Bear-ly Understanding Diabetes

May 30, 2014

By Medical Discovery News

What can studying grizzly bears reveal about human diabetes?

While they are some of the largest bears on earth, Grizzly bears aren’t usually accused of being fat. Regardless, these animals are helping scientists discover new and better treatments for human obesity and diabetes.

Grizzlies spend the late summers consuming more than 50,000 calories per day. As a comparison, a moderately active 50-year-old human female is recommended 2,300. Grizzlies then hibernate for up to seven months, relying on the pounds of stored fat they accumulated before winter. While hibernating, bears do not eat, urinate, or defecate. 

Scientists wondered if all the weight and fat bears gain results in diabetes like it does in humans. Overweight people face an increased risk of type 2 diabetes, in which the body does not make enough of the hormone insulin or cells do not respond to it. Insulin helps move a type of sugar called glucose from the blood into cells, where it is used for energy and as a precursor for other molecules the body needs. If sugar levels in the blood remain elevated and the body doesn’t have enough insulin, cells are starved for energy, leading to damaged eyes, kidneys, nerves, and hearts. 

Interestingly, Grizzly bears can actually control their insulin responsiveness. When they are the fattest, they are most sensitive to insulin, thereby keeping their blood sugar levels healthy. Soon after going into hibernation, they switch to complete insulin resistance, meaning they develop type 2 diabetes. But unlike humans, their blood sugar levels remain normal. When they awaken in the spring, their insulin responsiveness is restored. Bears do this not so much to regulate their blood sugar levels as to regulate their storage and utilization of fat. So how do bears control their insulin responsiveness? And could it lead to new treatments for type 2 diabetes in humans?

PTEN is a protein that regulates cells’ sensitivity to insulin. Scientists know exactly when Grizzlies increase or decrease PTEN activity, they just don’t know how. People with a PTEN mutation have a metabolism similar to Grizzlies’.  These people have an increased risk of obesity and cancer but a decreased risk of developing type 2 diabetes because they are more sensitive to insulin.

Grizzlies have also evolved to the ability to accumulate large amounts of fat only in their adipose tissue, just below the skin so it doesn’t interfere with the rest of their bodies. In humans, on the other hand, fat can accumulate in many places like the liver, in muscles, and around other internal organs, which are all highly unhealthy places to keep fat. Bears can also have elevated levels of cholesterol without the serious consequences of cardiovascular disease.

During hibernation, the Grizzly bears’ kidneys shut down. But despite the high levels of toxins that accumulate in the blood without working kidneys, they don’t die or even suffer from it like a human would. When they wake up, their kidney function is restored with no permanent damage.

After millions of years of evolution, Grizzly bears and other animals have developed solutions for biological challenges humans still face. Studying them is a new approach that has the potential to create treatments for many human conditions.

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Keeping That Weight Off

Feb. 1, 2013

By Medical Discovery News

Keep that weight off

Americans don’t lack methods of dieting – South Beach, Atkins, Weight Watchers, Nutrisystem, Slim Fast, detoxing, juice cleanses – but not all are healthy. With public health organizations and the media constantly remarking on the obesity epidemic in the U.S., new studies on approaches to start and maintain weight loss couldn’t come at a better time.

A new study conducted at Boston Children’s Hospital and published in the “Journal of the American Medical Association” compared the weight loss and subsequent weight maintenance of three popular dieting approaches: low carb diets, low fat diets, and low glycemic diets. 

When someone decreases the amount of calories they consume, the body’s metabolism slows, reducing the use of calories and contributing to weight gain. This can work against the goal of losing weight and keeping it off. So researchers examined the affect of these popular dieting approaches on long-term weight loss.

The Boston study followed a group of overweight and obese adults aged 18 to 40 for 10 weeks. After achieving an initial 10 to 15 percent weight loss, researchers placed subjects on one of the three diets and looked for changes in their metabolism and weight maintenance. These diets were isocaloric, meaning all subjects consumed the same number of calories despite being on the different diet plans. 

The low carb diet had the most pronounced affect on metabolism with the best resting energy expenditure (REE) and total energy expenditure (TEE). But the low carb diet also resulted in some undesirable side effects, like high levels of the stress hormone cortisol, which can lead to diabetes, and biochemical markers like CRP, which are associated with inflammation and heart disease.

Similarly, the low fat diet produced the hormone leptin, which is associated with hunger and could lead to weight gain. In contrast, the low glycemic diet allowed stable blood sugar and metabolism levels without elevations in stress hormones and other negative biochemical markers. What type of food a person eats affects their metabolism, and a person’s metabolic index determines how many of those calories will be burned. 

The low glycemic diet derives 40 percent of calories from carbohydrates, 40 percent from fats, and 20 percent from proteins. The diet uses a number of fiber-rich foods like beans, non-starchy vegetables, fruit, and whole grains; lean protein sources like fish and skinless poultry; and healthy fats from nuts, avocados, and certain vegetable oils. These foods require a longer time to digest and absorb, leaving people feeling fuller for a longer time. 

The main conclusion of this study is that a calorie is not just a calorie in the context of weight loss or maintenance. Successful dieting and weight maintenance requires behavioral modifications in addition to caloric restriction, and individuals should consult their physicians about their weight-loss goals and diet plans.

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