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Sponsored
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Farida earned her master’s degree in journalism from Stanford University.\u003c/span>","avatar":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g","twitter":"FaridaJhabvala","facebook":null,"instagram":null,"linkedin":"https://www.linkedin.com/in/faridajhabvala/","sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["author"]}],"headData":{"title":"Farida Jhabvala Romero | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/fjhabvala"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11937892":{"type":"posts","id":"news_11937892","meta":{"index":"posts_1591205157","site":"news","id":"11937892","score":null,"sort":[1673568792000]},"guestAuthors":[],"slug":"it-can-be-a-win-win-brief-but-regular-activity-at-work-can-offset-risks-of-prolonged-sitting","title":"Brief but Regular Activity at Work Can Offset Risks of Prolonged Sitting","publishDate":1673568792,"format":"standard","headTitle":"Brief but Regular Activity at Work Can Offset Risks of Prolonged Sitting | KQED","labelTerm":{"term":253,"site":"news"},"content":"\u003cp>If you sit at your computer all day and then lounge on the sofa for more screen time in the evening, your health can take a hit. A \u003ca href=\"https://www.ahajournals.org/doi/10.1161/CIR.0000000000000440\">body of evidence\u003c/a> links sedentary lifestyles to an increased risk of diabetes, dementia and death from heart disease.\u003c/p>\n\u003cp>And here’s a wake-up call: One study found, irrespective of whether a person exercised, if they sat for more than 12–13 hours a day, they were more than \u003ca href=\"https://www.acpjournals.org/doi/10.7326/M17-0212\">twice as likely to die\u003c/a> early, compared to people who sat the least.\u003c/p>\n\u003cp>A new study finds you can cut that risk with strikingly small amounts of activity.\u003c/p>\n\u003cp>Researcher \u003ca href=\"https://www.columbiacardiology.org/profile/keith-diaz-phd\">Keith Diaz of Columbia University Medical Center\u003c/a> and his colleagues set out to find out what’s the\u003cem> least\u003c/em> amount of physical activity a person must do to offset the health risks of sitting. They recruited volunteers to come to their lab and emulate a typical work day.[pullquote align=\"right\" size=\"medium\" citation=\"Keith Diaz, Associate Professor of Behavioral Medicine, Columbia University Medical Center\"]‘We found that a 5-minute walk every half-hour was able to offset a lot of the harms of sitting.’[/pullquote]“They’d come in and sit for eight hours,” Diaz explains. The volunteers were hooked up to continuous glucose monitors to measure blood sugar levels, and their blood pressure was measured, too. Then, the participants took walking breaks of varying lengths and frequency.\u003c/p>\n\u003cp>“We found that a five minute walk every half-hour was able to offset a lot of the harms of sitting,” Diaz says.\u003c/p>\n\u003cp>The participants walked on a treadmill at a leisurely pace — about 1.9 miles per hour. “We were really struck by just how powerful the effects were,” Diaz says. People who moved five minutes every half-hour, saw blood sugar spikes after a meal reduced by almost 60%.\u003c/p>\n\u003cp>“This is surprising to me,” says \u003ca href=\"https://healthy.kaiserpermanente.org/southern-california/physicians/robert-sallis-6452925\">Robert Sallis, a family medicine doctor\u003c/a> at Kaiser Permanente, and the past president of the American College of Sports Medicine. It’s well known that exercise can help control blood sugar, but he says what’s new here is how beneficial frequent, short bouts of movement can be.\u003c/p>\n\u003cp>“I have never seen that kind of a drop in blood sugar, other than with medication,” Sallis says. He says he’s impressed by the findings, which are published in an American College of Sports Medicine journal, \u003ca href=\"https://journals.lww.com/acsm-msse/Abstract/9900/Breaking_Up_Prolonged_Sitting_to_Improve.200.aspx\">\u003cem>Medicine & Science in Sports & Exercise.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>More than \u003ca href=\"https://www.cdc.gov/diabetes/basics/prediabetes.html\">one out of every three adults in the U.S. has prediabetes\u003c/a>, and nearly \u003ca href=\"https://www.cdc.gov/bloodpressure/facts.htm#:~:text=Nearly%20half%20of%20adults%20in,are%20taking%20medication%20for%20hypertension.\">half of adults have high blood pressure\u003c/a>, according to the Centers for Disease Control and Prevention. Both conditions increase the risk of heart disease which is the top cause of death in the U.S. So, Sallis says many people can benefit from small, frequent movement breaks.\u003c/p>\n\u003cp>Each week, adults are advised to get 150 minutes of moderate-intensity physical activity. The CDC says \u003ca href=\"https://health.gov/our-work/nutrition-physical-activity/physical-activity-guidelines/current-guidelines\">you can break this up into smaller chunks\u003c/a>, 30 minutes a day, five times a week for example or even shorter breaks that are more frequent. “I think it’s easier to find small amounts of time to get some exercise,” Sallis says.\u003c/p>\n\u003cp>The pace of walking in the study was likely too leisurely to count as ‘moderate-intensity’ for most people, but \u003ca href=\"https://publichealth.gwu.edu/departments/exercise-and-nutrition-sciences/loretta-dipietro\">Loretta DiPietro, a professor at the Milken Institute School of Public Health\u003c/a>, says there are simple ways to increase the intensity, including walking faster. “Add some stairs in,” she says. “Swing your arms,” which will help engage more muscles.\u003c/p>\n\u003cfigure id=\"attachment_11937908\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937908\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/GettyImages-1278673059-800x533.jpg\" alt=\"Male and female business colleagues working against window in office, a woman walks past them in the foreground.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Researchers found that walking five minutes every half-hour can reduce the risk of high blood pressure, diabetes and heart disease. \u003ccite>(Maskot/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Another tip: turn on some music, since the beat can prompt you to step up the pace. You may not lose weight with short breaks, but “this is a wonderful way to improve your metabolic profile,” DiPietro says, which is so key to good health.\u003c/p>\n\u003cp>DiPietro was not involved in the new study, but her prior research has also shown that \u003ca href=\"https://diabetesjournals.org/care/article/36/10/3262/30770/Three-15-min-Bouts-of-Moderate-Postmeal-Walking\">strolls after meals\u003c/a> help improve blood sugar control.\u003c/p>\n\u003cp>She explains the mechanism by which exercise leads to this benefit is well understood: When we exercise, our muscles require glucose — sugar — as the fuel source. DiPietro says when we contract our muscles, our bodies use \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258103/#:~:text=GLUT4%20is%20an%20insulin%2Dregulated,GLUT4%https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258103/#:~:text=GLUT4%20is%20an%20insulin%2Dregulated,GLUT4%20storage%20vesicles%20(GSVs).20storage%20vesicles%20(GSVs).\">GLUT4 transporter proteins\u003c/a> which rise to the surface of the muscle cell and escort glucose molecules into the cell. So, physical activity helps to clear glucose out of the bloodstream into the muscle where it can be stored and utilized. And this helps lower blood sugar.\u003c/p>\n\u003cp>At a time when employers are looking for ways to retain workers, DiPietro says encouraging movement during the work day has clear benefits. “The human body was not designed to sit for eight hours at a time,” DiPietro says. “What employers can do is provide options for people,” she says, such as encouraging walking meetings and promoting more flexibility, which has become more common since the pandemic.\u003c/p>\n\u003cp>Employers should be aware that there’s another likely benefit to short, frequent breaks: “People were in a better mood because they took those breaks,” says \u003ca href=\"https://clas.uiowa.edu/hhp/people/kathleen-janz\">Kathleen Janz, professor emeritus \u003c/a>at the University of Iowa who focuses on health promotion. She reviewed the results of the new study for NPR and noted that participants in the study felt less fatigued.\u003c/p>\n\u003cp>It’s a reminder that moving our bodies during the work day isn’t a waste of time, Janz says. In fact it could make us better workers and make us healthier at the same time. “It can be a win-win,” says Janz.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Sitting 12–13 hours a day has been found to increase the chance of diabetes, heart disease and early death, but researchers have found that just a five-minute walk every 30 minutes can significantly reduce that risk.","status":"publish","parent":0,"modified":1701972162,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":996},"headData":{"title":"Brief but Regular Activity at Work Can Offset Risks of Prolonged Sitting | KQED","description":"Sitting 12–13 hours a day has been found to increase the chance of diabetes, heart disease and early death, but researchers have found that just a five-minute walk every 30 minutes can significantly reduce that risk.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"sticky":false,"nprByline":"\u003ca href=\"https://www.npr.org/people/2100208/allison-aubrey\">Allison Aubrey\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11937892/it-can-be-a-win-win-brief-but-regular-activity-at-work-can-offset-risks-of-prolonged-sitting","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>If you sit at your computer all day and then lounge on the sofa for more screen time in the evening, your health can take a hit. A \u003ca href=\"https://www.ahajournals.org/doi/10.1161/CIR.0000000000000440\">body of evidence\u003c/a> links sedentary lifestyles to an increased risk of diabetes, dementia and death from heart disease.\u003c/p>\n\u003cp>And here’s a wake-up call: One study found, irrespective of whether a person exercised, if they sat for more than 12–13 hours a day, they were more than \u003ca href=\"https://www.acpjournals.org/doi/10.7326/M17-0212\">twice as likely to die\u003c/a> early, compared to people who sat the least.\u003c/p>\n\u003cp>A new study finds you can cut that risk with strikingly small amounts of activity.\u003c/p>\n\u003cp>Researcher \u003ca href=\"https://www.columbiacardiology.org/profile/keith-diaz-phd\">Keith Diaz of Columbia University Medical Center\u003c/a> and his colleagues set out to find out what’s the\u003cem> least\u003c/em> amount of physical activity a person must do to offset the health risks of sitting. They recruited volunteers to come to their lab and emulate a typical work day.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We found that a 5-minute walk every half-hour was able to offset a lot of the harms of sitting.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Keith Diaz, Associate Professor of Behavioral Medicine, Columbia University Medical Center","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“They’d come in and sit for eight hours,” Diaz explains. The volunteers were hooked up to continuous glucose monitors to measure blood sugar levels, and their blood pressure was measured, too. Then, the participants took walking breaks of varying lengths and frequency.\u003c/p>\n\u003cp>“We found that a five minute walk every half-hour was able to offset a lot of the harms of sitting,” Diaz says.\u003c/p>\n\u003cp>The participants walked on a treadmill at a leisurely pace — about 1.9 miles per hour. “We were really struck by just how powerful the effects were,” Diaz says. People who moved five minutes every half-hour, saw blood sugar spikes after a meal reduced by almost 60%.\u003c/p>\n\u003cp>“This is surprising to me,” says \u003ca href=\"https://healthy.kaiserpermanente.org/southern-california/physicians/robert-sallis-6452925\">Robert Sallis, a family medicine doctor\u003c/a> at Kaiser Permanente, and the past president of the American College of Sports Medicine. It’s well known that exercise can help control blood sugar, but he says what’s new here is how beneficial frequent, short bouts of movement can be.\u003c/p>\n\u003cp>“I have never seen that kind of a drop in blood sugar, other than with medication,” Sallis says. He says he’s impressed by the findings, which are published in an American College of Sports Medicine journal, \u003ca href=\"https://journals.lww.com/acsm-msse/Abstract/9900/Breaking_Up_Prolonged_Sitting_to_Improve.200.aspx\">\u003cem>Medicine & Science in Sports & Exercise.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>More than \u003ca href=\"https://www.cdc.gov/diabetes/basics/prediabetes.html\">one out of every three adults in the U.S. has prediabetes\u003c/a>, and nearly \u003ca href=\"https://www.cdc.gov/bloodpressure/facts.htm#:~:text=Nearly%20half%20of%20adults%20in,are%20taking%20medication%20for%20hypertension.\">half of adults have high blood pressure\u003c/a>, according to the Centers for Disease Control and Prevention. Both conditions increase the risk of heart disease which is the top cause of death in the U.S. So, Sallis says many people can benefit from small, frequent movement breaks.\u003c/p>\n\u003cp>Each week, adults are advised to get 150 minutes of moderate-intensity physical activity. The CDC says \u003ca href=\"https://health.gov/our-work/nutrition-physical-activity/physical-activity-guidelines/current-guidelines\">you can break this up into smaller chunks\u003c/a>, 30 minutes a day, five times a week for example or even shorter breaks that are more frequent. “I think it’s easier to find small amounts of time to get some exercise,” Sallis says.\u003c/p>\n\u003cp>The pace of walking in the study was likely too leisurely to count as ‘moderate-intensity’ for most people, but \u003ca href=\"https://publichealth.gwu.edu/departments/exercise-and-nutrition-sciences/loretta-dipietro\">Loretta DiPietro, a professor at the Milken Institute School of Public Health\u003c/a>, says there are simple ways to increase the intensity, including walking faster. “Add some stairs in,” she says. “Swing your arms,” which will help engage more muscles.\u003c/p>\n\u003cfigure id=\"attachment_11937908\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937908\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/01/GettyImages-1278673059-800x533.jpg\" alt=\"Male and female business colleagues working against window in office, a woman walks past them in the foreground.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/GettyImages-1278673059-1920x1280.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Researchers found that walking five minutes every half-hour can reduce the risk of high blood pressure, diabetes and heart disease. \u003ccite>(Maskot/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Another tip: turn on some music, since the beat can prompt you to step up the pace. You may not lose weight with short breaks, but “this is a wonderful way to improve your metabolic profile,” DiPietro says, which is so key to good health.\u003c/p>\n\u003cp>DiPietro was not involved in the new study, but her prior research has also shown that \u003ca href=\"https://diabetesjournals.org/care/article/36/10/3262/30770/Three-15-min-Bouts-of-Moderate-Postmeal-Walking\">strolls after meals\u003c/a> help improve blood sugar control.\u003c/p>\n\u003cp>She explains the mechanism by which exercise leads to this benefit is well understood: When we exercise, our muscles require glucose — sugar — as the fuel source. DiPietro says when we contract our muscles, our bodies use \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258103/#:~:text=GLUT4%20is%20an%20insulin%2Dregulated,GLUT4%https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3258103/#:~:text=GLUT4%20is%20an%20insulin%2Dregulated,GLUT4%20storage%20vesicles%20(GSVs).20storage%20vesicles%20(GSVs).\">GLUT4 transporter proteins\u003c/a> which rise to the surface of the muscle cell and escort glucose molecules into the cell. So, physical activity helps to clear glucose out of the bloodstream into the muscle where it can be stored and utilized. And this helps lower blood sugar.\u003c/p>\n\u003cp>At a time when employers are looking for ways to retain workers, DiPietro says encouraging movement during the work day has clear benefits. “The human body was not designed to sit for eight hours at a time,” DiPietro says. “What employers can do is provide options for people,” she says, such as encouraging walking meetings and promoting more flexibility, which has become more common since the pandemic.\u003c/p>\n\u003cp>Employers should be aware that there’s another likely benefit to short, frequent breaks: “People were in a better mood because they took those breaks,” says \u003ca href=\"https://clas.uiowa.edu/hhp/people/kathleen-janz\">Kathleen Janz, professor emeritus \u003c/a>at the University of Iowa who focuses on health promotion. She reviewed the results of the new study for NPR and noted that participants in the study felt less fatigued.\u003c/p>\n\u003cp>It’s a reminder that moving our bodies during the work day isn’t a waste of time, Janz says. In fact it could make us better workers and make us healthier at the same time. “It can be a win-win,” says Janz.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11937892/it-can-be-a-win-win-brief-but-regular-activity-at-work-can-offset-risks-of-prolonged-sitting","authors":["byline_news_11937892"],"categories":["news_457","news_8"],"tags":["news_32286","news_19392","news_32287","news_27985","news_32288","news_32283","news_32284","news_32285"],"affiliates":["news_253"],"featImg":"news_11937897","label":"news_253"},"news_11920898":{"type":"posts","id":"news_11920898","meta":{"index":"posts_1591205157","site":"news","id":"11920898","score":null,"sort":[1659132018000]},"guestAuthors":[],"slug":"to-make-insulin-affordable-california-aims-to-create-its-own-brand","title":"To Make Insulin Affordable, California Aims to Create Its Own Brand","publishDate":1659132018,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>A vial of insulin cost $25 in 1995, back when Chris Noble was 5 years old and just learning how to manage his Type 1 diabetes with the help of his parents and his doctors.\u003c/p>\n\u003cp>Nearly three decades later, Noble says that same vial of insulin costs more than $300 — a 12-fold increase for something he and millions like him can’t live without.\u003c/p>\n\u003cp>“It’s as essential as water,” Noble said.\u003c/p>\n\u003cp>Health care advocates have bemoaned for years that insulin, while inexpensive to produce, is held hostage by a U.S. health care system stubbornly resistant to reforms as companies monopolize and maximize profits.\u003c/p>\n\u003cp class=\"p1\">Now, with several insulin patents nearing their expiration dates, California is looking to disrupt that market by making its own insulin and selling it for a much cheaper price. Last month, after a few years of study, state lawmakers approved $100 million for the project, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Gov. Gavin Newsom and state lawmakers still have many details to work out, including contracting with a private company to do most of the work. But the budget was a put-his-money-where-his-mouth-is moment for Newsom, who has been calling for the state to launch its own brand of generic drugs to lower the overall price of medication.\u003c/p>\n\u003cp>“Nothing epitomizes market failures more than the cost of insulin,” Newsom said in a video posted to his Twitter account. “California is now taking matters into our own hands.”\u003c/p>\n\u003cp>https://twitter.com/GavinNewsom/status/1545122879649374209\u003c/p>\n\u003cp>This wouldn't be the first time California has made its own medicine. In 1990, about half of all cases of infant botulism — a rare illness that affects the large intestine — were in California. The California Department of Public Health got a federal grant to develop and test a treatment. The treatment won federal approval in 2003, and California has been making it ever since.\u003c/p>\n\u003cp>But the market for infant botulism treatments is small, with about 110 cases reported each year, according to the U.S. Centers for Disease Control and Prevention. One course of California's botulism treatment costs more than $57,000, according to a legislative analysis.\u003c/p>\n\u003cp>Meanwhile, about 7 million people in the United States require insulin to manage their diabetes. The human body converts most of the food we eat into sugar. The pancreas then produces insulin, which converts that sugar into energy. People who have diabetes don't produce enough insulin. People with Type 1 diabetes must take insulin every day to survive.[aside label=\"Related Stories\" postID=\"stateofhealth_24623,news_11026460\"]Insulin was first discovered in the 1920s by a team of Canadian scientists. They sold the patent to the University of Toronto for just $1, hoping the school would license the product to multiple companies to prevent a monopoly that would lead to high prices.\u003c/p>\n\u003cp>But over time, the insulin market was slowly cornered. Today, just three companies produce most of the world's insulin. In the United States, the line between an insulin manufacturer and a patient is not straight. It zigs and zags between insurance companies and pharmacy benefit managers — third parties that manage prescription drug benefits for health plans.\u003c/p>\n\u003cp>It's that system that has kept the cost of insulin much higher in the United States than in other countries, as more companies benefit from the higher price tag, said Kasia Lipska, an associate professor at the Yale School of Medicine.\u003c/p>\n\u003cp>“It creates this really weird incentive,” Lipska said.\u003c/p>\n\u003cp>California will try to break that incentive. The reason more companies haven't entered the insulin market is because if they did, the established manufacturers would just undercut them, making it impossible to recoup their investment, said Anthony Wright, executive director of Health Access California, a consumer advocacy group.\u003c/p>\n\u003cp>But California is in a different position because aside from selling insulin, it also buys the product every year for the millions of people on its publicly funded health plans. That means if California's product drives down the price of insulin across the market, the state would still benefit.\u003c/p>\n\u003cp>“That's why California's market power matters,” Wright said. “To a Wall Street investor, driving down the cost of insulin means you might not be able to get your investment back. To California, driving down the price of insulin is a real savings to both taxpayers as well as to our residents.”\u003c/p>\n\u003cp>Still, there's no guarantee California's plan will work. For one thing, insurers and pharmacy benefit managers might not cover California's insulin products, making it more difficult for patients to get them.\u003c/p>\n\u003cp>Sarah Sutton, director of public affairs for Pharmaceutical Research and Manufacturers of America, said a better idea would be for California to focus on “commonsense solutions” to address the role pharmacy benefit managers play in insulin pricing.\u003c/p>\n\u003cp>“That would bring real relief to patients right now,” she said.\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said he hopes a state as large as California making its own insulin would significantly diminish the role of pharmacy benefit managers in insulin pricing.\u003c/p>\n\u003cp>If successful, Ghaly said, he thinks the price of California-branded insulin would be so competitive that patients could buy it off the shelf cheaper than going through their insurance plan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We expect to save hundreds of millions of dollars for California because of this,” Ghaly said. “This gives us an opportunity to create a blueprint for health care affordability that has been so far out of reach for states and, frankly, the federal government, and it's really exciting to see where it can go.”\u003c/p>\n\n","blocks":[],"excerpt":"State lawmakers approved $100 million to develop three types of insulin products and invest in a manufacturing facility.","status":"publish","parent":0,"modified":1661212373,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":981},"headData":{"title":"To Make Insulin Affordable, California Aims to Create Its Own Brand | KQED","description":"State lawmakers approved $100 million to develop three types of insulin products and invest in a manufacturing facility.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11920898 https://ww2.kqed.org/news/?p=11920898","disqusUrl":"https://ww2.kqed.org/news/2022/07/29/to-make-insulin-affordable-california-aims-to-create-its-own-brand/","disqusTitle":"To Make Insulin Affordable, California Aims to Create Its Own Brand","nprByline":"Adam Beam\u003cbr>The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11920898/to-make-insulin-affordable-california-aims-to-create-its-own-brand","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A vial of insulin cost $25 in 1995, back when Chris Noble was 5 years old and just learning how to manage his Type 1 diabetes with the help of his parents and his doctors.\u003c/p>\n\u003cp>Nearly three decades later, Noble says that same vial of insulin costs more than $300 — a 12-fold increase for something he and millions like him can’t live without.\u003c/p>\n\u003cp>“It’s as essential as water,” Noble said.\u003c/p>\n\u003cp>Health care advocates have bemoaned for years that insulin, while inexpensive to produce, is held hostage by a U.S. health care system stubbornly resistant to reforms as companies monopolize and maximize profits.\u003c/p>\n\u003cp class=\"p1\">Now, with several insulin patents nearing their expiration dates, California is looking to disrupt that market by making its own insulin and selling it for a much cheaper price. Last month, after a few years of study, state lawmakers approved $100 million for the project, with $50 million dedicated to developing three types of insulin and the rest set aside to invest in a manufacturing facility.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gov. Gavin Newsom and state lawmakers still have many details to work out, including contracting with a private company to do most of the work. But the budget was a put-his-money-where-his-mouth-is moment for Newsom, who has been calling for the state to launch its own brand of generic drugs to lower the overall price of medication.\u003c/p>\n\u003cp>“Nothing epitomizes market failures more than the cost of insulin,” Newsom said in a video posted to his Twitter account. “California is now taking matters into our own hands.”\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"1545122879649374209"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>This wouldn't be the first time California has made its own medicine. In 1990, about half of all cases of infant botulism — a rare illness that affects the large intestine — were in California. The California Department of Public Health got a federal grant to develop and test a treatment. The treatment won federal approval in 2003, and California has been making it ever since.\u003c/p>\n\u003cp>But the market for infant botulism treatments is small, with about 110 cases reported each year, according to the U.S. Centers for Disease Control and Prevention. One course of California's botulism treatment costs more than $57,000, according to a legislative analysis.\u003c/p>\n\u003cp>Meanwhile, about 7 million people in the United States require insulin to manage their diabetes. The human body converts most of the food we eat into sugar. The pancreas then produces insulin, which converts that sugar into energy. People who have diabetes don't produce enough insulin. People with Type 1 diabetes must take insulin every day to survive.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"stateofhealth_24623,news_11026460"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Insulin was first discovered in the 1920s by a team of Canadian scientists. They sold the patent to the University of Toronto for just $1, hoping the school would license the product to multiple companies to prevent a monopoly that would lead to high prices.\u003c/p>\n\u003cp>But over time, the insulin market was slowly cornered. Today, just three companies produce most of the world's insulin. In the United States, the line between an insulin manufacturer and a patient is not straight. It zigs and zags between insurance companies and pharmacy benefit managers — third parties that manage prescription drug benefits for health plans.\u003c/p>\n\u003cp>It's that system that has kept the cost of insulin much higher in the United States than in other countries, as more companies benefit from the higher price tag, said Kasia Lipska, an associate professor at the Yale School of Medicine.\u003c/p>\n\u003cp>“It creates this really weird incentive,” Lipska said.\u003c/p>\n\u003cp>California will try to break that incentive. The reason more companies haven't entered the insulin market is because if they did, the established manufacturers would just undercut them, making it impossible to recoup their investment, said Anthony Wright, executive director of Health Access California, a consumer advocacy group.\u003c/p>\n\u003cp>But California is in a different position because aside from selling insulin, it also buys the product every year for the millions of people on its publicly funded health plans. That means if California's product drives down the price of insulin across the market, the state would still benefit.\u003c/p>\n\u003cp>“That's why California's market power matters,” Wright said. “To a Wall Street investor, driving down the cost of insulin means you might not be able to get your investment back. To California, driving down the price of insulin is a real savings to both taxpayers as well as to our residents.”\u003c/p>\n\u003cp>Still, there's no guarantee California's plan will work. For one thing, insurers and pharmacy benefit managers might not cover California's insulin products, making it more difficult for patients to get them.\u003c/p>\n\u003cp>Sarah Sutton, director of public affairs for Pharmaceutical Research and Manufacturers of America, said a better idea would be for California to focus on “commonsense solutions” to address the role pharmacy benefit managers play in insulin pricing.\u003c/p>\n\u003cp>“That would bring real relief to patients right now,” she said.\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said he hopes a state as large as California making its own insulin would significantly diminish the role of pharmacy benefit managers in insulin pricing.\u003c/p>\n\u003cp>If successful, Ghaly said, he thinks the price of California-branded insulin would be so competitive that patients could buy it off the shelf cheaper than going through their insurance plan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We expect to save hundreds of millions of dollars for California because of this,” Ghaly said. “This gives us an opportunity to create a blueprint for health care affordability that has been so far out of reach for states and, frankly, the federal government, and it's really exciting to see where it can go.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11920898/to-make-insulin-affordable-california-aims-to-create-its-own-brand","authors":["byline_news_11920898"],"categories":["news_457","news_8"],"tags":["news_18538","news_19392","news_16","news_18543","news_31404"],"featImg":"news_11920957","label":"news"},"news_11685088":{"type":"posts","id":"news_11685088","meta":{"index":"posts_1591205157","site":"news","id":"11685088","score":null,"sort":[1533590141000]},"guestAuthors":[],"slug":"hoping-to-save-limbs-and-toes-california-moves-to-curtail-diabetes","title":"Hoping to Save Limbs and Toes, California Moves to Curtail Diabetes","publishDate":1533590141,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>The word “amputation” threw a chill down Michael Rubenstein’s spine.\u003c/p>\n\u003cp>The 67-year-old diabetic from San Mateo still winces at the thought. “They told me I’d need to cut it off right about here,” he said, sawing his hand across his left shin.\u003c/p>\n\u003cp>Two months after that diagnosis, he’s on an exam table at the Center for Limb Preservation at UCSF, his leg still whole, the threat of gangrene and amputation gone and his mood a lot less bleak and fearful. “Yeah, it turns out I didn’t need that,” he said.\u003c/p>\n\u003cp>Many others are not so lucky. More than 12,000 Californians lost limbs or toes to diabetes in 2016, state \u003ca href=\"https://data.inewsource.org/interactives/diabetes-related-amputations-2010-2016/\">data\u003c/a> show. More than \u003ca href=\"http://newsroom.ucla.edu/releases/majority-of-california-adults-have-prediabetes-or-diabetes\">2.5 million\u003c/a> people in the state have been diagnosed with adult diabetes, or Type 2, and risk a similar fate if it goes unchecked. That’s especially true for low-income patients, who may lack regular preventive medical services. They’re 10 times as likely as their wealthier counterparts to lose a toe, foot or leg, according to one \u003ca href=\"https://www.healthaffairs.org/doi/10.1377/hlthaff.2014.0148\">study\u003c/a>.\u003c/p>\n\u003cp>That disparity is part of the impetus for a new diabetes prevention program for patients in Medi-Cal, the state’s version of the federal Medicaid health program for low-income residents. The rate of diabetes in California grew from 8.7% of the population in 2010 to 10.2% in 2016, while amputations increased by almost a third.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Most of those amputations are unnecessary,” said Alexander Reyzelman, co-director of the UCSF clinic that saved Rubenstein’s left leg with procedures to increase blood flow.\u003c/p>\n\u003cp>The state has \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB97\">set aside\u003c/a> $5 million annually for five years to help Medi-Cal patients at risk for \u003ca href=\"https://calmatters.org/articles/diabetes-hits-hard-california-spends-billions-treatment-little-prevention/\">diabetes,\u003c/a> a chronic condition that can lead to blindness, heart disease and stroke, among other ills. The money will fund a program, beginning in January, intended to improve their diets, lower their blood sugar and make them aware of such potentially dire consequences as amputation.\u003c/p>\n\u003cp>Preventing or curtailing the progress of the disease could save taxpayers an estimated \u003ca href=\"https://phadvocates.org/wp-content/uploads/2017/07/Medi-Cal-Coverage-of-DPP-2017.pdf\">$45 million\u003c/a> a year in treatment costs, according to the Davis-based nonprofit Public Health Advocates, which urged lawmakers to create the program.\u003c/p>\n\u003cp>Participants will have a year’s access to trained peer coaches, who'll teach them to eat less sugar and fewer other carbohydrates and increase fiber with more fruit and vegetables. The coaches will also help foster other lifestyle changes, such as giving up smoking and exercising more. The regimen is based on a federal \u003ca href=\"https://www.cdc.gov/diabetes/prevention/prediabetes-type2/preventing.html\">program\u003c/a> that the Center for Disease Prevention and Control says can cut the risk of diabetes by more than half.\u003c/p>\n\u003cp>The effort is part of an overall state \u003ca href=\"https://calmatters.org/articles/californias-push-to-make-people-healthy-and-save-taxpayers-money/\">approach\u003c/a> that goes \u003ca href=\"https://calmatters.org/articles/food-for-the-heart-in-a-new-california-health-program/\">beyond medication\u003c/a>, aimed at producing a healthier population that requires less expensive public care. About a third of Californians receive their care through Medi-Cal.\u003c/p>\n\u003cp>About 25,000 people a year are expected to join the program.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://e.infogram.com/3da13a7e-46d7-4fbd-8239-6ce16bac1762?src=embed\" title=\"Diabetes-Related Amputation\" width=\"550\" height=\"700\" scrolling=\"yes\" align=\"alignright\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>“This gives us the opportunity to intervene before they become really sick,” said Flojaune Cofer, director of state policy and research at Public Health Advocates.\u003c/p>\n\u003cp>“Once they have the disease, that’s when it gets expensive,” with added medications and significantly more tests, she said. “We think this model can be duplicated in many ways. It could be useful for asthma, it could be useful for hypertension.\"\u003c/p>\n\u003cp>People with diabetes can develop poor blood flow to their extremities and suffer nerve damage and lack of feeling, most often in their legs and feet. In some cases, the result is gangrene. In some of those instances, amputation may be the only way to save a life.\u003c/p>\n\u003cp>The increase in diabetes and the threat of amputation are “a silent, sinister crisis,” said David Armstrong, a podiatric surgeon teaching at the University of Southern California’s Keck School of Medicine. “The problem is getting bigger and bigger, and you can’t fight it by just chopping off a leg.”\u003c/p>\n\u003cp>Amputation can cause as many health problems as it solves, according to Reyzelman: “When you lose a leg to amputation, 50 to 70% of patients will die within five years. You don’t want to lose a leg.”\u003c/p>\n\u003cp>Experts say a multidisciplinary approach can bring patients back from the brink of amputation. Vascular surgeons, podiatrists and reconstructive microsurgeons have joined forces to treat diabetes at medical centers across the state, including those at UCSF, UCLA, UC San Diego, UC Davis and USC.\u003c/p>\n\u003cp>The hope is that more patients can walk away like Rubenstein: intact.\u003c/p>\n\u003cp>“If I needed to get an amputation, I was willing to do that,” Rubenstein said. “But I certainly didn’t want that. Who would want that? Absolutely no one, that’s who.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters.org\u003c/em>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em> \u003cem>This is the third article in a series on state efforts to foster healthy living as a way to reduce chronic illness.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Preventing or curtailing the progress of the disease could save taxpayers an estimated $45 million a year in treatment costs.","status":"publish","parent":0,"modified":1533596360,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":861},"headData":{"title":"Hoping to Save Limbs and Toes, California Moves to Curtail Diabetes | KQED","description":"Preventing or curtailing the progress of the disease could save taxpayers an estimated $45 million a year in treatment costs.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11685088 https://ww2.kqed.org/news/?p=11685088","disqusUrl":"https://ww2.kqed.org/news/2018/08/06/hoping-to-save-limbs-and-toes-california-moves-to-curtail-diabetes/","disqusTitle":"Hoping to Save Limbs and Toes, California Moves to Curtail Diabetes","nprByline":"David Gorn\u003cbr>\u003cstrong>\u003ca href=\"https://calmatters.org/articles/california-diabetes-amputation-health/\">CALmatters\u003c/a>\u003c/strong>","path":"/news/11685088/hoping-to-save-limbs-and-toes-california-moves-to-curtail-diabetes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The word “amputation” threw a chill down Michael Rubenstein’s spine.\u003c/p>\n\u003cp>The 67-year-old diabetic from San Mateo still winces at the thought. “They told me I’d need to cut it off right about here,” he said, sawing his hand across his left shin.\u003c/p>\n\u003cp>Two months after that diagnosis, he’s on an exam table at the Center for Limb Preservation at UCSF, his leg still whole, the threat of gangrene and amputation gone and his mood a lot less bleak and fearful. “Yeah, it turns out I didn’t need that,” he said.\u003c/p>\n\u003cp>Many others are not so lucky. More than 12,000 Californians lost limbs or toes to diabetes in 2016, state \u003ca href=\"https://data.inewsource.org/interactives/diabetes-related-amputations-2010-2016/\">data\u003c/a> show. More than \u003ca href=\"http://newsroom.ucla.edu/releases/majority-of-california-adults-have-prediabetes-or-diabetes\">2.5 million\u003c/a> people in the state have been diagnosed with adult diabetes, or Type 2, and risk a similar fate if it goes unchecked. That’s especially true for low-income patients, who may lack regular preventive medical services. They’re 10 times as likely as their wealthier counterparts to lose a toe, foot or leg, according to one \u003ca href=\"https://www.healthaffairs.org/doi/10.1377/hlthaff.2014.0148\">study\u003c/a>.\u003c/p>\n\u003cp>That disparity is part of the impetus for a new diabetes prevention program for patients in Medi-Cal, the state’s version of the federal Medicaid health program for low-income residents. The rate of diabetes in California grew from 8.7% of the population in 2010 to 10.2% in 2016, while amputations increased by almost a third.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Most of those amputations are unnecessary,” said Alexander Reyzelman, co-director of the UCSF clinic that saved Rubenstein’s left leg with procedures to increase blood flow.\u003c/p>\n\u003cp>The state has \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB97\">set aside\u003c/a> $5 million annually for five years to help Medi-Cal patients at risk for \u003ca href=\"https://calmatters.org/articles/diabetes-hits-hard-california-spends-billions-treatment-little-prevention/\">diabetes,\u003c/a> a chronic condition that can lead to blindness, heart disease and stroke, among other ills. The money will fund a program, beginning in January, intended to improve their diets, lower their blood sugar and make them aware of such potentially dire consequences as amputation.\u003c/p>\n\u003cp>Preventing or curtailing the progress of the disease could save taxpayers an estimated \u003ca href=\"https://phadvocates.org/wp-content/uploads/2017/07/Medi-Cal-Coverage-of-DPP-2017.pdf\">$45 million\u003c/a> a year in treatment costs, according to the Davis-based nonprofit Public Health Advocates, which urged lawmakers to create the program.\u003c/p>\n\u003cp>Participants will have a year’s access to trained peer coaches, who'll teach them to eat less sugar and fewer other carbohydrates and increase fiber with more fruit and vegetables. The coaches will also help foster other lifestyle changes, such as giving up smoking and exercising more. The regimen is based on a federal \u003ca href=\"https://www.cdc.gov/diabetes/prevention/prediabetes-type2/preventing.html\">program\u003c/a> that the Center for Disease Prevention and Control says can cut the risk of diabetes by more than half.\u003c/p>\n\u003cp>The effort is part of an overall state \u003ca href=\"https://calmatters.org/articles/californias-push-to-make-people-healthy-and-save-taxpayers-money/\">approach\u003c/a> that goes \u003ca href=\"https://calmatters.org/articles/food-for-the-heart-in-a-new-california-health-program/\">beyond medication\u003c/a>, aimed at producing a healthier population that requires less expensive public care. About a third of Californians receive their care through Medi-Cal.\u003c/p>\n\u003cp>About 25,000 people a year are expected to join the program.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://e.infogram.com/3da13a7e-46d7-4fbd-8239-6ce16bac1762?src=embed\" title=\"Diabetes-Related Amputation\" width=\"550\" height=\"700\" scrolling=\"yes\" align=\"alignright\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>“This gives us the opportunity to intervene before they become really sick,” said Flojaune Cofer, director of state policy and research at Public Health Advocates.\u003c/p>\n\u003cp>“Once they have the disease, that’s when it gets expensive,” with added medications and significantly more tests, she said. “We think this model can be duplicated in many ways. It could be useful for asthma, it could be useful for hypertension.\"\u003c/p>\n\u003cp>People with diabetes can develop poor blood flow to their extremities and suffer nerve damage and lack of feeling, most often in their legs and feet. In some cases, the result is gangrene. In some of those instances, amputation may be the only way to save a life.\u003c/p>\n\u003cp>The increase in diabetes and the threat of amputation are “a silent, sinister crisis,” said David Armstrong, a podiatric surgeon teaching at the University of Southern California’s Keck School of Medicine. “The problem is getting bigger and bigger, and you can’t fight it by just chopping off a leg.”\u003c/p>\n\u003cp>Amputation can cause as many health problems as it solves, according to Reyzelman: “When you lose a leg to amputation, 50 to 70% of patients will die within five years. You don’t want to lose a leg.”\u003c/p>\n\u003cp>Experts say a multidisciplinary approach can bring patients back from the brink of amputation. Vascular surgeons, podiatrists and reconstructive microsurgeons have joined forces to treat diabetes at medical centers across the state, including those at UCSF, UCLA, UC San Diego, UC Davis and USC.\u003c/p>\n\u003cp>The hope is that more patients can walk away like Rubenstein: intact.\u003c/p>\n\u003cp>“If I needed to get an amputation, I was willing to do that,” Rubenstein said. “But I certainly didn’t want that. Who would want that? Absolutely no one, that’s who.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters.org\u003c/em>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em> \u003cem>This is the third article in a series on state efforts to foster healthy living as a way to reduce chronic illness.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11685088/hoping-to-save-limbs-and-toes-california-moves-to-curtail-diabetes","authors":["byline_news_11685088"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_19392","news_2605"],"affiliates":["news_18481"],"featImg":"news_11685199","label":"news_72"},"news_11062063":{"type":"posts","id":"news_11062063","meta":{"index":"posts_1591205157","site":"news","id":"11062063","score":null,"sort":[1472246064000]},"guestAuthors":[],"slug":"price-hike-for-one-diabetes-drug-costs-calpers-millions","title":"Price Hike for One Diabetes Drug Costs CalPERS Millions","publishDate":1472246064,"format":"standard","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cp>Soaring prices for new diabetes medications and other lifesaving prescription drugs aren’t just straining consumers’ pocketbooks. They’re putting a dent in government budgets, too -- including California’s public worker pension system, the nation’s largest.\u003c/p>\n\u003cp>The price for just one brand-name insulin drug called Lantus has risen by 50 percent over three years, according to a California Healthline review of data provided by the California Public Employees’ Retirement System (CalPERS).\u003c/p>\n\u003cp>CalPERS spent nearly $4.7 million more on the injectable vials of insulin in 2014 than it did in 2012, even though the overall number of prescriptions declined. The pension system paid about $564 per prescription in 2014. State retirees pay a small portion of those costs in copayments.\u003c/p>\n\u003cp>CalPERS may receive rebates from the drug’s maker through discounts negotiated with CalPERS’ pharmacy benefit manager, CVS Caremark. Those discounts are not reflected in the spending figures.\u003c/p>\n\u003cp>CVS recently told insurers that it would \u003ca href=\"http://www.reuters.com/article/us-sanofi-cvs-lantus-idUSKCN10E1IT\" target=\"_blank\">drop Lantus from its formulary\u003c/a> in favor of a cheaper substitute — although another company is taking over CalPERS pharmacy benefits next year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lantus is made by Sanofi, a French pharmaceutical company, which was unable to make someone immediately available to comment.\u003c/p>\n\u003cp>Paying a few million dollars more for a single diabetes drug may not seem like a lot compared with the $8 billion the pension system spends on health care each year. But CalPERS says the price of other medications it covers has also increased, and they add up.\u003c/p>\n\u003cp>“It is concerning,” said Dr. Richard Sun, one of CalPERS’ health plan administrators, speaking generally about drug price increases and not specifically about Lantus.\u003c/p>\n\u003cp>CalPERS manages health benefits for 1.4 million members, care that’s paid for through a mix of taxpayer dollars and member premium contributions.\u003c/p>\n\u003cp>Dr. Kasia Lipska, an endocrinologist and assistant professor of medicine at Yale University, says she’s not surprised by CalPERS’ spending increase on Lantus. It’s an issue for a whole class of insulin drugs.\u003c/p>\n\u003cp>“There’s a problem with very few manufacturers that control the market,” Lipska said.\u003c/p>\n\u003cp>Lipska said some of her diabetes patients have had trouble paying for these new insulin drugs and the cost has affected their ability to control the chronic disease.\u003c/p>\n\u003cp>“They might start skimping on insulin, not taking it, or taking less,” said Lipska. “This is an essential drug for a very common chronic condition ... that in particular affects people of lower socioeconomic status. It’s crazy that it’s so unaffordable to so many people.”\u003c/p>\n\u003cp>Lipska said the newer diabetes drugs, several times more expensive than their predecessors, offer some benefits, such as reducing nighttime hypoglycemia or allowing more flexibility in eating schedules. But Lipska said price of diabetes drugs like Lantus is not worth it for some patients.\u003c/p>\n\u003cp>Pharmaceutical Research and Manufacturers of America (PhRMA), the industry’s lobbying group, says insulin products available now act more like human insulin, which help patients adhere to a medication regimen. That can lead to overall cost savings in the health care system, the group said in a statement.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In addition, according to the statement, lower-cost, generic insulin may soon be available.\u003c/p>\n\n","blocks":[],"excerpt":"The price for just one brand-name insulin drug called Lantus has risen by 50 percent over three years.","status":"publish","parent":0,"modified":1472248653,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":551},"headData":{"title":"Price Hike for One Diabetes Drug Costs CalPERS Millions | KQED","description":"The price for just one brand-name insulin drug called Lantus has risen by 50 percent over three years.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11062063 http://ww2.kqed.org/news/?p=11062063","disqusUrl":"https://ww2.kqed.org/news/2016/08/26/price-hike-for-one-diabetes-drug-costs-calpers-millions/","disqusTitle":"Price Hike for One Diabetes Drug Costs CalPERS Millions","nprByline":"\u003cstrong>Pauline Bartolone\u003cbr />\u003ca href=\"http://californiahealthline.org/\">California Healthline\u003c/a>\u003c/strong>","path":"/news/11062063/price-hike-for-one-diabetes-drug-costs-calpers-millions","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Soaring prices for new diabetes medications and other lifesaving prescription drugs aren’t just straining consumers’ pocketbooks. They’re putting a dent in government budgets, too -- including California’s public worker pension system, the nation’s largest.\u003c/p>\n\u003cp>The price for just one brand-name insulin drug called Lantus has risen by 50 percent over three years, according to a California Healthline review of data provided by the California Public Employees’ Retirement System (CalPERS).\u003c/p>\n\u003cp>CalPERS spent nearly $4.7 million more on the injectable vials of insulin in 2014 than it did in 2012, even though the overall number of prescriptions declined. The pension system paid about $564 per prescription in 2014. State retirees pay a small portion of those costs in copayments.\u003c/p>\n\u003cp>CalPERS may receive rebates from the drug’s maker through discounts negotiated with CalPERS’ pharmacy benefit manager, CVS Caremark. Those discounts are not reflected in the spending figures.\u003c/p>\n\u003cp>CVS recently told insurers that it would \u003ca href=\"http://www.reuters.com/article/us-sanofi-cvs-lantus-idUSKCN10E1IT\" target=\"_blank\">drop Lantus from its formulary\u003c/a> in favor of a cheaper substitute — although another company is taking over CalPERS pharmacy benefits next year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lantus is made by Sanofi, a French pharmaceutical company, which was unable to make someone immediately available to comment.\u003c/p>\n\u003cp>Paying a few million dollars more for a single diabetes drug may not seem like a lot compared with the $8 billion the pension system spends on health care each year. But CalPERS says the price of other medications it covers has also increased, and they add up.\u003c/p>\n\u003cp>“It is concerning,” said Dr. Richard Sun, one of CalPERS’ health plan administrators, speaking generally about drug price increases and not specifically about Lantus.\u003c/p>\n\u003cp>CalPERS manages health benefits for 1.4 million members, care that’s paid for through a mix of taxpayer dollars and member premium contributions.\u003c/p>\n\u003cp>Dr. Kasia Lipska, an endocrinologist and assistant professor of medicine at Yale University, says she’s not surprised by CalPERS’ spending increase on Lantus. It’s an issue for a whole class of insulin drugs.\u003c/p>\n\u003cp>“There’s a problem with very few manufacturers that control the market,” Lipska said.\u003c/p>\n\u003cp>Lipska said some of her diabetes patients have had trouble paying for these new insulin drugs and the cost has affected their ability to control the chronic disease.\u003c/p>\n\u003cp>“They might start skimping on insulin, not taking it, or taking less,” said Lipska. “This is an essential drug for a very common chronic condition ... that in particular affects people of lower socioeconomic status. It’s crazy that it’s so unaffordable to so many people.”\u003c/p>\n\u003cp>Lipska said the newer diabetes drugs, several times more expensive than their predecessors, offer some benefits, such as reducing nighttime hypoglycemia or allowing more flexibility in eating schedules. But Lipska said price of diabetes drugs like Lantus is not worth it for some patients.\u003c/p>\n\u003cp>Pharmaceutical Research and Manufacturers of America (PhRMA), the industry’s lobbying group, says insulin products available now act more like human insulin, which help patients adhere to a medication regimen. That can lead to overall cost savings in the health care system, the group said in a statement.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In addition, according to the statement, lower-cost, generic insulin may soon be available.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11062063/price-hike-for-one-diabetes-drug-costs-calpers-millions","authors":["byline_news_11062063"],"programs":["news_72","news_6944"],"categories":["news_457","news_8"],"tags":["news_19392","news_17286"],"featImg":"news_11062119","label":"news_6944"},"stateofhealth_174784":{"type":"posts","id":"stateofhealth_174784","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"174784","score":null,"sort":[1461957902000]},"guestAuthors":[],"slug":"how-fresno-man-started-biking-and-reversed-type-2-diabetes","title":"How Fresno Man Started Biking and Reversed Type 2 Diabetes","publishDate":1461957902,"format":"standard","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cp>FRESNO -- Jaime Rangel holds a bike tire and begins checking with his hands for thorns and other sharp objects that might be puncturing the tire's rubber tread. His fingers, stained with black patches of oil, move quickly and seamlessly. He's done this type of work dozens of times before.\u003c/p>\n\u003cp>All around him, a steady stream of kids line up to get their bikes' flat tires and faulty brakes fixed at this free event at a park in southeast Fresno.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/261604685\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The free bike repairs are a preamble to the Cumbia Ride, a group bike ride with Latin American dance music started last year by Fresno's \u003ca href=\"http://www.cultivalasalud.org/news-and-media/\" target=\"_blank\" rel=\"noopener\">Cultiva la Salud\u003c/a> to promote biking and a healthier lifestyle among Latino families.\u003c/p>\n\u003cp>Rangel, 26, says he's here fixing bikes because he relates to many of the young riders at the event -- kids who can't afford to have their bikes repaired.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"When I was a kid, no one showed me how to fix a bike,\" he says. \"My mom never took me to a bike shop because we grew up low income, so everything I had to learn from scratch.\"\u003c/p>\n\u003cfigure id=\"attachment_177121\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177121 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg\" alt=\"Eloise Betancourt, 37, chats with Jaime Rangel as her son Lorenzo, 11, works on his bike with mechanic Chris Eacock. Betancourt lost her kids' bikes and most of the family's belongings after she couldn't afford to pay for storage, but Lorenzo saved money from running errands and bought three beat up bikes at a garage sale for him and his sisters.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Eloise Betancourt, 37, brought her son, Lorenzo, 11 (R) to repair his bike. Biking is a main mode of transportation for the Betancourt family, but they lost their bikes and most of their belongings after they couldn't afford to pay for storage. Lorenzo worked mowing lawns and saved $25 to buy bikes in need of repairs at a garage sale for himself and his sisters. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Rangel makes a point of showing those skills to the kids and parents lingering by their bikes. He wants young people and adults, especially in working-class neighborhoods like southeast Fresno, to be able to bike more to fend off chronic illnesses such as diabetes.\u003c/p>\n\u003cp>Rangel speaks from personal experience.\u003c/p>\n\u003cp>\u003cstrong>Facing Type 2 Diabetes as a Teen\u003c/strong>\u003c/p>\n\u003cp>Rangel was just 14 and living with his family in Los Angeles when he was diagnosed with Type 2 diabetes. Obesity and a sedentary lifestyle are risk factors for the illness. While he was tall -- 6-foot-1 -- he weighed 260 pounds.\u003c/p>\n\u003cp>It's been a dozen years since he was diagnosed, but he clearly recalls how frightened he was. The disease had already transformed the lives of his mother, two sets of grandparents and other relatives. He knew what he was facing.\u003c/p>\n\u003cp>\"I was really scared,\" says Rangel. \"I was seeing there were only certain foods they would eat, taking their insulin shots. And I was like, 'Nah, that can't happen. I'm too young!'\"\u003c/p>\n\u003cp>Until about two decades ago, Type 2 diabetes in children and teens was practically unheard of. But the number of adolescents living with the disease has\u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\" rel=\"noopener\"> gone up in recent years,\u003c/a> in large part because of the \u003ca href=\"http://care.diabetesjournals.org/content/34/Supplement_2/S161.full#ref-8\" target=\"_blank\" rel=\"noopener\">obesity epidemic\u003c/a>.\u003c/p>\n\u003cp>As with adults, rates of Type 2 diabetes are higher among Hispanic, African-American and Asian-Pacific Islander youth than non-Hispanic whites, \u003ca href=\"http://templatelab.com/national-diabetes-report-2014/\" target=\"_blank\" rel=\"noopener\">according to data from the Centers for Disease Control and Prevention\u003c/a>. Uncontrolled diabetes can lead to blindness, heart disease, amputations, kidney failure and other serious complications.\u003c/p>\n\u003cp>Rangel's doctor had said he needed to lose weight and give up foods he loved. But he didn't know how to start. He loved the idea of biking, but his family couldn't afford to buy him one.\u003c/p>\n\u003cp>Instead, a close friend stepped in with a gift of a BMX bike. He didn't know how to ride and at first it was scary. He fell a lot the first couple of times he tried.\u003c/p>\n\u003cp>\"I was a big dude riding a really small bike, so I didn’t know how to balance my weight,\" Rangel says. \"But I just kept going. I didn’t want to stop, and I just kept doing it so I could get better.\"\u003c/p>\n\u003cp>With each trip he took, he ventured longer distances. Rangel says he enjoyed the independence he felt while crossing large swaths of the traffic-jammed city. Under the power of his own legs pushing down on his bike's pedals, he would travel from his home in the Lincoln Heights neighborhood to the beach at Santa Monica -- 20 miles away.\u003c/p>\n\u003cp>Within a year, Rangel had reversed his Type 2 diabetes. His blood sugar levels returned to a normal range. It's surprising to many, but children and young adults can beat the disease through exercise, say medical experts.\u003c/p>\n\u003cfigure id=\"attachment_177119\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177119 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg\" alt=\"Jaime Rangel, 26, helps Gustavo Ruiz, 12, fix the flat tire on his bike at the Mosqueda Community Center park. Rangel says he makes a point of showing kids and adults who may not have funds to repair their bikes at a shop, how to fix their bikes on their own. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jaime Rangel helps Gustavo Ruiz, 12, align a tire on his bike at the Mosqueda Community Center park in southeast Fresno. As manager for Bici Projects, Rangel teaches kids and adults 'in the barrio' how to repair bikes, part of a larger effort to promote biking among local Latino families. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The experience marked Rangel deeply. He had managed to rid himself of the illness without taking medication while having fun, too.\u003c/p>\n\u003cp>\"Biking changed my life. I lost a lot of weight,\" says Rangel, who now weighs about 220 pounds.\u003c/p>\n\u003cp>Rangel's family noticed the change in the way he looked and the dramatic improvement in his health. At Rangel's insistence, his mom, cousins and uncles began biking -- a dramatic change for his family, he says.\u003c/p>\n\u003cp>\"We all got rid of our diabetes, pretty much,\" says Rangel, who recently moved to Fresno. \"Now when I'm in L.A., about 20 of us go bike riding together. So it changed not just me, but my whole family at the same time.\"\u003c/p>\n\u003cp>Rangel wants to promote biking and a more active lifestyle to create positive change in his new home in Fresno. The most recent \u003ca href=\"http://www.cdph.ca.gov/programs/ohir/Documents/OHIRProfiles2016.pdf\" target=\"_blank\" rel=\"noopener\">state data\u003c/a> show the county had the fourth-highest death rate from diabetes. Central Valley counties Kern and Kings also top the list.\u003c/p>\n\u003cp>Using his personal experience and love for biking as a mantra, Rangel coordinates youth engagement for the San Joaquin Valley Latino Environmental Advancement & Policy Project and manages the group's Bici Projects (short for \"bicicleta\" -- bicycle in Spanish).\u003c/p>\n\u003cp>\u003cstrong>How Can Type 2 Diabetes Disappear?\u003c/strong>\u003c/p>\n\u003cp>Type 2 diabetes is an illness affecting a person's ability to use insulin, and not everyone can beat the disease through exercise and weight loss. But there's \"tremendous hope\" for young people and others diagnosed with the disease early on, says Dr. Saleh Adi, medical director of the Madison Clinic for Pediatric Diabetes at UCSF.\u003c/p>\n\u003cp>Insulin is a hormone that allows the body to use sugars from carbohydrates. Patients with Type 1 diabetes, an irreversible autoimmune disorder, must take insulin medication for life because their bodies are no longer able to produce it.\u003c/p>\n\u003cp>In contrast, people with Type 2 diabetes are still able to make insulin for the most part, but their bodies don't respond to it properly, and they develop what's called insulin resistance. Exercise can change that because active muscle \"is the biggest site of insulin action,\" says Adi.\u003c/p>\n\u003cp>\"Exercising increases your sensitivity to insulin, and that’s true in everybody,\" says Adi, whose pediatric clinic tries to get patients to engage in physical activity for six months before prescribing them medication.\u003c/p>\n\u003cp>\"We've seen quite a few cases where the disease disappears,\" he says. \"If you catch it early enough and do what it takes, which is exercising and losing the weight.\"\u003c/p>\n\u003cp>Adi readily acknowledges squeezing more exercise into daily routines is not easy, but he says even 10 more minutes of walking can begin to make a difference.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Don’t give up. You can really get rid of Type 2 diabetes if you change your lifestyle,\" says Adi. \"I'm talking about moderate exercise, that will really help.\"\u003c/p>\n\n","blocks":[],"excerpt":"When he was just 14, Jaime Rangel was diagnosed with Type 2 diabetes and weighed 260 pounds. Then he started biking.","status":"publish","parent":0,"modified":1524884682,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1368},"headData":{"title":"How Fresno Man Started Biking and Reversed Type 2 Diabetes | KQED","description":"When he was just 14, Jaime Rangel was diagnosed with Type 2 diabetes and weighed 260 pounds. Then he started biking.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"174784 http://ww2.kqed.org/stateofhealth/?p=174784","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/04/29/how-fresno-man-started-biking-and-reversed-type-2-diabetes/","disqusTitle":"How Fresno Man Started Biking and Reversed Type 2 Diabetes","path":"/stateofhealth/174784/how-fresno-man-started-biking-and-reversed-type-2-diabetes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>FRESNO -- Jaime Rangel holds a bike tire and begins checking with his hands for thorns and other sharp objects that might be puncturing the tire's rubber tread. His fingers, stained with black patches of oil, move quickly and seamlessly. He's done this type of work dozens of times before.\u003c/p>\n\u003cp>All around him, a steady stream of kids line up to get their bikes' flat tires and faulty brakes fixed at this free event at a park in southeast Fresno.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/261604685&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/261604685'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The free bike repairs are a preamble to the Cumbia Ride, a group bike ride with Latin American dance music started last year by Fresno's \u003ca href=\"http://www.cultivalasalud.org/news-and-media/\" target=\"_blank\" rel=\"noopener\">Cultiva la Salud\u003c/a> to promote biking and a healthier lifestyle among Latino families.\u003c/p>\n\u003cp>Rangel, 26, says he's here fixing bikes because he relates to many of the young riders at the event -- kids who can't afford to have their bikes repaired.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"When I was a kid, no one showed me how to fix a bike,\" he says. \"My mom never took me to a bike shop because we grew up low income, so everything I had to learn from scratch.\"\u003c/p>\n\u003cfigure id=\"attachment_177121\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177121 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg\" alt=\"Eloise Betancourt, 37, chats with Jaime Rangel as her son Lorenzo, 11, works on his bike with mechanic Chris Eacock. Betancourt lost her kids' bikes and most of the family's belongings after she couldn't afford to pay for storage, but Lorenzo saved money from running errands and bought three beat up bikes at a garage sale for him and his sisters.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Eloise Betancourt, 37, brought her son, Lorenzo, 11 (R) to repair his bike. Biking is a main mode of transportation for the Betancourt family, but they lost their bikes and most of their belongings after they couldn't afford to pay for storage. Lorenzo worked mowing lawns and saved $25 to buy bikes in need of repairs at a garage sale for himself and his sisters. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Rangel makes a point of showing those skills to the kids and parents lingering by their bikes. He wants young people and adults, especially in working-class neighborhoods like southeast Fresno, to be able to bike more to fend off chronic illnesses such as diabetes.\u003c/p>\n\u003cp>Rangel speaks from personal experience.\u003c/p>\n\u003cp>\u003cstrong>Facing Type 2 Diabetes as a Teen\u003c/strong>\u003c/p>\n\u003cp>Rangel was just 14 and living with his family in Los Angeles when he was diagnosed with Type 2 diabetes. Obesity and a sedentary lifestyle are risk factors for the illness. While he was tall -- 6-foot-1 -- he weighed 260 pounds.\u003c/p>\n\u003cp>It's been a dozen years since he was diagnosed, but he clearly recalls how frightened he was. The disease had already transformed the lives of his mother, two sets of grandparents and other relatives. He knew what he was facing.\u003c/p>\n\u003cp>\"I was really scared,\" says Rangel. \"I was seeing there were only certain foods they would eat, taking their insulin shots. And I was like, 'Nah, that can't happen. I'm too young!'\"\u003c/p>\n\u003cp>Until about two decades ago, Type 2 diabetes in children and teens was practically unheard of. But the number of adolescents living with the disease has\u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\" rel=\"noopener\"> gone up in recent years,\u003c/a> in large part because of the \u003ca href=\"http://care.diabetesjournals.org/content/34/Supplement_2/S161.full#ref-8\" target=\"_blank\" rel=\"noopener\">obesity epidemic\u003c/a>.\u003c/p>\n\u003cp>As with adults, rates of Type 2 diabetes are higher among Hispanic, African-American and Asian-Pacific Islander youth than non-Hispanic whites, \u003ca href=\"http://templatelab.com/national-diabetes-report-2014/\" target=\"_blank\" rel=\"noopener\">according to data from the Centers for Disease Control and Prevention\u003c/a>. Uncontrolled diabetes can lead to blindness, heart disease, amputations, kidney failure and other serious complications.\u003c/p>\n\u003cp>Rangel's doctor had said he needed to lose weight and give up foods he loved. But he didn't know how to start. He loved the idea of biking, but his family couldn't afford to buy him one.\u003c/p>\n\u003cp>Instead, a close friend stepped in with a gift of a BMX bike. He didn't know how to ride and at first it was scary. He fell a lot the first couple of times he tried.\u003c/p>\n\u003cp>\"I was a big dude riding a really small bike, so I didn’t know how to balance my weight,\" Rangel says. \"But I just kept going. I didn’t want to stop, and I just kept doing it so I could get better.\"\u003c/p>\n\u003cp>With each trip he took, he ventured longer distances. Rangel says he enjoyed the independence he felt while crossing large swaths of the traffic-jammed city. Under the power of his own legs pushing down on his bike's pedals, he would travel from his home in the Lincoln Heights neighborhood to the beach at Santa Monica -- 20 miles away.\u003c/p>\n\u003cp>Within a year, Rangel had reversed his Type 2 diabetes. His blood sugar levels returned to a normal range. It's surprising to many, but children and young adults can beat the disease through exercise, say medical experts.\u003c/p>\n\u003cfigure id=\"attachment_177119\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177119 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg\" alt=\"Jaime Rangel, 26, helps Gustavo Ruiz, 12, fix the flat tire on his bike at the Mosqueda Community Center park. Rangel says he makes a point of showing kids and adults who may not have funds to repair their bikes at a shop, how to fix their bikes on their own. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jaime Rangel helps Gustavo Ruiz, 12, align a tire on his bike at the Mosqueda Community Center park in southeast Fresno. As manager for Bici Projects, Rangel teaches kids and adults 'in the barrio' how to repair bikes, part of a larger effort to promote biking among local Latino families. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The experience marked Rangel deeply. He had managed to rid himself of the illness without taking medication while having fun, too.\u003c/p>\n\u003cp>\"Biking changed my life. I lost a lot of weight,\" says Rangel, who now weighs about 220 pounds.\u003c/p>\n\u003cp>Rangel's family noticed the change in the way he looked and the dramatic improvement in his health. At Rangel's insistence, his mom, cousins and uncles began biking -- a dramatic change for his family, he says.\u003c/p>\n\u003cp>\"We all got rid of our diabetes, pretty much,\" says Rangel, who recently moved to Fresno. \"Now when I'm in L.A., about 20 of us go bike riding together. So it changed not just me, but my whole family at the same time.\"\u003c/p>\n\u003cp>Rangel wants to promote biking and a more active lifestyle to create positive change in his new home in Fresno. The most recent \u003ca href=\"http://www.cdph.ca.gov/programs/ohir/Documents/OHIRProfiles2016.pdf\" target=\"_blank\" rel=\"noopener\">state data\u003c/a> show the county had the fourth-highest death rate from diabetes. Central Valley counties Kern and Kings also top the list.\u003c/p>\n\u003cp>Using his personal experience and love for biking as a mantra, Rangel coordinates youth engagement for the San Joaquin Valley Latino Environmental Advancement & Policy Project and manages the group's Bici Projects (short for \"bicicleta\" -- bicycle in Spanish).\u003c/p>\n\u003cp>\u003cstrong>How Can Type 2 Diabetes Disappear?\u003c/strong>\u003c/p>\n\u003cp>Type 2 diabetes is an illness affecting a person's ability to use insulin, and not everyone can beat the disease through exercise and weight loss. But there's \"tremendous hope\" for young people and others diagnosed with the disease early on, says Dr. Saleh Adi, medical director of the Madison Clinic for Pediatric Diabetes at UCSF.\u003c/p>\n\u003cp>Insulin is a hormone that allows the body to use sugars from carbohydrates. Patients with Type 1 diabetes, an irreversible autoimmune disorder, must take insulin medication for life because their bodies are no longer able to produce it.\u003c/p>\n\u003cp>In contrast, people with Type 2 diabetes are still able to make insulin for the most part, but their bodies don't respond to it properly, and they develop what's called insulin resistance. Exercise can change that because active muscle \"is the biggest site of insulin action,\" says Adi.\u003c/p>\n\u003cp>\"Exercising increases your sensitivity to insulin, and that’s true in everybody,\" says Adi, whose pediatric clinic tries to get patients to engage in physical activity for six months before prescribing them medication.\u003c/p>\n\u003cp>\"We've seen quite a few cases where the disease disappears,\" he says. \"If you catch it early enough and do what it takes, which is exercising and losing the weight.\"\u003c/p>\n\u003cp>Adi readily acknowledges squeezing more exercise into daily routines is not easy, but he says even 10 more minutes of walking can begin to make a difference.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Don’t give up. You can really get rid of Type 2 diabetes if you change your lifestyle,\" says Adi. \"I'm talking about moderate exercise, that will really help.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/174784/how-fresno-man-started-biking-and-reversed-type-2-diabetes","authors":["8659"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_118","stateofhealth_2741","stateofhealth_2519"],"featImg":"stateofhealth_178198","label":"stateofhealth_2363"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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