A small pilot finds 8 days of intranasal vitamin C improves insulin sensitivity and attenuates a brain phosphocreatine decline in men with obesity, without changing food intake. PICO summary and commentary.
A qualitative study finds older adults with metabolic syndrome adhere better to a Mediterranean diet with sustained professional support and family engagement, while limited partner support is a key barrier. PICO summary and commentary.
An RCT finds adding oral agents to short-term intensive insulin improves early glucose control and beta-cell measures in new type 2 diabetes, but does not improve 12-month remission rates. PICO summary and commentary.
A secondary analysis of the Minnesota Green Tea Trial finds high-dose green tea extract does not reduce inflammatory markers in overweight postmenopausal women, a robust null result. PICO summary and commentary.
A 12-week dose-response trial finds purified anthocyanin supplements up to 640 mg/day do not improve arterial stiffness, blood pressure, or cardiovascular risk in older adults with high blood sugar. PICO summary and commentary.
A feasibility study finds explicit HbA1c target-setting is acceptable to patients and clinicians, with no between-group difference but improved distress and self-efficacy across groups. PICO summary and commentary.
An RCT finds seated exercise gives greater pain relief, knee function, and physical quality of life than standing exercise in obese women with knee osteoarthritis, while standing favours mental quality of life. PICO summary and commentary.
A combined clinical and mechanistic study finds a TCM formula (Suyin Detoxification Prescription) reduces creatinine and proteinuria in diabetic nephropathy via an FXR pathway, though clinical evidence remains preliminary. PICO summary and commentary.
A randomised trial finds a brief four-session online programme reduces diabetes stigma and improves body image and coping in adults with type 1 diabetes, sustained at follow-up. PICO summary and commentary.
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