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Know Your Diabetes Meds
I had the pleasure of attending the American Association of Diabetes Educators’ annual conference in Houston earlier this month. I’m constantly reminded that there have been several FDA-approved medications for the treatment of type 1 and type 2 diabetes over the last several years, and I just learned of the more recent innovative introductions and those associated with decreased risk of hypoglycemia and weight loss.
In this month’s E-News Exclusive, Today’s Dietitian (TD) discusses the many drugs available for type 1 and type 2 diabetes management and the recent releases RDs must know about to effectively counsel clients and patients.
After reading the article, visit TD’s website at www.TodaysDietitian.com to read the digital edition of the August issue, which includes articles on green tea catechins, nutrition’s role in academic performance, popular weight loss programs, and nutrition’s impact on sleep.
Don’t forget to check out RDLounge.com where you can read and comment on blogs written by RDs for RDs. We’re welcoming new guest bloggers, so if you’re interested in writing, please contact me at the e-mail listed below.
Please enjoy the E-Newsletter and give us your feedback at TDeditor@gvpub.com, and don’t forget to like us on Facebook and follow us on Twitter.
— Judith Riddle, editor |
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Diabetes Medication Update
By Constance Brown-Riggs, MSEd, RD, CDE, CDN
Over the past five years, there have been several new drugs approved by the FDA for the management of type 1 and type 2 diabetes. Compared with sulfonylureas and insulin, the newer drugs for type 2 diabetes are associated with a significantly lower risk of hypoglycemia and the promotion of weight loss.1 Three new insulins were approved for people with type 1 and type 2 diabetes—a long-acting insulin analog, a rapid-acting insulin analog, and, notably, a rapid-acting inhaled insulin. To effectively counsel clients and patients with diabetes, dietitians must stay abreast of these new medications. This article will describe the new diabetes medications that have been approved over the past several years, as well as their uses, indications, and nutrition implications.
Sodium-Glucose Cotransporter 2 Inhibitors (SGLT2)
SGLT2 inhibitors are FDA approved for use with diet and exercise to lower blood glucose in adults with type 2 diabetes. Since the approval of canagliflozin (Invokana) in 2013—the first FDA approved SGLT2 inhibitor—there have been three drugs added to this class: dapagliflozin (Farxiga), empagliflozin (Jardiance), and ertugliflozin (Steglatro).2
SGLT2 inhibitors lower blood glucose by causing the kidneys to remove glucose from the body through the urine. Historically, glucose in the urine has been a sign of poorly controlled diabetes. However, in the presence of SGLT2 inhibitors, glucose in the urine is a desired outcome.2
Dietitians will need to reeducate patients on the fact glucose in the urine is a sign that the medication is working. Patients should be instructed to take SGLT2 inhibitors before the first meal of the day.
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Body Composition Affects Energy Spent Standing vs Sitting
A person’s body composition could influence the difference between the amount of energy they spend while sitting vs standing, according to new research published in the open-access journal PLOS One. Conducted by Francisco J. Amaro-Gahete, a doctoral student at the University of Granada, Spain, and colleagues, this work adds to mounting evidence that more energy is expended while standing than while sitting or lying down.
Sedentary lifestyles are linked to increased risk of a variety of health conditions, including diabetes, obesity, and cancer. The difference in energy a person expends while standing vs sitting or lying down may be a key factor influencing health risks, but previous studies have found conflicting results about the actual size of these differences. Also, body composition could impact these differences, but its role has been unclear.
To address these issues, Amaro-Gahete and colleagues measured energy expenditure differences between lying, sitting, and standing for 55 young adults aged 18 to 25. In line with previous research, the participants burned significantly more kcal per minute while standing than while sitting or lying, while no difference was seen for sitting vs lying.
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August CE Special
Throughout August, buy any self-study course or recorded webinar that is not already complimentary and get a second one FREE.* Visit CE.TodaysDietitian.com to choose the courses and recorded webinars you'd like to experience and use the coupon code BOGOAUG19 at checkout.
* If applicable, the additional discount for CE Club Members will be applied to the already reduced product price.
This coupon cannot be combined with any other offers or promotions.
Offer valid through August 31, 2019, at 11:59 PM EDT.
Upcoming Live Webinars
Information Literacy: Evidence-Based Practice Tools for Busy Dietitians
In this webinar on Wednesday, August 28, 2019, from 2–3 PM EDT, Amanda Davis, MPH, RD, CHES, and Irene Lubker, MLS, MPH, RD, AHIP, will help bridge the gap between research and practice for busy RDNs. They will introduce the five A’s of evidence-based practice, describe how to create a search strategy using the PICO format, introduce free and low-cost resources for searching the evidence, use the 6S Model Evidence Pyramid to prioritize preappraised sources of nutrition research, and apply guideline recommendations and preappraised evidence to client interactions. Click here to register »
A Sound Mind in a Sound Body: The Impact of Nutrition on Cognition
On Thursday, September 12, 2019, from 2–3:30 PM EDT, in partnership with Becky Dorner & Associates, Sangeeta Pradhan, RD, LDN, CDE, will review how dietary patterns, dietary components, and exercise might synergistically help mitigate the adverse effects of the oxidative stress produced by poor dietary choices. Click here to register »
The Ethics of Hunger
In the second of this two-part series on Wednesday, September 18, 2019, from 2–3 PM EDT, Clancy Cash Harrison, MS, RDN, FAND, will bridge the knowledge gap between the overall health of our clients and food insecurity. She will dive deep into the ethics of the food insecurity epidemic, focusing on the symptoms, risk factors, and costs of allowing food insecurity to go untreated. This webinar is preapproved by the CDR for 1 ethics credit. Click here to register »
Changing the Conversation: Culinary Techniques for the Aging Population
On Thursday, September 19, 2019, from 2–3 PM EDT, in part three of this four-part webinar series, Chefs Abbie Gellman, MS, RD, CDN, and Julie Harrington, RD, will discuss how to talk to clients about dietary changes for diseases related to aging, such as dementia, osteoporosis, sarcopenia, Alzheimer's, and cognitive decline/mental health. This 1-CEU complimentary webinar is the third in a four-part webinar series, featuring a new diagnosis that is discussed in Q1, Q2, Q3, & Q4. Sponsored by Egg Nutrition Center. Click here to register »
Designing Powerful Presentations: Intentional, Inspiring, Impactful
To help fill the gap in nutrition professionals' education, Barbara J. Mayfield, MS, RDN, FAND, LD, and Sonja Stetzler, MA, RDN, CPC, on Wednesday, October 2, 2019, from 2–3 PM EDT, will discuss how to design a presentation that confidently and competently addresses audiences and achieves personal and audience-centered outcomes. Click here to register »
Update: What's New in the World of Carbohydrates
In this 1-CEU complimentary webinar, on October 10, 2019, from 2–3 PM EDT, Joanne Slavin, PhD, RD, Professor, will provide an update on the recommendations for carbohydrates set by the Dietary Guidelines for Americans. Joanne will discuss the latest evidence relating to appropriate carbohydrate consumption by addressing professional practice gaps, including making better carbohydrate choices by consuming less added sugar and eating more plant-based foods that are high in fiber. Sponsored by Barilla. Click here to register »
2020 Spring Symposium
We're currently offering our Advance Registration rate of $249 at TodaysDietitian.com/SS20. It’s a great opportunity to join us in a great American city and earn at least 15 CEUs at our 7th annual continuing education and networking event for dietitians and nutrition professionals! In the coming weeks, we'll be announcing more details about the event, including presenters, session topics, sponsors, networking opportunities, special events, and more. Register early and save!
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Fight OSA With Food
Sue Linja, RDN, LD
It’s 3:00 in the morning and the deep snoring seems to be coming from every room in the small beach house. Is it my husband, one of my brothers, or maybe even my sister? All of them refuse to wear their (what they consider embarrassing) appliances for obstructive sleep apnea (OSA) while on vacation.
OSA causes frequent pauses (five to 30 per hour) of normal breathing during sleep and is marked by loud snoring at night as well as dry throat and daytime sleepiness. It’s not only irritating to bedmates but also is associated with serious health effects including increased blood pressure, CVD, stroke, and mortality.
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Population-Level Diabetes Targets Not Met Over a Decade
An investigation by JAMA Internal Medicine found that, even with improved diabetes care, population-level diabetes treatment targets weren’t met from 2005 to 2016 and that significant care gaps were seen among those aged 18–44, women, and nonwhite adults.
Exercise May Help Stroke Survivors Regain Movement
A new study published in the Journal of the American Heart Association found an aerobic exercise program improved movement capability in stroke survivors as much as a traditional cardiac rehab program. |
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In the September Issue
Philly’s Best Cuisine
Stroke in Younger Adults
Produce-Packed Meals & Snacks
The Power of Pulses
New Blood Test to Diagnose IBS |
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Workout Streaming Service
Openfit, a new digital streaming service, features several proprietary fitness programs with personalized workouts and nutrition advice. Programs include XtendBarre, Tough Mudder T-Minus 30, Rough Around the Edges, Yoga52, and 600 Seconds. Consumers can try the service free for 30 days. Learn more »
Fitness Tracker With ECG Technology
BEAT 20 is a waterproof fitness tracker worn across the chest as a body strap that uses ECG technology to continuously monitor and store heart rate data, including resting heart rate and 24-hour continuous heart rate. It pairs with an app, in which users can view graphs of their heart rates over time. It also features an alert system to inform users when they may be overexerting themselves. Learn more » |
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| Have a dietetics-related question that you'd like our expert Toby Amidor, MS, RD, CDN, FAND, to answer? Email TDeditor@gvpub.com or send a tweet to @tobyamidor, and we may feature your query! |
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