New guidance highlights the importance of nutrition to support people living with diabetes and foot ulcers

WCW: Debridement of Neuropathic Foot Ulcer - YouTube


Todayguidance endorsed by the American Limb Preservation Society, entitled Nutrition Interventions in Adults with Diabetic Foot Ulcers,* was released highlighting the impact of nutrition-focused therapy in wound healing for adults living with diabetes who experience diabetic foot ulcers (DFU).

The development of this guidance was the collaborative effort of a multidisciplinary team of medical professionals including–a podiatrist, registered dietitian, vascular surgeon and general/plastic surgeon. As a leader in science-based nutrition, Abbott supported the printing and distribution of this new guidance and has a long track record of research in wound-care therapy. 

“The guidance reinforces nutrition therapy, which is an often-overlooked part of wound care that can help provide patients with early and aggressive intervention,” said David G. Armstrong, M.D., guidance co-author, founding president of the American Limb Preservation Society, professor of surgery at Keck School of Medicine of University of Southern California and a part of Abbott’s speakers bureau. “When clinicians take the time to engage with patients in a meaningful exchange of information and help manage glucose levels, quality of life and adherence are improved.”

In the U.S., more than 30% of people living with diabetes are at risk for developing a foot ulcer. Healing from DFU requires proper nutrition.** This guidance highlights that when patients receive nutrition education and are treated with nutrition intervention, they can incorporate the right nutrients in their diet to support the wound-healing process.

Proper diet alone may be insufficient for patients to experience optimal healing for wounds, including diabetic foot ulcers. Ensuring sufficient hydration, protein, calories, and micronutrients like amino acids, vitamins and minerals, as well as tracking daily glucose targets, better supports the wound-healing process and allows patients to generate new tissue at the wound site.

“Historically, nutrition guidance to help support the healing of foot ulcers in people with diabetes has been limited,” said Maritza Molina, guidance co-author and registered dietitian nutritionist. “Patients with diabetes may develop a series of health issues over time if their diabetes is not well controlled. Glycemic control is the first and foremost goal, making medical nutrition therapy an important part of diabetes management.”

The guidance states that if someone cannot meet estimated nutrient needs with diet alone, targeted nutritional therapy is recommended. Oral nutritional supplements can be an option for supplying the nutrients necessary to support optimal wound healing.

While primarily serving as guidance for clinicians, this tool is also a resource for people living with diabetes and stresses the importance of nutrition education, regular screening for nutritional deficiencies, and the importance of working with their healthcare team to create an individualized care plan.

A routine prenatal ultrasound can identify early signs of autism


A routine prenatal ultrasound in the second trimester can identify early signs of Autism , a new study by Ben-Gurion University of the Negev and Soroka Medical Center has found.

Researchers from the Azrieli National Centre for Autism and Neurodevelopment Research published their findings recently in the prestigious peer-reviewed journal Brain.

The researchers examined data from hundreds of prenatal ultrasound scans from the fetal anatomy survey conducted during mid-gestation. They found anomalies in the heart, kidneys, and head in 30% of fetuses who later developed autism, a three times higher rate than was found in typically developing fetuses from the general population and twice as high as their typically developing siblings.

Anomalies were detected more often in girls than in boys and the severity of the anomalies was also linked to the subsequent severity of autism .

This study and others will be discussed at the Israeli Meeting for Autism Research to be held February 15-16 at BGU. The press is invited to attend. For more information and to register, click here.

Prof. Idan Menashe, a member of the Centre and the Department of Public Health in the Faculty of Health Sciences, led the research with his MD/PhD student Ohad Regev.

“Doctors can use these signs, discernable during a routine ultrasound, to evaluate the probability of the child being born with autism,” says Prof. Menashe, “Previous studies have shown that children born with congenital diseases, primarily those involving the heart and kidneys, had a higher chance of developing autism. Our findings suggest that certain types of autism that involve other organ anomalies, begin and can be detected in utero.”

A previous study of the Centre found early diagnosis and treatment increased social ability by three times as much. Prenatal diagnosis could mean a course of treatment from birth instead of waiting until age 2 or 3 or even later.

Your microbiome shapes your life. But where did it come from?

Microbiome Acquisition


Artist’s concept of this research that probes the odds of a new species being acquired by a microbiome ecosystem created by Navid Marvi, courtesy of the Carnegie Institution for Science. CREDIT By Navid Marvi, courtesy of the Carnegie Institution for Science.

The gut microbiome is an ecosystem of hundreds to thousands of microbial species living within the human body. These populations affect our health, fertility, and even our longevity. But how do they get there in the first place?

New collaborative work led by Carnegie’s William Ludington reveals crucial details about how the bacterial communities that comprise each of our individual gut microbiomes are acquired. These findings, published in the Proceedings of the National Academy of Sciences, have major implications for treatments such as fecal transplants and probiotic administration.

“There is a huge amount of variation in microbiome composition between individuals,” Ludington explained. “For example, if you look at the sum total of all of the bacterial species that are adapted to live in the gastrointestinal systems of humans, most of these are not present in a majority of people. That’s how incredibly diverse these gut microbial populations are.”

A combination of elements, including genetics, diet, and environment contribute to the differences between our microbiomes. But there isn’t a direct line between these inputs and the species that successfully colonize our guts. There’s an element of chance at play each time we are exposed to a new microbe as to whether it will be acquired and become a member of our gut ecosystem. Ludington and his collaborators set out to understand the factors that shape the odds of this colonization process.

Although many researchers have studied microbiome compositions in natural populations, there have been few attempts to use a controlled environment to reveal the process by which new species successfully join the gut microbial ecosystem. Ludington and his collaborators—Eric Jones and David Sivak of Simon Fraser University and Jean Carlson of UC Santa Barbara—developed a new ecological model to understand how we acquire the specific mix of microbes that are individual to our own particular gut communities.  

Working in the comparatively much less complicated microbiomes of fruit flies, the team showed that exposure to a microbial species does not guarantee its successful incorporation into the microbiome ecosystem. They found that the state of the microbiome, and interactions between existing microbiome member species, sets the odds for whether a newly encountered bacteria is added into the mix.

“Even among genetically identical flies that lived in the same housing and were fed the same diets, we saw variations in microbiome composition,” Sivak said.

The researchers then used these results to build mathematical models that could probe increasingly complex scenarios by which new microbiome species could be acquired, leading to their breakthrough understanding of the community factors that shape membership in the microbiome ecosystem.

“Think of microbiome composition as a big party where the social dynamics determine who leaves early and who stays until dawn,” said Ludington.

Added Jones, the paper’s first author: “Bacterial colonization depends on a number of complicated factors that we’re just starting to understand.  We showed, for example, that some groups of species facilitate each other’s colonization and are therefore more likely to coexist.”

These group interactions have exciting implications for how microbiomes are transmitted between individuals, including how medical professionals might drive a person’s microbiome towards a desired composition.

“The beauty of the mathematical approach we deployed is that it acknowledges that colonization is a roll of the dice, but we are now able to attribute the weighting of the dice to biological interactions with a molecular basis that has been honed by evolution,” said Carlson.

The team’s findings provide a framework for quantitatively examining the mechanisms that therapies such as fecal transplants and probiotics depend upon, advancing toward the eventual goal of personalized microbiome medicine.        

Female Autistic Traits I DON’T Have

Female Autistic Traits I DON'T Have | AUTISM IN GIRLS - YouTube


The point of this video is to show you that all autistic people are different, and just because you don’t have all of my traits doesn’t mean you’re NOT autistic. Of course, the flip side is true, too. Just because you have some of my traits doesn’t mean you for sure are autistic either.

If you have any questions to ask my mom about raising me while (unknowingly) autistic, please leave them down below or email me at olivia@autisticallyme.com! I’m also going to start coaching and online courses to take to help you live your best life while autistic!

—–10 Autism Traits I DON’T Have—

1. I can understand sarcasm

2. I don’t stim very much

3. I wasn’t bullied in school

4. I don’t have a monotone voice

5. I don’t have a lack of imagination

6. I don’t need a strict routine

7. I don’t organize things repeatedly

8. I don’t have bad fine motor skills

9. I’m not obsessed with numbers/math/science

10. I’m not bad at socializing

Important step towards fasting-based therapies

Liver section of a mouse with liver cells in green and red.


Liver section of a mouse with liver cells in green and red CREDIT Helmholtz Munich / Anne Loft

Previous studies have shown how fasting can influence the immune system to improve different chronic inflammatory conditions, but little is known about how immune responses might determine a healthy metabolism. Since the liver is a central hub and regulator of metabolism, a group of researchers focused on understanding how liver cells and immune cells found in the liver communicate with each other in conditions of fasting. The study was a joint effort of Helmholtz Munich, Ulm University, the Technical University of Munich (TUM), the German Center for Diabetes Research (DZD), the Heidelberg University Hospital, and the University of Southern Denmark.

Immune activity is necessary for metabolic response to fasting
The researchers scanned the DNA of liver cells and immune cells, examining which parts of their DNA were active and which messenger-molecules were being released as a result. Their findings showed that these cells were communicating with one-another and highlighted the role of a molecule that is expressed in almost all the cells in our bodies, namely the glucocorticoid receptor. “We discovered that in the immune cells, this receptor in particular allowed the crosstalk between the cell types during fasting. By deleting the receptor only in the immune cells, we saw a breakdown of fasting signals in the liver cells. This means that the immune cells are able to directly influence the effect of fasting on our metabolism,” says Anne Loft from Helmholtz Munich.

Giorgio Caratti and Jan Tuckermann from the Ulm University add: “In fact, this is the first time we have seen this process under ‘healthy’ conditions. We knew that immune responses could influence our metabolism in an unhealthy setting, but this was new. It proves that a low level of immune activity, or inflammation, is necessary for a balanced metabolic response to fasting.”

Future work
“Voluntary fasting has been shown to be beneficial for the prevention of a number of human metabolic diseases, including type 2 diabetes and obesity. The increase in people suffering from not only these metabolic diseases is staggering, showing no signs of slowing down. Our findings serve to understand the molecular mechanisms behind these diseases and may ultimately lead to the development of effective fasting-based therapies,” says Stephan Herzig who led study at Helmholtz Munich.