Category: Diabetes

Introduction and Objective: Advancements in stem-cell treatment (SCT) offer hope of a cure for type 1 diabetes (T1D). As SCT trials progress, it is important to understand why adults with T1D do or do not pursue SCT, especially in the context of advanced diabetes technology use. Our aim was to explore factors influencing pursuit of […]

Introduction and Objective: Hepatic steatosis is closely linked to obesity, insulin resistance, and type 2 diabetes mellitus (T2DM). However, the relative contributions of obesity versus portal insulin exposure to liver fat accumulation remain unclear. We examined the relationship between liver fat content, body mass index (BMI), and portal insulin concentration in individuals with type 1 […]

Introduction and Objective: Human evidence is lacking on whether added sugar intake affects liver function via gut microbes. We examined associations of added sugar intake from desserts, a major added sugar source, with liver fibrosis (FIB-4), MRI liver fat (PDFF) and inflammation (native T1), gut microbiota, and metabolites in Hispanic Community Health Study/Study of Latinos […]

Introduction and Objective: Subtypes of gestational diabetes mellitus (GDM) have been described but their association with subsequent maternal cardiometabolic health remains uncertain. We examined whether GDM subtypes were differentially associated with cardiometabolic health 10-14 years after delivery.Methods: An exploratory secondary analysis from the prospective Hyperglycemia and Adverse Pregnancy Outcome Follow-up Study (HAPO FUS). GDM was […]

Introduction and Objective: Type 1 diabetes (T1D) is an autoimmune disease in which Treg dysfunction contributes to immune imbalance. While lactate-driven lactylation shows context-dependent immunomodulatory effects, its role in Treg regulation in T1D remains unclear. Here, we attempt to investigate the role of lactate in T1D and explore therapeutic strategies targeting gut microbiota-derived lactate.Methods: Effects […]

Introduction and Objective: Antigen-specific immune tolerance (ASIT), which suppresses pathogenic immune responses without impairing general immunity, has the potential to transform Type 1 Diabetes (T1D) treatment. We developed NanoGalaxy™, a hydrophilic nanoparticle (HNP) platform for targeted delivery of mRNA to splenic antigen-presenting cells and evaluated its therapeutic potential in the NOD mouse model of T1D […]

Introduction and Objective: Metabolic flexibility (MetFlex) is the ability to match substrate oxidation to fuel availability. Metabolic inflexibility—failure to increase lipid oxidation during high-fat intake—may promote weight gain, ectopic fat, and insulin resistance. MetFlex is often quantified as absolute change in oxidation, but this approach ignores substrate availability and is biased by baseline oxidation, potentially […]

Introduction and Objective: Incretin therapies exert important effects on the central nervous system (CNS) through incompletely understood mechanisms. We previously showed that brain glucose responses to hyperglycemic clamp are altered in diabetes and obesity. However, standard clamp-based assessments of brain glucose uptake and metabolism do not allow evaluation of a potential role for the incretin […]

Introduction and Objective: Effective diabetes prevention strategies exist, yet sustained patient engagement in preventive pathways within routine primary care remains challenging. In 2022, Maccabi Healthcare Services implemented a prediabetes program in Nazareth and Nof HaGalil, two cities in Northern Israel, employing a shared decision-making model. Patients chose between physician-led care and physician care combined with […]

Introduction and Objective: β-cell dysfunction and loss drive type 2 diabetes (T2D) progression. Glucagon-like peptide-1 (GLP-1) receptor agonists improve β-cell function and health but are limited by discontinuation and glycemic rebound. We developed a single-dose adeno-associated virus gene therapy encoding human GLP-1 driven by an engineered insulin promoter (AAV.INS.GLP1) for durable, β-cell-specific, nutrient-responsive expression and […]