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Below 70? The 15-15 rule

All forDiabetes

Popular diabetes drug may help treat cancer

All for DiabetesPublished May 5, 20101 min read

Key points

  • Washington, DC: Researchers have learned that the popular diabetes medication metformin doesn’t work the way they thought.
  • Metformin is widely prescribed to people with type 2 diabetes and may be extended to the treatment of certain cancers.
  • Researchers have thought that metformin, an energy-deprivation agent, disables the mTOR (mammalian target of rapamycin) complex by first activating the tuberous sclerosis complex (TSC) proteins through the enzyme AMPK.
  • “We’ve poked a hole in dogma,” says Thomas, a professor in the cancer and cell biology department.

Washington, DC: Researchers have learned that the popular diabetes medication metformin doesn’t work the way they thought. And the discovery could open the door to using metformin to treat cancer, tuberous sclerosis complex and other diseases.

The results of this study, led by George Thomas, PhD, scientific director of UC’s Metabolic Diseases Institute, are published in the May 5 edition of Cell Metabolism.

Metformin is widely prescribed to people with type 2 diabetes and may be extended to the treatment of certain cancers.

The drug blocks the production of glucose (sugar) and increases sensitivity to insulin-a hormone that converts sugar and other foods into energy within the body.

Researchers have thought that metformin, an energy-deprivation agent, disables the mTOR (mammalian target of rapamycin) complex by first activating the tuberous sclerosis complex (TSC) proteins through the enzyme AMPK.

Thomas’ team determined that mTOR could actually be disabled without AMPK, and even without TSC. The team was able to determine that metformin works to knock out mTOR through another enzyme, RAG GTPase.

“We’ve poked a hole in dogma,” says Thomas, a professor in the cancer and cell biology department. “Scientists can and should go back and ask about things they had crossed off their list.”

The importance of this finding, says Thomas, is the possibility it holds for broader use of metformin.

“Metformin is already prescribed to 100 million people worldwide, and our study raises the question, ‘Could this drug be used even more widely?'”

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ANI

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.