In light of Novo's Meet the Face of Change campaign, I figured I'd address an idea worthy of mention coming out of the Novo product pipeline. This treatment is for Type 2 diabetics but it is not insulin - it's called liraglutide. Liraglutide is a once-daily human analog of the natural hormone Glucagon-Like Peptide-1 (GLP-1). It causes neither excessive hypoglycemia nor weight gain.

Liraglutide works by stimulating the release of insulin only when glucose levels become too high. Unlike many other diabetes drugs - liraglutide also leads to weight loss instead of weight gain. Now we're getting somewhere, Novo!! Patients with Type 2 diabetes treated with liraglutide had a greater reduction in average blood sugar than those patients treated with placebo or insulin glargine (Lantus). As expected, the combination of a GLP-1 analog with a sulfonylurea caused some of the patients to experience hypoglycemia. Okay, point taken. So why impose a glucose lowering drug while mitigating the problem causing elevated sugar in the first place? One drug at a time, folks.

So this is a step in the right direction and I like where it is going. Treating Type 2 diabetes with insulin is counter-intuitive. Looking at another hormone that might interfere with the use of insulin might be the culprit. So here lies a very good idea and I like it. Gold star, Novo! Now when can we meet the face of liraglutide?

A new survey reveals that most people prefer to treat diabetes by changing their diets, rather than using medicines.

According to a survey of 1,022 adults (515 women and 507 men), 69% of Americans would prefer to try a dietary approach, whereas only 21% preferred treating diabetes with medicines. The survey reinforces results from clinical research on diabetes, which has consistently found that people with diabetes adapt well to low-fat vegetarian diets and gain important health benefits. A dietary approach to diabetes based on scientific research shows that a low-fat vegan diet can lower high blood sugar levels three times more effectively than oral medications.

Among the results: women are even more likely than men to prefer food changes over pills. People with more education and higher incomes were especially likely to favor a diet approach. For the financially savvy - this makes a lot of sense. You MUST buy food. You might as well buy healthier foods and curtail your Rx costs. Furthermore, Americans aged 45 to 64 were more enthusiastic about diet changes, compared with older Americans. I'll bet it's the convenience factor. A little less medication, a little more supper, please. The most pill-happy generation was the 18- to 24-year-olds. Don't look at me like that - I'm 28 and favor the flavor over medication, any day. Bon appetit!

Our odiferous little friend has been touted for many health benefits. Diabetics should pay close attention because, although it has the dubious distinction of causing dragon breath, let us not allow the immediate social expense to outweigh the long-term health payoff.

Medical research has been underway to assess whether these traditional uses of garlic have scientific validity. Much of the research is showing real promise. Knowing that heart disease is twice as likely to strike diabetics, it would behoove many of us to take a chance with a few cloves of garlic every day. What have you got to lose? Studies suggest that fresh garlic may prevent blood clots and destroy plaque. A little garlic breath never killed anyone. Can't say the same for plaque in your blood now, can we?

In addition, garlic may be beneficial for risk factors for heart disease, including high blood pressure, high cholesterol, and diabetes. Preliminary studies in rabbits, rats, and limited numbers of people have demonstrated that garlic has some ability to lower blood sugars. A few cloves of garlic can substantially affect some medications. For example, if you are on a sulfonylurea drug, you will want to be extra cautious of the effects garlic will have on your blood sugars. A few popular examples of these drugs are: Dymelor, Diabinese, Tolinase, Orinase, Amaryl, Glucotrol, Glucotrol XL, DiaBeta, Micronase, and Glynase. Whenever the opportunity presents itself, I would choose Mother Nature over scientific intervention. This is one of those little dietary adjustments that might be worth a try.