
Compared
experienced
mass,
shaping
terms
mass.
Although
users,
The journal of nutrition health & aging,
Год журнала:
2024,
Номер
28(6), С. 100229 - 100229
Опубликована: Апрель 9, 2024
Supplementation
with
β-hydroxy
β-methyl
butyrate
(HMB)
appears
to
be
effective
in
preserving
muscle
older
adults.
However,
the
association
between
endogenously
produced
HMB
frailty
has
not
been
studied
people
chronic
disease.
The
purpose
of
this
study
is
explore
whether
an
exists
endogenous
levels
and
status
adults
type-2
diabetes
mellitus
(T2DM).
Data
were
taken
from
Toledo
Study
Healthy
Ageing,
a
community-dwelling
aged
(65
years+)
cohort.
Frailty
was
assessed
at
baseline
2.99
median
years
according
Phenotype
(FP)
standardized
our
population
Trait
Scale
12
(FTS12).
associations
using
three
nested
multivariate
logistic
regressions
segmented
by
sex.
Glucose,
glucose
interaction,
age
body
composition
used
as
covariables.
255
participants
(mean
75.3
years,
52.94%
men)
included.
showed
inverse
cross-sectional
frailty,
which
modified
when
interaction
term
HMB*glucose
included,
remaining
significant
only
for
FTS12
[OR
(95%
CI):
0.436
(0.253,
0.751),
p-value
0.003].
independent
sex,
maintained
after
adjusting
covariates.
there
threshold
points
levels,
above
protective
effect
lost:
145.4
mg/dl
adjusted
gender
whole
sample
149.6
138.9
men
women,
respectively.
Endogenous
found
associated
incident
frailty.
Cross-sectional
analysis
revealed
that
inversely
T2DM.
This
dependent
on
circulating
fasted
levels.
Meditsinskiy sovet = Medical Council,
Год журнала:
2024,
Номер
16, С. 148 - 153
Опубликована: Окт. 31, 2024
Diabetes
mellitus
is
a
group
of
metabolic
(chemical
processes)
diseases
characterized
by
chronic
hyperglycemia.
Globally,
the
number
patients
with
diabetes
follows
an
upward
trend
annual
increase.
As
disease
progresses,
frequency
micro
and
macrovascular
complications
gradually
increases.
In
recent
years,
much
attention
has
been
paid
to
effect
on
skeletal
muscle
status.
Structural
functional
abnormalities,
disorders
in
muscles
that
develop
ageing
are
also
specifically
attributed
diabetes,
but
they
manifest
themselves
at
earlier
age.
Chronic
hyperglycemia
can
accelerate
process
play
crucial
role
development
diabetic
myopathy,
which
decreased
mass,
weakness
atrophy,
pain,
impaired
sensation
even
quadriplegia
severe
cases.
A
reduction
rate
protein
synthesis
rise
its
degradation
pathophysiological
sign
atrophy.
Research
into
molecular
mechanisms
myopathy
will
aid
effective
methods
prevention
treatment,
however,
achievement
maintenance
glycaemic
targets
plays
critical
ensuring
health
muscles,
make
it
possible
achieve
disability
improve
patients’
quality
life.
Advanced
glucometer
models
fitted
range
additional
functions
allow
for
structured
self-monitoring
blood
glucose
(SMBG),
analysis
obtained
data
timely
correction
therapy,
active
involvement
management,
significantly
increase
effectiveness
management
reduce
risk
diabetes.