The Importance of Managing Diabetes After a COVID-19 Diagnosis
COVID-19 is uncharted territory for all of us. Even frontline healthcare workers are learning about the disease day by day as they care for others. Although much remains unknown about the novel coronavirus, we do know that it poses a higher risk of complications for those who have diabetes or another underlying health condition. Targeted nutrition may be able to help. Diabetes management and nutritional therapy can help you achieve good glycemic control, a key component to better overall health and improved outcomes after a COVID-19 diagnosis. But first, it's important to understand how the two conditions intersect. How Does COVID-19 Impact People With Diabetes? We know that hyperglycemia, or high blood sugar, is associated with reduced immunity and poorer COVID-19 outcomes. For people with diabetes who are also in hospital, the American Diabetes Association (ADA) recommends a target glucose range of 140–180 mg/dL for most patients. For those not in hospital, the ADA recommends a target A1c of 7%. Research into the relationship between diabetes and COVID-19 is ongoing, but data strongly suggests that glucose control is important following COVID-19 infection. CDC information suggests that about 28% of people in the US who are hospitalized with COVID-19 also have diabetes. The presence of hyperglycemia at admission in COVID-19 patients, not just those with diabetes, may be an indicator or worse outcomes. Practical recommendations for glucose control in COVID-19 suggest an A1c target of 7% or less. Poorly controlled diabetes (A1c > 7%) was associated with a greater risk of death from COVID-19. As we continue to learn more about transmission and prevention of COVID-19, managing blood sugar is key to better health outcomes, particularly for people with diabetes. Targeted nutrition is one way to help support those efforts. Why Is Nutrition Vital in Diabetes Management and COVID-19 Recovery? Regular diabetes management, as recommended by the ADA, includes medical nutritional therapy, which can help you achieve good glycemic control and includes personally optimizing carbohydrate intake and improving diet quality. Balanced nutrition will help manage blood sugar levels and keep blood sugar within normal ranges as well as provide the daily required nutrients, especially when you're ill. Eating smaller, regular meals and focusing on a balance of macro and micronutrients can help you manage your glucose both during times of illness and every single day. If you need additional nutritional support, consider adding a diabetes-specific formula (DSF) to your eating plan. Diabetes specific formulas, like Glucerna can help you manage your blood sugar. They also provide several key nutrients and health benefits, including: "Slow-release carbohydrates with a low glycemic index, which can help minimize the effect on blood sugar levels." "Monounsaturated fatty acids, which are associated with several health benefits." "Prebiotics and dietary fiber, which promote gastrointestinal health." "High-quality protein and other nutrients for immune system support, including antioxidants (selenium and vitamins C and E), vitamin D, vitamin A and zinc." The Look AHEAD study, has shown that meal replacements, including diabetes-specific formula, have improved outcomes versus standard lifestyle interventions. The enhanced weight loss1 was associated with improved glycemic outcomes2, blood pressure3 and reduced healthcare costs over 10 years4. Although there are still many unknowns surrounding COVID-19, one thing is certain: For people with diabetes, good nutrition is a key component of managing blood sugar following any diagnosis. Keeping your glucose in check is important for people with diabetes every day; incorporating DSFs to fill any nutrition gaps, or replace poor meal or snack choices, may help improve your overall health. 1 Look AHEAD Research Group, et al. Diabetes Care. 2007;30(6):1374–1383 2 Look AHEAD Research Group, et al. Arch Intern Med. 2010;170(17):1566–1575 3 Wing RR, et al. Diabetes Care 2016;39(8):1345-55 4 Diabetes Care. 2014 Sep; 37(9): 2548–2556. doi: 10.2337/dc14-0093
How Healthcare Workers Can Help Their Immune Systems with Nutrition and Hydration
As the first line of defense against the coronavirus pandemic, healthcare staffers are putting in long hours to give people the medical attention they need. Wearing personal protective equipment (PPE), including face shields or goggles, face masks, gowns and gloves, throughout their shifts helps them remain safe while tending to others. However, protective gear stays on for long stretches of time, which can make it difficult for essential workers to get enough food and water to safeguard their own health. So, when the action never seems to stop, how do doctors, nurses and other healthcare employees meet their nutrition and hydration needs? Here are the measures these workers are taking to stay healthy and strong, as well as how you can work these nutrition best practices into your daily routine.
The Role of HMOs in Reducing NEC
Welcoming a new baby into the world should be an exciting time if you're an expecting parent. But when your child is born premature, it's normal to worry about the possible health challenges and complications they may face. Necrotizing enterocolitis, also known as NEC, is a rare condition that premature babies may develop during their first weeks of life. Though NEC can be managed, its effect on a child's health can be serious. NEC prevention may also be possible, according to new preliminary studies. Emerging preclinical research from Johns Hopkins and Abbott suggests that when premature babies are fed breast milk, the presence of human milk oligosaccharides (HMOs) in the milk may help reduce their chances of developing NEC. We sat down with Rachael Buck, Ph.D., a research fellow at Abbott Nutrition, to discuss necrotizing enterocolitis and the promising research surrounding it. What Is Necrotizing Enterocolitis? NEC is a disease that can affect newborns by causing inflammation in their intestines. With NEC, bacteria inside the intestinal tract can leak into the intestinal wall. Babies with NEC require a period of gut rest, which means they are temporarily nourished by intravenous nutrition. NEC may be fatal, depending upon how severely NEC affects the newborn, Buck explains. The specific cause of NEC is unknown, but it's most often seen in very low birth weight premature babies. In the United States, about 10% of babies who are born prematurely develop NEC. "While there are available NEC treatments, preventive strategies to aid infants at high risk for the disease are needed," says Buck. One prevention strategy that's already showing promise involves the use of HMOs. In new preclinical research from Johns Hopkins and Abbott, HMOs were shown to effectively prevent instances of necrotizing enterocolitis in animal models. What Are Human Milk Oligosaccharides?
Orlando City SC's Dom Dwyer on Nutrition, Exercise, and Being a Great Teammate On and Off the Field
I’m sure I speak for most parents when I say COVID-19 and the social lockdown has been a challenge. We’ve had to serve as teachers, chefs, entertainers and housekeepers, all while maintaining our jobs and the most important roles: mom and dad. As a player in the MLS (Major League Soccer) for the Orlando City, I know how critical a team is to success. You must all be on the same page and work together to accomplish goals. The same can be said for our home lives. The past few months haven’t been easy. This time has shown me that supporting my wife Sydney who is also a professional athlete with a busy schedule, is more important than ever.
How Targeted Nutrition Gives Airmen a Mental, Physical Edge
Nutrition has long been linked to better performance, whether it's propelling athletes toward big victories or helping students ace important tests. But more recently, experts have begun to wonder whether certain nutrients could impact performance in specific ways. As part of an ongoing collaboration between Abbott, the University of Illinois, and the U.S. Air Force Research Laboratory, a new study set out to answer this question by examining nutrition's impact on the performance of men and women in the U.S. Air About the Study Researchers divided 148 men and women of the U.S. Air Force into two groups. For 12 weeks, one group did a high-intensity interval training (HIIT) routine, while the other performed the same exercise regimen while adding a targeted nutrition supplement to their diets. The group that combined exercise with this twice-a-day supplement saw better improvements in key mental and physical performance areas, including problem-solving and reaction time than the group that relied on exercise alone. Over and above the impact of HIIT, the group consuming the high-protein nutritional drink containing lutein, omega-3 fatty acid DHA, phospholipids and Beta-hydroxy-beta-methylbutyrate (HMB) displayed.
Abbott Scientists Rachael Buck and Ricardo Rueda-Cabrera Inducted into AIMBE's 2020 College of Fellows
Albert Einstein once said, “The important thing is not to stop questioning. Curiosity has its own reason for existence.” Two of Abbott’s top medical nutrition researchers have spent their careers questioning, and because of that innate curiosity, they have made major contributions to their field –creating widespread impact on the scientific community and in the field of medical nutrition.