
In a 2019 study published in Diabetes Care, researchers evaluated the associations between long term consumption of sugary beverages and the risk of type 2 diabetes. These sugary beverages included both sugar-sweetened beverages, (SSBs) artificially sweetened beverages (ASBs) as well as 100% fruit juice.
After adjustment for BMI and lifestyle covariates, the study found that:
Increasing total sugary beverage intake by as little as a half serving a day was associated with a 16% increased risk of diabetes over the next 4 years.
To conduct this large cohort study, the researchers followed up with 76,531 participants in the Nurses’ Health Study plus and additional 81,597 participants in the Nurses’ Health Study 2. They also included 34,224 men in the Health Professionals’ Follow-up Study. Since these studies were ongoing since 1986 so there was plenty of data to crunch.
The researchers specifically looked at the change in sugary beverage consumption from the food questionnaires the participants received every four years. They found that when the total consumption of sugary beverages increased there was a 16-18% higher risk of type 2 diabetes.
The opposite was proven to be true as well: replacing one daily serving of a sugary beverage with coffee, water or tea but not an (ASB) was associated with a 2-10% lower risk of diabetes.
This extensive study demonstrates that regardless of the type of sugar-sweetened beverage, the risk of diabetes increases with each SSB consumed.
To read more about this study click here
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There are a number of “life hacks” out there recommending adding butter to coffee, taking specific miracle supplements, or engaging in even more extreme methods like blood transfusion, all in an attempt to slow aging, improve health, and decrease weight.

However, the simple approach of regular exercise, healthy eating, and not smoking increases longevity and enjoyment with the additional benefit of increased lifespan in a multitude of studies.
In 2011, the American Journal of Public Health published such a study showing these lifestyle behaviors can increase lifespan by 11 years.
In 2016, the British Medical Journal found the following lifestyle behaviors reduce all-cause mortality 61 percent! Brad Stulberg of Outside Magazine, has compiled a number of these studies and synthesized the lifestyle changes in to 8 simple steps:
Read more here.
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Diabetes technology moves forward with the creation of an LED contact lens that can diagnose diabetes and assists with the treatment of diabetic retinopathy. A research team from Pohung University of Science and Technology in South Korea has developed a smart light-emitting diode (LED) contact lens for diagnosis of diabetes and treatment of diabetic retinopathy.
The contact lens will not be able to do a real-time blood glucose check but the lens could offer treatment for retinopathy. There is a possible commercialization in the future in collaboration with PIH Biomed and Stanford University.
On the same note: Apple’s science department has also been working on a contact lens to check a blood glucose level in real-time. It is considered to be one of their “secret” research projects from 2017.
As is often the case, a fingerstick BG would be the standard for the most accurate glucose levels for now. The potential for future developments is exciting!
We will keep an “eye” out for future developments in this exciting field of diabetes research.
Read more at Verdict Medical Devices & CNBC.
Written by Catherine Cullinane RN, CDCES, our resident Tech Thursday Content Writer

Catherine has been a nurse for 30 plus years, and a Diabetes Educator for 20 years. Her passion is helping people empower themselves with behavioral change for optimal health. Type 1 diabetes management ( insulin pumps, CGMs, and new diabetes technology) is one of her major interests and focus.
Catherine has been a Program Coordinator for the American Diabetes Association’s Education Recognition Program in both Wyoming, and San Francisco, California. She has worked in out-patient clinics, collaborated with hospital in-patient diabetes management, and is a pump and CGM trainer.
She has traveled the world with her own insulin pump, and more recently a CGM. The latest and greatest in type 1 diabetes management continues to amaze her. Catherine loves to travel, rock climb, hike up mountains, read, cook and eat healthy foods.
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A Tel Aviv University study found a starch-rich breakfast consumed early in the morning, coupled with a smaller low-carbohydrate dinner could decrease the need for injections and other medications for people with diabetes!

The body’s natural metabolism and biological clock are optimized for eating starches in the morning and fasting during the evening and night when the body recovers through sleep.
The study found eating 3 meals a day produced with the majority of starches in the early part of the day, promoted glucose balance and improved glycemic management for people living with type 2 diabetes. The results led researchers to believe it is possible for people with diabetes to significantly reduce or even stop injections of insulin as well as medications.
This study contrasts the recommendation for people with diabetes to eat 6 small meals throughout the day or “6M-diet”. Researchers found the 6M-diet has not been effective for glucose control.
“Their need for diabetic medication, especially for insulin doses, dipped substantially. Some were even able to stop using insulin altogether,” said Prof. Jakubowicz, lead author of the study.
The Tel Aviv study was inspired by the knowledge that insulin injections can lead to weight gain which further increases blood sugar, so their goal was to find alternatives. The biological clock diet (3M-diet) is designed to allow bread, fruits, and sweets in the early hours of the morning, a substantial lunch, then a small dinner specifically lacking starches, sweets, and fruits.
In the study, participants on the 6M-diet did not lose weight and did not experience any sugar level improvement. In contrast, the participants on the 3M-diet lost weight and substantially improved sugar levels.
Read more on MedicalXpress.
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Our Diabetes Detective Team scans the diabetes news to discover the most relevant info that Diabetes Educators need in their daily practice. We post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
We’re updating our DiabetesEd Specialist Boot Camp throughout February and March. See full schedule here.
In each webinar, Coach Beverly highlights the critical content of each topic area, so you can focus your study time most efficiently. She also launches multiple poll questions to helps students focus on key concepts and assess their knowledge while learning the best test-taking strategies.
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Diabetes fatigue or burnout is identifiable from the mental and physical exhaustion exhibited by the person with diabetes. They may feel detached from their condition and apathetic to the need for self-care. This burnout can be as brief as hours and as long as years. Sometimes this person may be mislabeled by caregivers as non-compliant.
Sometimes this person may be wrongly labeled by caregivers as non-compliant.

As health care professionals, we know that living with diabetes is no simple task: checking blood sugar, taking medication, choosing the right foods and/or dosing based on food choice, increasing physical activity, all the while balancing life and relationships. Identifying signs of burnout and helping people with diabetes to avoid or cope with the burnout is essential to caring for them. HealthDay News has given great examples and tips on how to do this:
Read more at HealthDay News.
See our Psychosocial Care and Assessment Resource Page
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To be honest. the vaccination recommendations for diabetes have been shrouded in a veil of mystery for me, until this year.
Thankfully, the 2022 ADA Standards are wonderfully clear in describing the vaccination schedule and types for people living with diabetes. We created this simple chart that you are free to download and share with your colleagues and in your work setting.
Even though these vaccine recommendations are well established, I thought it would be interesting to find out what percentage of people actually get the complete compliment of recommended vaccinations.
According to the CDC data, among those with diagnosed diabetes, the vaccination coverage for influenza, pneumococcal, and shingles was lowest among lower income adults and varied by race and ethnicity. Hepatitis B vaccination coverage was lowest among poor adults, and it decreased with age.
As diabetes specialists, we can have a significant impact on encouraging people with diabetes to receive these important vaccinations. We can work within our health care systems to establish systems and surveillance to monitor vaccine participation. Partnering with community health workers and liaisons can create bridges to increase vaccination rates.
Vaccination Rates for People with Diabetes:
Given that most experts predict that severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) and influenza viruses will both be active in the U.S. during the 2021–2022 season, getting the influenza vaccine is especially important.
Most people don’t know that getting the Influenza vaccine decreases risk of death.
New data is revealing that the influenza vaccine doesn’t just lower the risk of getting the flu, it also lowers risk of all cause mortality and cardiovascular events and death. This simple annual intervention is recommended for all individuals with diabetes 6 months and older.
See Table 4.5 in ADA Standard 4, 2022 for complete info
This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the BC-ADM or the CDCES certification Exam.
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The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.