Ancient berry could fight diabetic blindness

Ancient berry could fight diabetic blindness

5 June 2012

(L-R) Professor Basil Roufogalis and Min Song with goji berry extract.

The ancient Tibetan goji berry could help fight blindness caused by long-term diabetes according to studies conducted by University of Sydney researchers.

Faculty of Pharmacy researchers have conducted in vitro tests investigating the potential power of the berry which is now a popular natural remedy.

According to lead researcher, University of Sydney Professor of Pharmaceutical Chemistry Basil Roufogalis, the goji berry is abundant in taurine, an ingredient credited with anti-oxidative, anti-inflammatory and immuno-modulating properties which could protect the retina.

“Diabetic retinopathy is a leading cause of blindness for people with diabetes, with up to 60 percent of people living with either type 1 or type 2 diabetes developing chronic hyperglycaemia, a condition which can damage retina cells,” explains Professor Roufogalis.

“Typically what happens is proteins in the eye become oxidated and high glucose levels force retinal cells to die.

“What’s more, blood vessels build up in the retina and grow over the vision spot, which can result in vision loss.”

The pharmacy researchers initially undertook work showing the goji berry and its taurine component activated a nuclear receptor protein called PPAR-gamma. This protein plays a crucial role in regulating the retinal cells. This paved the way for further investigation of Lycium barbarum (goji) and its potential to activate the PPAR-gamma receptor.

“First we looked at the protective effect of pure taurine, and an extract of goji berry rich in taurine, in retinal barrier epithelial cells exposed to high glucose – a cell line that can serve as a model to emulate diabetic retinopathy,” said Professor Roufogalis.

“We found that goji berry protected against the death of cells caused by high concentrations of glucose in the retina. This protection occurred in parallel with the activation by the extract of the receptor protein (PPAR-gamma). The pure taurine found in the extract mimicked the effects of the goji berry extract.

“We then wanted to see whether the same extracts of goji berry and its pure taurine had an effect on protecting the retinal barrier against toxin invasion when the barrier is typically damaged by high glucose in diabetes patients.

“What we found is that both the pure taurine and the taurine-laden goji berry extract protected the retina against increased permeability of the protective barrier through its actions on the PPAR-gamma receptor, thereby helping the epithelial cells that provide the protective barrier to the retina.

“We are hopeful that these promising results for treating or preventing diabetic retinopathy will lead to human clinical trials,” said Professor Roufogalis.

Min Song, also from the Faculty of Pharmacy, received a National Institute of Complementary Medicine (NICM) PhD scholarship to assist in the groundbreaking research. NICM, hosted by the University of Western Sydney, was launched in 2007 to facilitate strategic research in complementary medicine in Australia.

Professor Alan Bensoussan, director of NICM, hailed the novel research. “This is pioneering scientific research in the field of herbal medicine, and is to be applauded for investigating novel ways to address the debilitating effects of diabetes, which is such a pressing global health problem,” he said.

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Media enquiries: Victoria Hollick, 02 9351 2579, 0401 711 361, [email protected]


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Diabetic Alert Dog Saves 3-Year-Old Girl's Life

abc faith wilson diabetic alert dog jt 120602 wblog Diabetic Alert Dog Saves 3 Year Old Girls Life Countless Times

(ABC News)

Diabetic Alert Dog Saves 3-Year-Old Girl’s Life

A 3-year-old girl in Texas who suffers from a rare form of infant diabetes wouldn’t be alive today if she didn’t have a diabetic alert dog, her mother says.

The little girl, Faith Wilson, has a severe condition that must be constantly monitored.

“It’s a very difficult disease to manage and basically it’s organ failure and you have to live your life on life support,” said Sarah Wilson, Faith’s mother, according to ABC News affiliate KLTV. “Night times were the worst. I used to have panic attacks every night and wake up and run to her bed, holding my breath, just hoping she was alive.”

Sarah Wilson purchased a diabetic alert dog named Ruby two years ago from the Wildrose Kennel in Mississippi for $10,000 through church donations and community support.

Rachel Thornton, Wildrose’s service programs director, said each diabetic alert dog is specifically trained to detect, by scent, if their owner’s blood sugar falls below 100.

“We breed all of our dogs and they are trained at Wildrose Kennel. We breed British labs. It’s a very researched very scientific breeding to produce the type of dog we’re looking for. We breed for scent ability and temperament, and it yields a dog that has done very good as a diabetic alert dog,” Thornton said.

A diabetic’s metabolism changes before a seizure induced by low blood sugar. This change smells subtly like ketosis, which is like nail polish remover. Dogs have extraordinary sensory abilities, and are able to smell more accurately than humans. The diabetic alert dogs are trained to act when the odor occurs, barking in alarm or licking its owner.

Sarah Wilson said that Ruby has saved Faith’s life several times in the last two years.

“She has absolutely saved Faith’s life more times than I can even count,” Wilson said.

Wilson said Ruby has drastically improved the family’s quality of life.

“I can’t imagine our life without Ruby. I know if it weren’t for Ruby, I would have already buried my child. So I don’t even want to think about life without Ruby,” Wilson said.

ABC News affiliate KLTV contributed to this report.


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Living with Diabetes

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Diabetic Fruit Cake

Living with Diabetes

By: Rina Jimenez-David
Philippine Daily Inquirer

This is one of those very rare times when it pays to be a diabetic. Suddenly, we’re in the news now.

Chief Justice Renato Corona has brought the spotlight on the disease with his dramatic (some might posit it was rather “melodramatic”) exit from the impeachment trial Tuesday afternoon, after speaking for over three hours in his own defense. After leaving the session hall without waiting for Senate President Juan Ponce Enrile’s approval, Corona emerged from the Senate clinic with his lawyers saying he was suffering from “hypoglycemia” (low blood sugar) because he had neglected to have lunch before taking the witness stand. He would later leave the Senate building and head straight for Medical City where he was confined by doctors to the ICU allegedly for a possible heart attack.

There is not one uniform diagnosis for diabetes, and individuals react to it in varying degrees. Having been diagnosed with the disease shortly after I turned 40, I have learned to live with diabetes through bouts of hyper- and hypoglycemia, and periodic scoldings from my endocrinologist.

I remember two episodes of “hypo,” both occurring around the Christmas season, when I felt faint and about to lose consciousness. In the first, I skipped some meals due to a toothache, and began feeling extremely drowsy on the way home from a radio show. My husband decided to take me to the emergency room of a nearby hospital and on the way stopped by a fast food place for some iced tea. By the time we drove up to the ER, though, the sugar from the iced tea had kicked in, and it was with some embarrassment that I told the doctors I was feeling well enough and didn’t need any more treatment.

* * *

So as you can see, I do have some sympathy for the Chief Justice.

But there were precautions he could have taken to prevent such an episode. He could have, for one, taken a can of regular soda or any sweetened drink with him to sip from while he testified or just before he entered the session hall. Even more important, he should have forced himself to eat a meal before he testified, unless walking out and claiming a medical emergency were part of his scenario all along.

He’s a grown man, and knowing what to do to prevent “hypo” episodes is one of the basic steps a diabetic needs to know. My husband (who has been diabetic for much longer than I have been) keeps chocolates in our refrigerator to wolf down whenever he feels a “hypo” episode coming in the middle of the night. We also try to keep candies or crackers in the car (and in my handbag) in case we skip meals or feel hungry.

And while the pressures of facing an impeachment trial can in no way compare to the daily stresses faced by a working journalist and wife and mother, those pressures are not exactly unexpected and surprising. The Chief Justice could have prepared for them by adequate rest and the correct diet and medications. Which is why I feel a tad resentful that diabetes is being trotted out to explain his actions at the Senate last Tuesday.

* * *

Diabetes is increasingly common (some authorities claim it is the fastest-growing “epidemic” worldwide, making serious inroads in developing countries), but it need not be debilitating.

True, it can have serious side effects (cardiovascular illness, kidney and liver complications, blindness, infections and even the loss of limbs), but as long as one follows one’s doctor’s advice, including religiously taking the prescribed medications, one can live a fairly normal life.

There are also a slew of sugar-free and carb-free products in the market that allow diabetics to indulge their sweet tooth without risking hyperglycemia. A growing awareness of the growing market of diabetics has also resulted not just in sugar-free products, but also in the development of recipes that a diabetic can try without fear of a hyper episode, or a heart attack.

Last Christmas, I gifted the hubby with a book, “The Sweet Life: Diabetes Without Boundaries,” written by chef Sam Talbot, a “professional chef, restaurateur, surfer, painter, philanthropist and, since the age of 12, Type 1 diabetic.”

The book is filled with not just 75 recipes for dishes that diabetics can take without fear (my favorite is a salad made with avocado-and-tortilla vinaigrette on beds of lettuce wedges) but Talbot’s own insights on living with the disease and living healthily and fulfillingly. As the blurb declares: “[The book] will give readers hope, inspiration, and the proof they need to realize that life with diabetes isn’t about diabetes: It’s about living.”

* * *

It’s about living, Mr. Chief Justice. Not just with diabetes, but also with honor, dignity and life’s true treasure: a clean conscience and the esteem and respect of one’s colleagues and the public.

Some have pronounced your career in public service over and done with, what with your hasty exit from the Senate and the ill-feeling it generated among the senators, who are sitting in judgment of you.

Who knows, you might still emerge from this trial keeping your title and office. And the senators, starting with Enrile, seem to have softened a bit and recovered from their deep ire and disappointment at your actions. But I don’t know how you can recover your reputation and your dignity. Your performance last Tuesday certainly did little to restore whatever esteem or respect I still nursed for you, and disappointed even your believers with such indiscreet language and cheap potshots taken at those who weren’t around to defend themselves, including your dead uncle-in-law.

As a fellow diabetic, may I say that you have tarnished our image before the Filipino people. We may have high blood sugar, but we still do know what we are talking about.

Diabetes & Diabetic Recipes with Bill & Sheila


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Aerobic exercise improves vascular reactivity to nearly normal levels

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Aerobic exercise improves vascular reactivity to nearly normal levels

Pre-diabetic patients who engage in regular aerobic exercise improve their vascular reactivity to nearly normal levels, even if no weight loss is achieved, according to research presented today at the American Association of Clinical Endocrinologists (AACE) 21st Annual Meeting Clinical Congress in Philadelphia. Pre-diabetes is a condition that affects nearly one in every four Americans.

“but it also may be the period when intervention such as regular aerobic exercise improves it almost close to that of a non-diabetic patient, in spite of no statistically significant weight loss.”

The research included patients at-risk of developing diabetes and studied their vascular reactivity, which is associated with heart disease, in relation to exercise. Those persons who exercised at least 150 minutes per week had vascular reactivity near normal levels of a non-diabetic person, in addition to experiencing significant reductions in cholesterol profiles and markers of inflammation, which have been associated with heart attacks. Interestingly, the patients undertaking exercise did not lose weight during the six-week intervention period, indicating the improvement in vascular reactivity was independent of weight loss.

“Knowing that Aerobic exercise significantly improves vascular reactivity for pre-diabetic patients is substantial,” said Dr. Sabyasachi Sen, MD, MRCP, FACP, lead author on the study. “It appears that the pre-diabetic stage is a therapeutic window when aerobic exercise can make significant improvement in vascular reactivity and bring it back towards normalcy, before these patients progress to overt diabetes. It may be too late in the overt diabetes stage to make significant impact in vascular reactivity with exercise alone.”

On the other hand, the study found the group of pre-diabetic patients who did not exercise at all (exercise naïve) had vascular reactivity levels as poor as overt diabetes patients.

“Pre-diabetic state is associated with poor vascular reactivity,” concluded the study authors, “but it also may be the period when intervention such as regular aerobic exercise improves it almost close to that of a non-diabetic patient, in spite of no statistically significant weight loss.”

Source American Association of Clinical Endocrinologists (AACE)


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Diabetic alert dog 'lifesaver' for 8-year-old boy

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Diabetic alert dog ‘lifesaver’ for 8-year-old boy

About one in every 400 children is diabetic. It’s a dangerous disease that can be difficult to manage.

But, one Destrehan child is hoping to inspire others with a new source of hope he’s found – a diabetic alert dog.

Jeremiah Gerlach, 8, was diagnosed with type 1 diabetes at age three. After a week in the hospital, he spent the next four years taking four shots of insulin every day.

“The first time I got a shot, I just screamed but now I’ve gotten used to it,” Jeremiah said.

Now he wears an insulin pump that only requires him to get a shot once every 3 days. But the pump hasn’t cut down on worry for his mother, Jacque Gerlach. She checks Jeremiah’s blood sugar every night at midnight and again at 3 a.m.

“If he goes especially really low during the night, he could slip into a coma, and so I do check him every night religiously, just to make sure that if something were to happen, I catch it. And there are plenty of times I do,” Jacque said.

But, she believes a labrador retriever will ease their worry. Not just any lab – a diabetic alert dog.

“The dog will sleep with Jeremiah in his room. If Jeremiah goes low or high in the middle of the night, even if the dog is asleep, his nose will always be on alert. He’ll do everything he can to wake Jeremiah up and then he’ll be trained to come into our room and wake me up,” Jacque said.

Jacque learned about the diabetic alert dogs on Facebook, where she found an online community of diabetic parents.

“Quite a few of them either have a dog or are fundraising for a dog and I keep hearing a story of, ‘This is what my dog did today’ or, ‘Let me tell you how the dog saved my child’s life last night,’” Jacque said.

She heard praise about Virginia-based Warren Retrievers. Owner Dan Warren said the dogs are 98 percent accurate, detecting blood sugar fluctuation 20 to 45 minutes before it registers on a meter.

That means the dog can help keep a tighter range. Jeremiah can only feel extreme changes, and reaching those extremes repeatedly present potential long-term problems.

“Most of the time when I know, it just goes way down and I’m like, ‘Oh no! It’s 38 and I didn’t even know it!’” Jeremiah said.

By detecting levels that are just a little high or low, the dog can help improve average blood sugar scores or A1C.

“We’re partnering with the University of Virginia to do a 4-year research data. And through our data that we’ve been able to gather so far, we’re finding that typical A1Cs are decreased .75 of a point to a full point within 90 days of placement with one of our diabetic alert dogs,” Warren said.

Warren hopes the study will prompt insurance companies to cover the cost of these dogs – about $20,000. The Gerlachs are fundraising and Warren said they’ll be the first family in Louisiana to get one.

“It’s really exciting to know we can hopefully set the tone for other families. I know there’s a bunch of families of children with type 1 diabetics that hadn’t really even thought that this was an option for them,” Jacque said.

“It will help me manage my diabetes and it will be a lifesaver and it will make it where my mom doesn’t have to check my sugar as often, but even if she does it will really really help the inside of my body,” Jeremiah said.

Warren said the company places up to 400 diabetic alert dogs in families annually.

The Gerlachs are having a benefit fundraiser at the Ormond Plantation House on June 2 for $10 a ticket. To find out how you can help or to find out more about Warren Retrievers, go to http://wholefamilystrong.com/category/a-d-a-d-for-jeremiah/ and http://www.warrenretrievers.com/.

 


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Diabetic child from Belmont needs help funding ‘guardian angel’

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Diabetic child from Belmont needs help funding ‘guardian angel’

John Angier lives in dangerous times. Born with a rare genetic disorder, John, 5, can’t speak, meaning he can’t ask for help when his condition triggers dangerous, daily bouts of hypoglycemia. His parents, John and Jenni, must watch him constantly, guarding against diabetic coma caused by plummeting blood sugar.

“You constantly have to prick his finger and test his blood. He gets checked about 10 times a day on the average,” said John Sr..

It’s no easy task, but one which might be getting easier with the arrival of Rusty, a diabetic service dog from Warren Retrievers.

When John’s blood-sugar drops, his skin becomes clammy and it’s likely he feels nauseous, Jenni said. But even when his parents are watching him closely, they really have no way of knowing how their son is feeling. When his sugar level drops, John is at risk for suffering a seizure, or lapsing into coma and dying.

Keeping watch is undoubtedly stressful for John and Jenni, but bringing in a diabetic service dog will likely lighten the burden. The chocolate lab, which the Angier’s 7-year-old daughter Sienna named Rusty, was one of two dogs picked from a litter. Rusty will be specifically trained to smell when John’s sugars are too high or too low.

It seems a complicated task for an animal whose main hobbies are chewing on bones and playing fetch.

Jenni compares a dog’s sense of smell to a human’s ability to smell a spoonful of sugar in a cup of water. A dog, Jenni said, can smell that same spoonful if it was dropped into an Olympic size swimming pool.

“In a diabetic they can smell the sugars are dropping or increasing anywhere from 20 to 60 minutes from when they start to drop,” Jenni said.

Knowing when John’s sugars are low will help his parents treat him sooner, preventing damage to the brain and organs. 

The Angiers are excited about their soon-to-be assistant, who will join their 12-year-old dog, Jasmine. They put down a $1,000 deposit with Warren Retrievers in December.

Now all John and Jenni need to do is come up with $13,000.

Rusty costs $20,000, but with their deposit and $6,000 donated from family and friends, the Angiers were able to lower the total cost. They have a year and a half to pay and Rusty should arrive sometime this summer.

Jenni has no doubt the money needed will be raised. She trusts in people’s good will to help her son.

The family will be trained on how to work with the dog. In two years, a trainer will come back and teach Rusty new ways of assisting John, such as learning how to retrieve his sugar kit in times of need. Jenni is hopeful the dog will be able to keep an eye on John and alert them when something is wrong.

John has a bad habit of running out the door into the street. The front door is often chained shut, but sometimes it’s not enough to keep John from sprinting out into the road. Besides, Jenni said, it’s only a matter of time before he figures out how to use a step stool.

 “My goal is to at least have the dog help keep him in because he’s fast,” Jenni said.

According to Dan Warren, president of Warren Retrievers, Rusty can eventually be trained to dial 911 on a special device in an emergency. His company’s nonprofit branch is called Guardian Angel Service Dogs, a name he thinks reflects how closely bonded a child becomes with his or her dog.

“It’s independence. It’s peace of mind. It’s quality of life,” Warren said, a Type 1 diabetic himself.

At the very least, John’s dad is hopeful the diabetic dog will become a companion for his son. While John enjoys playing with Jasmine, Rusty will accompany John wherever he goes, even to school at the Wellington.

“It’s not like people call you for play dates and birthday parties and stuff. The dog is going to be his friend,” John, Sr. said.


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Diabetic girl getting her blood sugar alert dog

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Diabetic girl getting her blood sugar alert dog

An alert dog, such as this specially trained yellow Lab, is taught to sense changes in his owner’s blood sugar levels, so he can warn the diabetic if the levels are too high or low.

As a Type I diabetic, Eden Yurek does a pretty good job managing her blood sugar levels, but she’d like to have some help from a four-legged friend. The 11-year-old fifth-grader from Deerfield Community School and her family are trying to raise enough money to provide her with a diabetic alert dog trained to sense when a person’s blood sugar is too low or too high.

DEERFIELD — As a Type I diabetic, Eden Yurek does a pretty good job managing her blood sugar levels, but she’d like to have some help from a four-legged friend.

The family of the 11-year-old fifth-grader from Deerfield Community School is trying to raise enough money to provide her with a diabetic alert dog trained to sense when a person’s blood sugar is too low or too high.

It’ll help to warn us when she’s dropping quickly. A lot of times the dog picks up on it even before the meter does, said Eden’s mother, Melissa Yurek.

Yurek began researching the possibility of getting a diabetic alert dog for her daughter several years ago, but the cost of training was just too much, she said, ranging between $10,000 and $20,000.

She didn’t want to give up on the idea, and neither did the Yureks’ friends and school nurse Lisa Shepard, who encouraged the family to continue the hunt and to pursue fundraising efforts.

About $1,500 some through an eighth-grade dance has been raised so far to benefit a campaign called Eden’s Hope. Another fundraiser will be held at the Deerfield Veterinary Clinic on Saturday, and a benefit trail ride for riders from several horse and pony clubs is planned for the fall.

Yurek continued her research and found Canine Assistance Rehabilitation Education and Services (CARES), an organization in Kansas that charges recipients $2,500 for a diabetic alert dog.

The dogs are more affordable, she said, because they’re trained by inmates from the Ellsworth Correctional Facility in Kansas as part of a rewards program.

The Yureks applied for a dog through CARES last year and were accepted.

Eden and her parents will head to Kansas on June 14 for a week of day and evening classes and return to Deerfield with their new diabetic-alert dog, who will accompany Eden wherever she goes, including school.

Melissa Yurek said she hopes to raise enough money to cover the cost of the dog and an additional $2,500 or so in travel and lodging expenses. While they may not have all of the money raised for the dog before they go, Yurek said, the organization will give them an extra six months to pay off the bill.

Eden, who must use an insulin pump, has battled diabetes since she was 2-1/2. She and her parents have learned to manage the diabetes along with Eden’s celiac disease, a condition that damages the lining of the small intestine and prevents it from absorbing parts of food that are important for staying healthy.

As she’s grown older, Eden has gained more independence and is able to check her own blood sugar during the school day.

But her parents still worry, especially at night. That’s when the diabetic alert dog would be of greatest assistance.

Night is difficult. There’s not a whole lot of warning to when her blood sugars drop. We’ve had nights where she’s dropped rather quickly, and it’s been kind of scary because we need to get sugar into her quickly, Yurek said.

Exercising also can be problematic for Eden, who keeps fruit juice and sugar tablets with her.

While Eden isn’t sure what breed of dog she’ll get, she’s hoping for a golden retriever, in part because the Yureks already have a Lab named Brandy.

Eden’s friends at school also are looking forward to her new dog. In fact, she said, one of her friends joked about how she wants diabetes so she could bring a dog to school, too.

Shepard, the school’s nurse, also is excited about the educational opportunities the diabetic alert dog will offer at the school, where Eden is one of three students with Type I diabetes.

I think it’s great. Not only does she learn how to take care of animals, but the animals learn how to take care of her. It’s a two-way street, said Shepard, who has been helping Eden since preschool.

–>

Diabetes & Diabetic Recipes with Bill & Sheila


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Stevia – the herb that is 300 times sweeter than sugar

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Stevia – the herb that is 300 times sweeter than sugar

But what is Stevia?

This morning, I found some Stevia plants in my local rastro, so I bought them for my herb garden. I knew it was the basis for the new sugar replacement which is advertised on the TV as Truvia. On tasting one of its leaves, it was indeed sweeter than sugar. But what is it. I have done my research and can now share it with you.

Stevia is a genus of about 240 species of herbs and shrubs in the sunflower family (Asteraceae), native to subtropical and tropical regions from western North America to South America. The species Stevia rebaudiana, commonly known as sweetleaf, sweet leaf, sugarleaf, or simply stevia, is widely grown for its sweet leaves. As a sweetener and sugar substitute, stevia’s taste has a slower onset and longer duration than that of sugar, although some of its extracts may have a bitter or licorice-like aftertaste at high concentrations.

With its steviol glycoside extracts having up to 300 times the sweetness of sugar, stevia has garnered attention with the rise in demand for low-carbohydrate, low-sugar food alternatives. Because stevia has a negligible effect on blood glucose, it is attractive as a natural sweetener to people on carbohydrate-controlled diets.

The availability of stevia varies from country to country. In a few countries, it has been available as a sweetener for decades or centuries; for example, stevia is widely used as a sweetener in Japan, where it has been available for decades. In some countries, health concerns and political controversies have limited its availability; for example, the United States banned stevia in the early 1990s unless labelled as a dietary supplement, but in 2008 approved rebaudioside A extract as a food additive. Over the years, the number of countries in which stevia is available as a sweetener has been increasing. In 2011, stevia was approved for use in the EU starting in early December, 2011.

The genus Stevia consists of 240 species of plants native to South America, Central America, and Mexico, with several species found as far north as Arizona, New Mexico, and Texas. They were first researched by Spanish botanist and physician Petrus Jacobus Stevus (Pedro Jaime Esteve), from whose surname originates the Latinized word stevia. Human use of the sweet species S. rebaudianaoriginated in South America. The leaves of the stevia plant have 30–45 times the sweetness of sucrose (ordinary table sugar). The leaves can be eaten fresh, or put in teas and foods.

The plant was used extensively by the Guaraní people for more than 1,500 years, and the plant has a long history of medicinal use in Paraguay and Brazil. The leaves have been traditionally used for hundreds of years in Paraguay and Brazil to sweeten local teas, medicines and as a “sweet treat”.

In 1899, the Swiss botanist Moisés Santiago Bertoni, during his research in eastern Paraguay, first described the plant and the sweet taste in detail. Only limited research was conducted on the topic until, in 1931, two French chemists isolated the glycosides that give stevia its sweet taste. These compounds were named stevioside and rebaudioside, and are 250–300 times as sweet as sucrose, heat stable, pH stable, and not fermentable.
The exact structure of the aglycone and the glycoside were published in 1955.

In the early 1970s, Japan began cultivating stevia as an alternative to artificial sweeteners such as cyclamate and saccharin, which were suspected carcinogens. The plant’s leaves, the aqueous extract of the leaves, and purified steviosides are used as sweeteners. Since the Japanese firm Morita Kagaku Kogyo Co., Ltd. produced the first commercial stevia sweetener in Japan in 1971, the Japanese have been using stevia in food products, soft drinks (including Coca Cola), and for table use. Japan currently consumes more stevia than any other country, with stevia accounting for 40% of the sweetener market.

Today, stevia is cultivated and used in food elsewhere in east Asia, including in China (since 1984), Korea, Taiwan, Thailand, and Malaysia. It can also be found in Saint Kitts and Nevis, in parts of South America (Brazil, Colombia, Peru, Paraguay, and Uruguay), and in Israel. China is the world’s largest exporter of stevioside.

Stevia species are found in the wild in semiarid habitats ranging from grassland to mountain terrain. They do produce seeds, but only a small percentage of them germinate. Planting cloned stevia is a more effective method of reproduction.

Steviol glycosides were first commercialized as a sweetener in 1971 by the Japanese firm Morita Kagaku Kogyo Co., Ltd., a leading stevia extract producer in Japan.
Stevia has been grown on an experimental basis in Ontario, Canada since 1987 for the purpose of determining the feasibility of growing the crop commercially.

In 2007, The Coca-Cola Company announced plans to obtain approval for their stevia-derived sweetener, rebiana, for use as a food additive within the United States by 2009, as well as plans to market rebiana-sweetened products in 12 countries that allow stevia’s use as a food additive. In May 2008, Coca Cola and Cargill announced the availability of Truvia, a consumer brand stevia sweetener containing erythritol and rebiana, which the FDA permitted as a food additive in December 2008. Coca-Cola announced intentions to release stevia-sweetened beverages in late December 2008.

Shortly afterward, PepsiCo and Pure Circle announced PureVia, their brand of stevia-based sweetener, but withheld release of beverages sweetened with rebaudioside A until receipt of FDA confirmation. Since the FDA permitted Truvia and PureVia, both Coca Cola and PepsiCo have introduced products that contain their new sweeteners.

Rebaudioside A has the least bitterness of all the steviol glycosides in the stevia plant. To produce rebaudioside A commercially, stevia plants are dried and subjected to a water extraction process. This crude extract contains about 50% rebaudioside A; its various glycoside molecules are separated via crystallization techniques, typically using ethanol or methanol as solvent. This allows the manufacturer to isolate pure rebaudioside A.

The National Research Council of Canada has patented a process for extracting sweet compounds from stevia by column extraction at temperatures from 0–25 °C, followed by purification by nanofiltration. A microfiltration pretreatment step is used to clarify the extract. Purification is by ultrafiltration followed by nanofiltration.

Health and safety

A 1985 study reported that steviol, a breakdown product from stevioside and rebaudioside (two of the sweet steviol glycosides in the stevia leaf), is a mutagen in the presence of a liver extract of rats pretreated with a PCB blend — but this finding was criticized on procedural grounds that the data were mishandled in such a way that even distilled water would appear mutagenic. Over the following years, bioassay, cell culture, and animal studies have shown mixed results in terms of toxicology and adverse effects of stevia constituents. While reports emerged that found steviol and stevioside to be weak mutagens, the bulk of studies show an absence of harmful effects. In a 2008 review, 14 of 16 studies cited showed no genotoxic activity for stevioside, 11 of 15 studies showed no genotoxic activity for steviol, and no studies showed genotoxicity for rebaudioside A. No evidence for stevia constituents causing cancer or birth defects has been found.

In relation to diabetes, studies have shown stevia to have a revitalizing effect on ?-cells of pancreas, improve insulin sensitivity in rats, and possibly even to promote additional insulin production, helping to reverse diabetes and metabolic syndrome. Stevia consumed before meals significantly reduced postprandial insulin levels compared to both aspartame and sucrose. A 2011 review study concluded that stevia sweeteners would likely benefit diabetic patients.

Preliminary human studies suggest stevia can help reduce hypertension, although another study has shown it to have no effect on hypertension. Indeed, millions of Japanese have been using stevia for over thirty years with no reported or known harmful effects. Similarly, stevia leaves have been used for centuries in South America, spanning multiple generations in ethnomedical tradition as a treatment for diabetes mellitus type 2.

In 2006, the World Health Organization (WHO) performed a thorough evaluation of recent experimental studies of stevioside and steviols conducted on animals and humans, and concluded “stevioside and rebaudioside A are not genotoxic in vitro or in vivoand that the genotoxicity of steviol and some of its oxidative derivatives in vitro is not expressed in vivo.” The report also found no evidence of carcinogenic activity. Furthermore, the report noted “stevioside has shown some evidence of pharmacologicaleffects in patients with hypertension or with diabetes mellitus type 2″, but concluded further study was required to determine proper dosage. The WHO’s Joint Experts Committee on Food Additives has approved, based on long-term studies, anacceptable daily intake of steviol glycoside of up to 4 milligrams per kilogram of body weight.

Beginning in 2009 in the United States, the U.S. FDA considers “Rebiana (rebaudioside A) to be Generally Recognized As Safe (GRAS)”. With respect to the measure of toxicity, which can be described as the median lethal dose or LD , a report submitted to the FDA documents “the observed LD values were 5.2 g/kg bw for male hamsters and 6.1 g/kg bw for female hamsters.” The report includes a detailed list of international studies, references, and chemical analysis.

Two 2010 review studies found no health concerns with stevia or its sweetening extracts. In addition, a 2009 review study found that stevioside and related compounds have anti-hyperglycemic, anti-hypertensive, anti-inflammatory, anti-tumor, anti-diarrheal, diuretic, and immunomodulatory actions.

The European Food Safety Authority evaluated the safety of steviol glycosides, extracted from the leaves of the Stevia rebaudiana Bertoni plant, as sweetener and expressed its opinion on 10 March 2010. The Authority established an Acceptable Daily Intake (ADI) for steviol glycosides, expressed as steviol equivalents, of 4 mg/kg bodyweight/day. On 11 November 2011, the European Commission allowed the usage of steviol glycosides as food additive, establishing maximum content levels for different types of foods and beverages.

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Fruit, veggies tied to lower diabetes risk

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Fruit, veggies tied to lower diabetes risk

NEW YORK (Reuters Health) – People who get a range of fruit and vegetables in their diets may have a somewhat decreased risk of type 2 diabetes, a new study suggests.

The findings, reported in the journal Diabetes Care, do not prove that eating your fruit and veggies will ward off type 2 diabetes — a disease closely associated with obesity and old age.

But researchers say the findings should give people yet more incentive to eat the way our mothers always told us.

The study of over 3,700 UK adults found that those who downed the most servings of fruit and vegetables in a week had a lower risk of developing type 2 diabetes over 11 years, versus people who ate the fewest.

Diabetes risk was also lower among people who ate a wider variety of fruit and vegetables — regardless of the actual quantity they ate.

That suggests people should not only focus on how many servings they get each day, according to senior researcher Nita G. Forouhi, of the Institute of Metabolic Science in Cambridge, UK.

“The finding on variety of intake is new and exciting,” she said in an email, “because it demonstrates that independent of the quantity consumed, we have the potential to gain additional and important benefits from choosing a mixture of different fruits and vegetables as part of a balanced diet.”

For the study, Forouhi’s team looked at data from 3,704 adults ages 40 to 79 that were part of a larger study on nutrition and chronic diseases.

Of those people, 653 developed type 2 diabetes over 11 years.

All of the study participants had kept a week-long food diary at the study’s start. And Forouhi’s team found that those who’d reported the highest combined fruit and vegetable intake were less likely to develop diabetes over the coming years.

Of the one-third with the highest intake — typically about six servings of fruit and vegetables per day — 16 percent were diagnosed with type 2 diabetes.

That compared with 21 percent of the one-third of participants with the lowest fruit and vegetable intake (about two servings per day).

That low-intake group closely matches the average American’s diet. U.S. studies suggest that adults typically get two to three servings of fruit and vegetables combined each day.

Of course, fruit and veggie lovers may be different from non-lovers in a number of ways, Forouhi acknowledged — including weight, exercise levels, smoking habits and education.

But when her team accounted for those factors, a high intake of fruit and vegetables was still linked to a 21 percent lower risk of developing type 2 diabetes.

The researchers found a similar pattern when it came to variety. People who averaged 16 different types of fruit and vegetables per week were about 40 percent less likely to develop diabetes than people who averaged eight types.

The findings do not prove that fruit and veggies deserve the credit. It’s possible some other, unmeasured difference between study participants is at work, Forouhi said.

Still, the results underscore the standard diet advice for overall health: Eat your fruits and vegetables.

Variety may be key, Forouhi said, because that helps ensure you get a range of nutrients. That includes not only vitamins and minerals, but also fiber and plant compounds called phytochemicals, which are thought to help protect cells from damage that can lead to chronic disease.

People differ in how many servings of fruit and vegetables they need based on their weight or activity levels, for instance. But one common guideline is to go for four to five daily servings each of fruit and vegetables.

One serving is equal to a half-cup of cooked vegetables or a medium-sized piece of fresh fruit.

To get a good variety, Forouhi suggested incorporating a range of colors into your fruit-and-vegetable repertoire.

But, she added, that all needs to be part of a generally healthy lifestyle.

One of the biggest factors in type 2 diabetes risk is obesity. So experts generally advise maintaining a healthy weight by exercising regularly and watching calories.

SOURCE: bit.ly/Hcmynw Diabetes Care, online April 3, 2012.


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Anti-diabetic substance discovered in liquorice root

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Anti-diabetic substance discovered in liquorice root

Liquorice grows best in deep valleys, well-drained soils, with full sun, and is harvested in the autumn, two to three years after planting. Liquorice extract is produced by boiling liquorice root and subsequently evaporating most of the water, and is traded both in solid and syrup form. Its active principle is glycyrrhizin, a sweetener between 30 to 50 times as sweet as sucrose, and which also has pharmaceutical effects.

Liquorice flavour is found in a wide variety of liquorice candies or sweets. In Britain and the US these are usually sweet. In most of these candies the taste is reinforced by aniseed oil, and the actual content of liquorice is very low. In continental Europe however, strong, salty candies are popular.

In the Netherlands, where liquorice candy (“drop”) is one of the most popular forms of sweet, only a few of the many forms that are sold contain aniseed, although mixing it with mint, menthol or with laurel is quite popular. Mixing it with ammonium chloride is also popular, and is known as Salmiak, but mixing it with table salt creates what is probably the most popular liquorice, known in the Netherlands as zoute drop.

Pontefract in Yorkshire was the first place where liquorice mixed with sugar began to be used as a sweet in the same way it is in the modern day. Pontefract Cakes were originally made there. In Yorkshire and Lancashire it is colloquially known as Spanish, supposedly because Spanish monks grew liquorice root at Rievaulx Abbey near Thirsk.
Liquorice flavouring is also used in soft drinks, and in some herbal teas where it provides a sweet aftertaste. The flavour is common in medicines to disguise unpleasant flavours.

Liquorice root

Liquorice is popular in Italy (particularly in the South) and Spain in its natural form. The root of the plant is simply dug up, washed and chewed as a mouth freshener. Throughout Italy unsweetened liquorice is consumed in the form of small black pieces made only from 100% pure liquorice extract; the taste is bitter and intense. In Calabria a popular liqueur is made from pure liquorice extract. Liquorice is also very popular in Syria where it is sold as a drink. Dried liquorice root can be chewed as a sweet. Black liquorice contains approximately 100 calories per ounce (15 kJ/g).[12]

Washington, Apr 18 (ANI): Researchers have found promising anti-diabetic substance in the amorfrutin class of natural substances.

It provides the raw material for liquorice candy, calms the stomach and alleviates diseases of the airways: liquorice root.

Chosen as the “Medicinal plant 2012″, the root has been treasured in traditional healing since ancient times.

Researchers at the Max Planck Institute for Molecular Genetics in Berlin have now discovered that liquorice root also contains substances with an anti-diabetic effect.

These amorfrutins not only reduce blood sugar, they are also anti-inflammatory and are very well tolerated. Thus, they may be suitable for use in the treatment of complex metabolic disorders.

Natural substances have a surprising and often largely unexploited potential in the prevention and treatment of common diseases.

For example, liquorice root Glycyrrhiza contains different substances that help to alleviate disorders of the airways and digestive system. It has been used for millennia in traditional healing and is mainly administered in the form of tea.

A team of researchers working with Sascha Sauer from the Max Planck Institute for Molecular Genetics in Berlin has now discovered that the plant from the papilionaceae or leguminous family might also be effective in the treatment of adult (type 2) diabetes.

The scientists identified a group of natural substances with an anti-diabetic effect, the amorfrutins, in the plant’s edible root.

The substances, which have a simple chemical structure, are not only found in liquorice root, but are also in the fruit of the Amorpha fruticosa bush. The new anti-diabetic agents were named after this plant, which is native to the US, Canada and Mexico.

As the researchers demonstrated using diabetic mice, the amorfrutins not only have characteristics that reduce blood sugar, they are also anti-inflammatory in their effect. Moreover, they also prevent fatty liver – a common disease caused by excessively fat-rich nutrition.

“The health-beneficial effects are based on the fact that the amorfrutin molecules dock directly onto a receptor in the nucleus called PPAR (gamma),” explained Sascha Sauer.

PPAR (gamma) plays an important role in the cell’s fat and glucose metabolism.

The binding of the amorfrutin molecules activates various genes that reduce the plasma concentration of certain fatty acids and glucose. The reduced glucose level prevents the development of insulin resistance – the main cause of adult diabetes.

“Although there are already drugs on the market that affect the PPAR (gamma) receptor, they are not selective enough in their effect and cause side effects like weight gain and cardio-vascular problems,” said Sascha Sauer.

In contrast, as demonstrated by the studies carried out to date, the amorfrutins are very well tolerated.

“However, drinking liquorice tea or eating liquorice will not help to treat diabetes,” explained the scientist.

“The concentration of the substances in the tea and liquorice is far too low to be effective,” Sauer added.

The researchers therefore developed special extraction processes to obtain the amorfrutins from the plant in sufficient concentrations. This could be used to produce amorfrutin extracts on an industrial scale.

The newly discovered active substances not only seem to hold great promise for the treatment of complex metabolic disorders, they may also be suitable for prophylactic use. (ANI)


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