Drug Protects Kidneys, Heart in Diabetic Patients

This Jan. 3, 2009, file photo shows a person with diabetes testing his blood sugar level in Kamen, Germany. (AP)
This Jan. 3, 2009, file photo shows a person with diabetes testing his blood sugar level in Kamen, Germany. (AP)
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Drug Protects Kidneys, Heart in Diabetic Patients

This Jan. 3, 2009, file photo shows a person with diabetes testing his blood sugar level in Kamen, Germany. (AP)
This Jan. 3, 2009, file photo shows a person with diabetes testing his blood sugar level in Kamen, Germany. (AP)

A recent Canadian study has found that a drug prescribed to treat heart failure could protect kidney and heart health in individuals with type 2 diabetes and chronic kidney disease.

Results from the study were presented on November 4, at ASN Kidney Week 2023 organized by the American Society of Nephrology, in Philadelphia.

The study of a drug named “Sotagliflozin”, which has been approved by the FDA in May as a heart failure treatment, also involved non-diabetic patients.

Sotagliflozin is a Sodium-glucose cotransporter-2 (SGLT2) inhibitor, which lowers blood sugar by inhibiting glucose absorption in the kidneys, and can also be used to treat type 2 diabetes.

Researchers have found that these drugs provide kidney- and heart-related benefits to patients with and without diabetes.

During the study, the research team observed 10,584 patients with type 2 diabetes, chronic kidney disease and cardiovascular factors to receive sotagliflozin or placebo.

Over a median follow-up of 16 months, the researchers found sotagliflozin reduced the risk of glomerular filtration by 50 percent, and dialysis or kidney transplant by 38 percent.

They also found that compared to placebo, sotagliflozin reduced the risk of heart and kidney problems, as well as cardiovascular diseases-related deaths by 23 percent.

“These effects add to the already reported benefits of sotagliflozin in reducing both heart failure and ischemic events such as myocardial infarction or stroke,” said corresponding author David Cherney of the University of Toronto.

“Sotagliflozin is now FDA approved to reduce the risk of cardiovascular death and heart failure events with a broad label that includes patients with heart failure or chronic kidney disease, so the drug is now an option for nephrologists and cardiologists, as well as primary care physicians, to prescribe,” he told the York Alert website.



The Barnacle, Spaniards’ Favorite Christmas Dish, Imperiled by Climate Change

Adriana, 31, buys boxes with barnacles in front of Israel Martinez, an auctioneer, that were caught off the Atlantic coasts of Galicia during an auction ahead of Christmas celebrations in the port of Coruna, Spain December 21, 2024. (Reuters)
Adriana, 31, buys boxes with barnacles in front of Israel Martinez, an auctioneer, that were caught off the Atlantic coasts of Galicia during an auction ahead of Christmas celebrations in the port of Coruna, Spain December 21, 2024. (Reuters)
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The Barnacle, Spaniards’ Favorite Christmas Dish, Imperiled by Climate Change

Adriana, 31, buys boxes with barnacles in front of Israel Martinez, an auctioneer, that were caught off the Atlantic coasts of Galicia during an auction ahead of Christmas celebrations in the port of Coruna, Spain December 21, 2024. (Reuters)
Adriana, 31, buys boxes with barnacles in front of Israel Martinez, an auctioneer, that were caught off the Atlantic coasts of Galicia during an auction ahead of Christmas celebrations in the port of Coruna, Spain December 21, 2024. (Reuters)

On the craggy rocks on northwestern Spain's treacherous Costa da Morte (Death Coast), wetsuit-clad fishermen dodge crashing waves as they pick barnacles, a prized Christmas delicacy facing decline due to climate change and other factors.

Fetching up to 200 euros ($208) per kilogram (2.2 pounds) during the holiday season, the gooseneck barnacle from the Galicia region has long been treasured by Spaniards for both its flavor and difficulty to harvest.

However, the rise in sea temperatures driven by climate change has severely affected barnacle habitats, as they thrive in icy waters. A recent study by the University of Vigo also linked changing wave patterns to lower quality in the shellfish.

Israel Martinez, an auctioneer in the A Coruna fish market, said that there used to be double or triple the number of barnacles just 10 years ago.

Despite state regulations - such as limiting daily harvests to 7 kg per fisherman - illegal fishing has surged due to the barnacles' high value.

Licensed percebeiros, or barnacle pickers, have called for increased policing of the coast to deter poachers.

Their job is classified as a risky profession due to the adverse work conditions.

"The percebeiro trade on the Costa da Morte is dying. This is due to climate change, absurd laws, illegal fishing and a lack of workers," 36-year-old Roberto Vidal, who started out as a percebeiro at 16, told Reuters.

He said there used to be between 100 and 200 percebeiros in his town of Corme. Now, there are around 30.

Fellow percebeiro Serafin Rodriguez said that future generations would be unable to follow in his footsteps due to declining barnacle populations.