Diabetes Metabolic Disorders Research Articles

Lower extremity arterial disease

Abstract: Lower Limbs Arterial Disease (LEAD) affects over 40 million people in Europe and appears to be 2-4 times more prevalent in people with type 2 diabetes (PWT2D) than in the general population. LEAD patients need intensive prevention and management of risk factors. Cigarette smoking is one of the most important risk factors for peripheral arterial disease as well as hyperlipoproteinemia and hypertension. Diabetic metabolic disorders are the most important risk factors for LEAD progression. The antiplatelet drugs represent one of the basic options for the management of patients with various atherosclerotic diseases. Aspirin is the oldest and most often prescribed antiplatelet drug. Lifestyle management remains the cornerstones of LEAD patients management.

Microbiome-metabolomics analysis reveals the potential effect of verbascoside in alleviating cognitive impairment in db/db mice.

Cognitive impairment is the main central nervous system complication of diabetes, affecting the quality of life of patients. Herba Cistanche is a homologous plant widely used as a health food and therapeutic drug. Verbascoside, a signature component of Herba Cistanche, has anti-diabetic and neuroprotective effects. However, it is quickly metabolized by the gut microbiota, and the mechanism of its neuroprotection and improvement of learning and memory remains unclear. We investigated the effectiveness and potential mechanisms of verbascoside on cognitive dysfunction in db/db mice using a 16S rRNA microbiome and serum metabolomics approach. We found that 12-week treatment with verbascoside significantly inhibited insulin resistance, reduced blood glucose and lipids, and improved cognitive deficits. In addition, verbascoside increased the gut microbiota diversity, improved intestinal dysbiosis, attenuated intestinal barrier disruption, reduced the levels of inflammatory factors, regulated the expression of the metabolites associated with cognitive function, and enhanced the central insulin sensitivity and hippocampal synaptogenesis signaling. We revealed that verbascoside induced the enrichment of Alistipes, Roseburia, and Intestinimonas in the gut, suppressed the abundance of Escherichia-Shigella, increased the serum levels of gamma-aminobutyric acid, L-glutamic acid, and L-lysine, and decreased taurine expression. Finally, a strong association between gut microbes, serum metabolites, and cognitive performance affected by verbascoside was observed. Our research suggests that alterations in gut microbes/metabolites are involved in the development of diabetic cognitive dysfunction, which is alleviated by verbascoside in the db/db mice through restructuring the gut microbiota composition, ameliorating diabetic metabolic disorders, and attenuating pathological brain damage.

Effect of hibiscus sabdariffa l. Piper nigrum l. And zingiber officinale r. Extract on serum electrolytes profile and changes in the pancreas of alloxan induced diabetic rat.

Diabetes Mellitus (DM) is the most common endocrine disease which is characterized by hyperglycaemia, altered metabolism of lipids, carbohydrates and protein with an increased risk of many complications such as liver and pancreas damage and altered serum electrolytes level. During the past few years many plants and spices have been used to manage DM. This work aimed to investigate the possible anti-diabetic effect of Hibiscus sabdariffa L., Zingiber officinale roscoe and Piper nigrum L. extract treatments in alloxan induced diabetic rats via studying pancreas, liver structure abnormalities and serum electrolytes level alteration. 30 male Wistar rats (130-180 g) were injected intraperitoneally and divided into five main groups each of 6 rats. The control group was injected with a single dose of saline solution (0.9% NaCl), diabetic group was injected with a dose of alloxan solution (170 mg/kg), high and low dose of 250 mg/kg and 500 mg/kg extract after induction of diabetes respectively and metformin treated group was injected at a daily dose 500 mg/kg metformin after induction of diabetes. Microscopic histopathology examination of pancreatic tissues showed decrease in islets of Langerhans size in the diabetic group, sinusoidal enlargement and increased fatty vacuoles in the liver tissues of the diabetic group. There were alterations in the serum electrolytes levels of the diabetic group. These abnormalities were healed after treatment of diabetic rats with extract which could have the ability to regenerate beta cells of islets of Langerhans. The present study could verify that the extract normalized the various serum electrolytes levels and histological abnormalities resulted due to diabetes metabolic disorders.

7-OR: Distinct Developmental Origins of Brown Adipose Tissue at Different Anatomical Locations

Brown adipose tissue (BAT) is a thermogenic organ that promotes metabolic fitness. In humans, there are two spatiotemporally distinct phases of BAT ontogeny: the prenatally developed dorsal-anterior-located interscapular and retroperitoneal BAT; and the postnatally emerged anterior cervical and supraclavicular BAT. It has been established in rodents that the dorsal-anterior-located BAT depots predominately arise from a Pax3+/Myf5+ lineage in the epaxial dermomyotome that also forms the trunk muscle. However, the developmental origins of the anterior cervical and supraclavicular BAT that adult humans have remain unknown. In this study, using lineage tracing mouse models, we found that these neck BAT depots are not derived from the Pax3+ or Myf5+ precursor cells. Knock out of PPARγ, the master regulator of adipogenesis, in Myf5+ cells caused severe atrophy of interscapular BAT, but did not affect the anterior cervical and supraclavicular depots. Instead, we identified that roughly half of the anterior cervical and supraclavicular brown adipocytes are progeny cells of a developmental lineage that also gives rise to neck muscle cells. PPARγ deficiency in this lineage did not perturb iBAT development, but caused paucity in the anterior cervical and supraclavicular regions, thus sensitizing mice to cold-induced decrease in body temperature. In summary, our results suggest that there are region-specific myogenic precursors that contribute to BAT development at different anatomical locations. Future studies to understand the pathophysiological regulation of these developmentally distinct BAT depots could inspire new approaches to measure BAT mass and to activate BAT activity in humans for the treatment of obesity, diabetes and related metabolic disorders. Disclosure H.Ruan: None. Z.Zhang: None. Z.Huang: None. Funding American Diabetes Association (1-18-IBS-167)

The potential effects and mechanisms of hispidulin in the treatment of diabetic retinopathy based on network pharmacology

BackgroundDiabetic retinopathy (DR), one of the most common and severe microvascular complication of diabetes mellitus (DM), is mainly caused by diabetic metabolic disorder. So far, there is no effective treatment for DR. Eriocauli Flos, a traditional Chinese herb, has been used in treating the ophthalmic diseases including DR. However, the active ingredients and molecular mechanisms of Eriocauli Flos to treat diabetic retinopathy remain elusive.MethodsHere, the systems pharmacology model was developed via constructing network approach. 8 active components which were screened by oral bioavailability (OB ≥ 30%) and drug-likeness (DL ≥ 0.18) and 154 targets were selected from Eriocauli Flos through TCMSP database. Another 3593 targets related to DR were obtained from Genecards, OMIM, TTD, and Drugbank databases. The 103 intersecting targets of DR and Eriocauli Flos were obtained by Draw Venn Diagram. In addition, protein-protein interaction network was established from STRING database and the compound-target network was constructed by Cytoscape which screened top 12 core targets with cytoNCA module. Then the overlapping targets were analyzed by GO and KEGG enrichment. Moreover, two core targets were selected to perform molecular docking simulation. Subsequently, CCK8 assay, RT-PCR and Western blotting were applied to further reveal the mechanism of new candidate active component from Eriocauli Flos in high glucose-induced HRECs.ResultsThe results showed that the overlapping targets by GO analysis were enriched in cellular response to chemical stress, response to oxidative stress, response to reactive oxygen species, reactive oxygen species metabolic process and so on. Besides, the overlapping targets principally regulated pathways such as AGE-RAGE signaling pathway in diabetic complications, lipid atherosclerosis, fluid shear stress and atherosclerosis, and PI3K-Akt signaling pathway. Molecular docking exhibited that VEGFA and TNF-α, had good bindings to the great majority of compounds, especially the compound hispidulin. In vitro, hispidulin ameliorated high-glucose induced proliferation by down-regulating the expression of p-ERK, p-Akt, and VEGFA; meanwhile inhibited the mRNA levels of TNF-α.ConclusionsIn this study, through network pharmacology analysis and experimental validation, we found that hispidulin maybe has a potential targeted therapy effect for DR by decreasing the expression of p-Akt, p-ERK, and VEGFA, which resulted in ameliorating the proliferation in HRECs.

Effects of Exogenous Hydrogen Sulfide on Diabetic Metabolic Disorders in db/db Mice Are Associated With Gut Bacterial and Fungal Microbiota.

The effects of hydrogen sulfide (H2S) on diabetic metabolic disorders are still controversial, and the mechanisms underlying these effects remain largely unknown. This study was conducted to investigate the potential relationship between the gut microbiota and the improvement of diabetic metabolic disorders by exogenous H2S in obese db/db mice. The db/db mice were treated with sodium hydrosulfide (NaHS) (80 μmol/kg), or vehicle for 16 weeks, respectively. We measured the serum H2S, obesity parameters, glucose homeostasis, and triglyceride. The sequencing of bacterial 16S rRNA gene and fungal internal transcribed spacer (ITS) in the cecal contents of NaHS-treated mice was performed to evaluate the gut microbial communities. We found that supplying exogenous H2S for 16 weeks significantly inhibited the increase of serum triglyceride, blood glucose, and insulin levels and altered specifically the gut bacterial microbiota structure in db/db mice. The relative abundance of some bacterial genera was correlated with the H2S or blood glucose level. Indeed, exogenous H2S increased Firmicutes and decreased Bacteroidetes at the phylum level along with changes of abundance of multifarious genera. Among them, Unclassified_Enterobacteriaceae, Prevotella, and Lactobacillus decreased and Unclassified_Ruminococcaceae, Oscillospira, Ruminococcus, Sutterella, and Desulfovibrio increased. For fungi, exogenous H2S decreased the abundance of Candida and Aspergillus. Here we demonstrated that, in diabetes, microbial dysbiosis may not be just limited to bacteria due to the inter-linked metabolic interactions among bacteria and fungi in the gut. The beneficial effects of exogenous H2S on diabetic metabolic disorders are likely associated with the alterations of specific microbiota.

Comparison between effect of reflexology and Maitland mobilization in treatment of frozen shoulder of diabetic patients type II

Diabetes metabolic disorders can lead to changes in connective tissue and adhesive capsulitis (AC) is one of the most common complications that occour with diabetes where it is defined as pain restriction in the glenohumeral joint capsule that causes limitation in ROM of shoulder. Physiotherapy has many modalities that proved their role in improving symptoms of AC and so this study was aiming to Know which is more effective in improving symptoms: ROM (flexion, abduction, external rotation, internal rotation) and Shoulder pain , Reflexology, or Maitland mobilization in treatment of type II diabetic patients.Thirty patients from both genders with age ranged from 50-60 years were recruited for this study. They were divided randomly into two groups of equal number (Group A – Maitland mobilization) and (Group B – Reflexology). Data obtained from both groups before and after 8 successive weeks of intervention was statistically treated to analyze the scores of visual analogue scale (score), shoulder flexion ROM (angle), shoulder abduction ROM (angle), shoulder internal rotation ROM (angle) and shoulder external rotation ROM (angle) to determine which is more e.

Impact of Essential Fatty Acids Consumption in Combating Neurological Disorders

Modernization of society have caused various momentous changes in dietary habits of people in this era of modern world. The modern dietary patterns are typically composed of Fatty acids mainly saturated fatty acids along with refined carbohydrates. This present-day diet together with a lifestyle with reduced physical activity is a major determinant of various metabolic disorders like obesity and diabetes. All these factors are also causing a gradual increase in the prevalence of cognitive disorders mainly depressive disorders and mood disorders. Neuroinflammation is the link between the metabolic disorders and cognitive disorders and this correlation is evident by significant clinical and epidemiological data. Fatty acids are of major interest as they have twofold functions. They are major contributors of modern diet causing obesity, diabetes and other metabolic disorders and on the other hand they serve as signaling molecules in the inflammatory responses. The difference lies in the choice of the fatty acids that are included as a part of daily diet. Saturated fatty acids are the ones should be avoided as they are the components of high caloric obesogenic diets whereas, polyunsaturated including Omega-6 and Omega-3 fatty acids must be consume through daily foods to prevent from Neuroinflammation considered to be the major cause of neuropsychiatric disorders.

Correction of eating habits in patients with carbohydrate metabolism disorders

The International Diabetes Federation estimates that approximately 10% of the adult population in Ukraine has prediabetes. According to many studies, prediabetes is observed in every second obese patient, and later prediabetes can progress to type 2 diabetes mellitus. Therefore, timely detection of early disorders of carbohydrate metabolism is very important, as well as implementation of recommendations for lifestyle changes, the use of modern drugs to prevent type 2 diabetes and cardiovascular diseases. In recent years, increasing attention is drawn to dietary fibers as an integral part of a healthy diet. They help prevent obesity, metabolic syndrome and adverse changes in the gut, and also help increase the population of beneficial bacteria in the gut. That is why nutritionists recommend that obese people include dietary fibers in their diet. One of the most famous dietary fibers is psyllium, which comes from the husk of plantain seeds (Plantago ovata). Numerous studies show that psyllium has a positive effect on the functioning of many organs and systems, including the pancreas, intestines and heart muscle. Psyllium also lowers glucose and cholesterol and is an effective way to lose weight for people who are overweight. Fibolex® plant complex contains dietary fibers (psyllium and natural wheat fibers) and green tea extract. Due to the combined herbal composition, Fibolex® can be used in obese people, patients with prediabetes, metabolic syndrome, type 2 diabetes and other metabolic disorders for the correction of eating habits in order to improve carbohydrate and lipid metabolism.

IMPACT OF ESSENTIAL FATTY ACIDS CONSUMPTION IN COMBATING NEUROLOGICAL DISORDERS

Modernization of society have caused various momentous changes in dietary habits of people in this era of modern world. The modern dietary patterns are typically composed of Fatty acids mainly saturated fatty acids along with refined carbohydrates. This present-day diet together with a lifestyle with reduced physical activity is a major determinant of various metabolic disorders like obesity and diabetes. All these factors are also causing a gradual increase in the prevalence of cognitive disorders mainly depressive disorders and mood disorders. Neuroinflammation is the link between the metabolic disorders and cognitive disorders and this correlation is evident by significant clinical and epidemiological data. Fatty acids are of major interest as they have twofold functions. They are major contributors of modern diet causing obesity, diabetes and other metabolic disorders and on the other hand they serve as signaling molecules in the inflammatory responses. The difference lies in the choice of the fatty acids that are included as a part of daily diet. Saturated fatty acids are the ones should be avoided as they are the components of high caloric obesogenic diets whereas, polyunsaturated including Omega-6 and Omega-3 fatty acids must be consume through daily foods to prevent from Neuroinflammation considered to be the major cause of neuropsychiatric disorders.

Two-stage fixation in the treatment of diabetic arthropathy of the ankle

Aim — to improve the results of treatment of diabetic anklearthropathies by using the final method of fixation by semi-rigid systems after arthrodesis and the use of extrafocal ring fixators (RF). Materials and methods. The authors presented own experience of treatment of 12 patients with diabeticankle osteoarthropathy. After arthrodesis and fixation with RF, the alternating osteosynthesis was performed with Scotchcast/Softcast bandages. The use of extrafocal RF of the needle-rod type in the first stage with low trauma wasadvantageous, however the time of fixation before the appearance of the fusion between the tibia and talus was significant, which led to a decrease in the rigidity of the fixation of the bone-needle system and development of inflammation at the exit of the spokes. This required the transition to other means of fixation, which would provide the possibility of functional use of the limb. The authors used Scotchcast/Softcast functional bandages, applied circularly, with stiffeners on the lateral surfaces, which allowed to carry out the supporting function of the limb. Interventions (arthrodesis of the ankle joint) were performed under multimodal analgesia. Vascular disorders required hematopoietic therapy (use of a tourniquet and administration of tranexamic acid solution) and bemiparin administrationfor microthrombosisprevention. Treatment of diabetic neuropathy and metabolic disorders was carried out by prescribing vitamin B and C, drugs Ca and vitamin D3, antioxidants. Results. The dynamics of the most examined indicators of the coagulation — anticoagulation system did not differ significantly (activated partial thromboplastic time, prothrombin time, international normalized ratio, platelet quantity). There was a tendency to shift the indicators to the recommended safe zone and even a significant decrease in the level of soluble fibrin monomer complexes (R2= 0.9494). Conclusions. The use of Scotchcast/Softcast immobilizing bandages in patients with diabetic arthropathy was safe after arthrodesis and RF fixation.This strategy allowed to restore limb capacity in the early stages of treatment, which improved the social adaptation of patients.

52-LB: Weight Management Practices among U.S. Safety-Net Health Center Patients with Diabetes or Other Metabolic Disorders

Introduction: First-line intervention for the metabolic disorders or type 2 Diabetes is lifestyle change, including weight management, diet, and increased physical activity. This study evaluated the associations between health professional (HP) weight discussions and weight management practices among high risk safety-net patients. Methods: Cross-sectional data on adults (aged≥18 years) with self-reported diabetes, hypertension or hyperlipidemia from the 2014 National Health Center Patient Survey (HCPS) was analyzed. The HCPS is a nationally representative survey of patients receiving care at safety-net health centers. Outcome (binary) was whether patients tried to lose weight in prior 12 months. Independent variables were HP discussing the weight problem, talking about weight loss options (i.e., exercise), suggesting a nutritionist visit, or offering weight loss medication. Logistic regression models with complex sampling design was used to test the association between HP weight discussions and the outcome, adjusted for psycho-sociodemographic covariates. Results: Of 3671 patients, 55.5% (n=2039) tried to lose weight in prior 12 months. Women (62.4%) and Hispanic race/ethnicity (62.8%) were associated with a higher prevalence of attempting to lose weight in prior 12 months. In the fully adjusted model, having received HP’s weight discussion (AOR=5.54, 95%CI: 3.59-8.56), suggest exercise (AOR=3.61, 95% CI: 2.37-5.49), and recommend a nutritionist visit (AOR=2.59, 95% CI: 1.67-4.01) were associated for increased likelihood of attempting weight loss. Conclusions: HP advice to lose weight may increase patients’ motivation to lose weight and weight loss behavior. Better training for HPs in delivering high-value care such as brief weight counselling could lead to improved chronic disease health outcomes for safety-net patient populations. Disclosure J. J. Wang: None. Z. Shi: None. A. Yan: None.

The Impact of the Ca2+-Independent Phospholipase A2β (iPLA2β) on Immune Cells.

The Ca2+-independent phospholipase A2β (iPLA2β) is a member of the PLA2 family that has been proposed to have roles in multiple biological processes including membrane remodeling, cell proliferation, bone formation, male fertility, cell death, and signaling. Such involvement has led to the identification of iPLA2β activation in several diseases such as cancer, cardiovascular abnormalities, glaucoma, periodontitis, neurological disorders, diabetes, and other metabolic disorders. More recently, there has been heightened interest in the role that iPLA2β plays in promoting inflammation. Recognizing the potential contribution of iPLA2β in the development of autoimmune diseases, we review this issue in the context of an iPLA2β link with macrophages and T-cells.

Comorbid conditions at chronic obstructive pulmonary disease: the questions under investigation and discussion

Today, chronic obstructive pulmonary disease is considered as a multifactorial disease with systemic extrapulmonary manifestations and a high level of comorbidity. Differentiation of the polymorbidity and comorbidity concepts for patients with this pathology is very important. The common trigger factors and/or pathogenetic mechanisms lay in the basis of comorbid conditions, and their progression is comparable in time with the underlying disease. This determines the necessity for appropriate integrated management of such patients. The presence of other diseases that are not related to the main pathological process through common causative factors and/or pathogenetic mechanisms should be regarded as concomitant and lying in the basis for polymorbidity. The domestic and foreign scientific literature data on the mechanisms of potential comorbid pathology in this group of patients have been summarized. Information concerning the leading role of oxidative stress and systemic inflammatory process of low intensity in the development of comorbidity in chronic obstructive pulmonary disease is presented. The mechanisms of their influence, relationship, discussion questions and actual data on genetic and molecular mechanisms of development of these pathological processes are highlighted. Special attention is paid to the metabolic processes that develop as a result of oxidative stress and systemic inflammation. In particular, it has been shown that systemic inflammation leads to the development of insulin resistance, diabetes and other metabolic disorders. Data is outlined, supporting rationale for stratification of the metabolic profiles or phenotypes, as well as the pathogenetic significance of endotoxemia. Endothelial dysfunction and associated diseases of the cardiovascular system are also the consequences of oxidative stress and systemic inflammation. The analysis has been performed for the peculiarities of the manifestations of some of them in this group of patients.

Current Pharmacological Trends on Myricetin.

Myricetin is a member of the group of flavonoids called flavonols. Myricetin is obtained from various fruit, vegetables, tea, berries and red wine. Myricetin is characterized by the pysrogallol B-ring, and the more hydroxylated structure is known to be capable for its increased biological properties compared with other flavonols. Myricetin is produced by the Myricaceae, Anacardiaceae, Polygonaceae, Pinaceae and Primulacea families. It is soluble in organic solvent such as ethanol, DMSO (dimethyl sulfoxide), and dimethyl formamide (DMF). It is sparingly soluble in aqueous buffers. Myricetin shows its various pharmacological activities including antioxidant, anti-amyloidogenic, antibacterial, antiviral, antidiabetic, anticancer, anti-inflammatory, anti-epileptic and anti-ulcer. This review article focuses on pharmacological effects of Myricetin on different diseases such as osteoporotic disorder, anti-inflammatory disorder, alzheimer's disease, anti-epileptic, cancer, cardiac disorder, diabetic metabolic disorder, hepatoprotective disorder and gastro protective disorder.

Synthesis, antidiabetic, antioxidant and anti-inflammatory activities of novel hydroxytriazenes based on sulpha drugs

The present study is aimed to investigate the anti-inflammatory, antioxidant and antidiabetic activities of three series of hydroxytriazenes based on sulfa drugs viz; Sulphathiazole (ST), Sulfisoxazole (SF) and Sulphamethoxazole (SM). Antidiabetic activities of the synthesized hydroxytriazenes were investigated by α-glucosidase and α-amylase inhibition method and IC50 values were recorded. The compounds presented significant α-glucosidase and α-amylase inhibition effect with IC50 values ranging from 122 to 341 μg/mL. Anti-inflammatory activity was also investigated by carrageenan-induced paw edema (CPE) method, where % inhibition was up to 89% after 4 h of treatment and antioxidant properties of the similar compounds were assessed by DPPH and ABTS radical scavenging assays. Antioxidant capacity of all the hydroxytriazenes detected by ABTS assay, was significantly higher as compared to DPPH assay. The hydroxytriazenes having highest antioxidant capacity presented IC50 values for compound ST-1 and ST-6 are 488 μg/mL for DPPH, 54.12 μg/mL for ABTS and 858.5 μg/mL for DPPH, 48.0 μg/mL for ABTS, respectively. These results suggested that ABTS assay may be more useful than DPPH assay for synthetic antioxidants. The findings from the molecular docking experiments may also expand the formation of new potent sulpha drugs based hydroxytriazenes targeting towards the subunit of C-terminal of human maltase-glucoamylase for the treatment of diabetes metabolic disorder. Overall, highlight the multifunctional role of hydroxytriazenes as antidiabetic, antioxidant and anti-inflammatory agents.

Proteomic profiling of MIN6 cell-derived exosomes

Exosomes have been widely used in research on the early clinical diagnosis, prognosis and treatment of various cancers due to their features of small size (30–120 nm), non-immunogenicity and ability to cross biological barriers. However, few studies have investigated exosomes involved in metabolic diseases. Early studies have found that adipose tissue can be a source of exosomes regulating metabolism, but the related functions of exosomes secreted by other tissues in the regulation of metabolic diseases have not been determined. In addition, islets were found to be able to secrete miRNA via exosomes, suggesting that islet exosomes may be among the sources of exosomes involved in the regulation of metabolic diseases and that the relevant protein profiles have not been characterized to date. Therefore, identifying the protein contents of pancreatic β cell-derived exosomes would benefit further research investigating the protein functions and mechanisms associated with diabetes-related metabolic diseases. SignificanceExosomes are emerging tools for investigating metabolic diseases in recent years, but little research has been done. In our work, functional identification of MIN6 cell-derived exosomal proteins and comparative analysis of islet β cell exosomal protein data from different cell lines or from different species revealed that exosomes secreted by islet β cells may be involved in the regulation of glucose metabolism. These results may suggest that intercellular communication induced by exosome transfer among tissues may account for the major reason of diabetic metabolic disorder. In addition, these results may provide a theoretical basis for the study of the physiological and pathological functions of islet β cell exosomes for the future studies.

Recent Advancement in Diabetes and Cardiomyopathy

Diabetic Cardiomyopathy could be a clutter of the heart muscle in individuals with diabetes. It can lead to failure of the heart to circulate blood through the body successfully, a state known as heardisappointment, with collection of liquid within the lungs (aspiratory edema) or legs (fringe edema). Diabetes mellitus increments the hazard of heart disappointment autonomously of basic coronary supply route disease. Several variables may contribute to the improvement of cardiac brokenness within the nonattendance of coronary supply route illness in diabetes mellitus. Related Diaries of Diabetic Cardiomyopathy Journal of Clinical Diabetes & Hone, Nourishment Digestion system and Cardiovascular Infections (NMCD), Anticipating Unremitting Illness, World Diary of Diabetes, Diabetes Self-Management, Diabetes Weight and Digestion system, Weight Administration, Diabetes Metabolic Disorder and Corpulence: Targets and Treatment, Diary of Endocrinology, Diary of Diabetes, Down to earth Diabetes, Diary of Nourishment Organic chemistry, Medicines in Endocrinology.

RELATION BETWEEN CAUSES OF HOSPITALIZATION AND SELF-CARE IN OLDER ADULTS WITH DIABETES MELLITUS 2

ABSTRACT Objective: to analyze the relationship between self-care and the causes of hospitalization, in older adults with Diabetes mellitus 2. Method: quantitative, descriptive approach. Adults over 60 years old and older, hospitalized in medical and surgical centers, attended from August to December 2018, due to diabetes complications, A characterization instrument and the Older Adult Self-Care Capacity and Perception Test was applied. Descriptive, central tendency and relationship analyses were applied. Results: 32 people participated, 18 (56.3%) of whom were men. The years of diagnosis averaged 17.1 years (SD=12.6), 13 people (31.7%) were admitted to hospital for diabetic foot problems and 10(24.4%) for metabolic disorders. In relation to the Capacity and perception of self-care, 8(25%) presented an adequate self-care perception, 16(50%) a partially adequate self-care perception and 8(25%) without a partial deficit self-care capacity. There was a significant association between self-care and belonging to a social group (p=0.009). There was no statistical association between Capacity and perception of self-care and the causes of hospitalization: diabetic foot (p=0.587) and metabolic disorder (p=0.225). Seven of the eight dimensions showed a higher frequency of adequate self-care, but there was a higher percentage of a poor self-care 12(37.5%) in physical activity. Conclusions: no relationship was identified between capacity and perception of self-care and causes of hospitalization, meanwhile, there were low perceptions and deficits of self-care. The study of self-care in this type of patient is relevant and allows us to intervene in poor aspects or deficits.

Identification of differentially expressed mRNA and the Hub mRNAs modulated by lncRNA Meg3 as a competing endogenous RNA in brown adipose tissue of mice on a high-fat diet

ABSTRACT Obesity is associated with insulin resistance, diabetes, and obesity-related metabolic disorders. Brown adipocytes have emerged as potential targets for the treatment of obesity and obesity-related diseases. However, changes that occur in brown adipose tissue during various stages of high fat diet (HFD)-induced obesity remain poorly understood. The present study aimed to determine the changes occurring in brown adipose tissue during various stages of an HFD by analyzing two microarray expression profiles. A total of 1,337 differentially expressed RNAs (DE RNAs) were identified between the HFD and ND groups, using the limma package in R. The DE RNAs included 1,249 mRNAs, 74 long non coding RNAs (lncRNAs), and 14 pseudogenes. Functional annotation of the DE mRNAs, including GO terms and KEGG pathways were identified using the Database for Annotation, Visualization, and Integrated Discovery. A protein-protein interaction network was constructed using STRING and clusters were obtained through the Molecular Complex Detection plug-in. In the present study, the lncRNA,maternally expressed gene 3 (Meg3), was identified as the DE lncRNA with a significant fold change. The network of Meg3 as a ceRNA was constructed, which demonstrated that Meg3 modulated five hub DE mRNAs via competitive binding to microRNAs.