Friday, February 20, 2015

Blinded by Obam, beheaded by

Isis, .....


Diabetes and its consequences may be treated safely, effectively and inexpensively by BCG.  See eg faustmanlab.org, pubmed.org faustman dl and pubmed.org ristori + BCG. The US equates money and blood and when it is your money and your blood, you might pause to think that there is no incentive for others to point you to useful science and art as is the case with BCG which has been used all over the world for many years and should be freely available to those in the US.

Shoot BCG and or take the peptide designed by Faustman to cure autoimmune diseases and do not be blinded by Obama. Alas perhaps he would be more helpful to many if someone near and dear to him suffered from an autoimmune disease? Doubtful.

YOU CAN EASILY AND NON INVASIVLY  MONITOR CHANGES IN THE EYE UPON THE ADMINISTRATION MULTIPLE  LESS THAN A VACCINATION DOSE OF BCG OVER TIME.

SHOOT ME UP BEFORE MY PLANE LEAVES FOR YEMEN TO BUY BCG.
 
PLoS One. 2012;7(8):e41756. doi: 10.1371/journal.pone.0041756. Epub 2012 Aug 8.

Proof-of-concept, randomized, controlled clinical trial of Bacillus-Calmette-Guerin for treatment of long-term type 1 diabetes.

Abstract

BACKGROUND:

No targeted immunotherapies reverse type 1 diabetes in humans. However, in a rodent model of type 1 diabetes, Bacillus Calmette-Guerin (BCG) reverses disease by restoring insulin secretion. Specifically, it stimulates innate immunity by inducing the host to produce tumor necrosis factor (TNF), which, in turn, kills disease-causing autoimmune cells and restores pancreatic beta-cell function through regeneration.

METHODOLOGY/PRINCIPAL FINDINGS:

Translating these findings to humans, we administered BCG, a generic vaccine, in a proof-of-principle, double-blind, placebo-controlled trial of adults with long-term type 1 diabetes (mean: 15.3 years) at one clinical center in North America. Six subjects were randomly assigned to BCG or placebo and compared to self, healthy paired controls (n = 6) or reference subjects with (n = 57) or without (n = 16) type 1 diabetes, depending upon the outcome measure. We monitored weekly blood samples for 20 weeks for insulin-autoreactive T cells, regulatory T cells (Tregs), glutamic acid decarboxylase (GAD) and other autoantibodies, and C-peptide, a marker of insulin secretion. BCG-treated patients and one placebo-treated patient who, after enrollment, unexpectedly developed acute Epstein-Barr virus infection, a known TNF inducer, exclusively showed increases in dead insulin-autoreactive T cells and induction of Tregs. C-peptide levels (pmol/L) significantly rose transiently in two BCG-treated subjects (means: 3.49 pmol/L [95% CI 2.95-3.8], 2.57 [95% CI 1.65-3.49]) and the EBV-infected subject (3.16 [95% CI 2.54-3.69]) vs.1.65 [95% CI 1.55-3.2] in reference diabetic subjects. BCG-treated subjects each had more than 50% of their C-peptide values above the 95(th) percentile of the reference subjects. The EBV-infected subject had 18% of C-peptide values above this level.

CONCLUSIONS/SIGNIFICANCE:

We conclude that BCG treatment or EBV infection transiently modified the autoimmunity that underlies type 1 diabetes by stimulating the host innate immune response. This suggests that BCG or other stimulators of host innate immunity may have value in the treatment of long-term diabetes.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00607230.
PMID:
22905105
[PubMed - indexed for MEDLINE]

PMCID:
PMC3414482

Free PMC Article






At a time of rising concern over the cost of medicine, a government-funded study has found that three drugs, ranging in price from $50 to $1,950 a dose, are equally effective in treating many cases of a common form of vision loss caused by diabetes.
But the most expensive drug — Eylea, sold by Regeneron Pharmaceuticals — was more effective for patients who had poorer vision before starting treatment.
“The results certainly seem to suggest here that if you have 20/50 vision or worse, you would certainly consider Eylea as the preferred drug,” said Dr. John A. Wells, a retina specialist in West Columbia, S.C., who was the chairman of the study, which was published online Wednesday by the New England Journal of Medicine.
The other two drugs — Lucentis, which costs $1,200 a dose, and the $50-a-dose Avastin — are both made by Genentech. The study tested the drugs as treatments for diabetic macular edema, which affects about 750,000 Americans. That and other visual complications from diabetes are the leading cause of blindness in working-age people.

Photo

Macular edema, which occurs primarily in patients with diabetes, causes vision loss. Credit Lighthouse International

The disease is characterized by a welling of the macula, the part of the eye responsible for sharp, straight-ahead vision, caused by fluid leaking from capillaries in the retina. The three drugs act in a similar manner to dry the leakage and are injected into the eye as frequently as once every four weeks. While Lucentis and Eylea are approved to treat macular edema, Avastin is a cancer drug used off label in tiny amounts to treat eye disease, which is why it costs so little.
The study was sponsored by the National Eye Institute, part of the National Institutes of Health. Several years ago, before Eylea reached the market, the institute sponsored a similar study comparing Lucentis and Avastin as a treatment for a different eye disease that also involves leaky blood vessels, the wet form of age-related macular degeneration.
That study showed that the two drugs were roughly equivalent, helping legitimize the off-label use of Avastin, which saves Medicare at least $1 billion a year. For macular degeneration, the dose of Lucentis is higher than for diabetic macular edema, costing about $2,000 per injection.
But there might not be as much savings from this new study, which involved 660 adults. After one year, those randomly chosen to be treated with Eylea had an average improvement of 13.3 letters on an eye chart, compared with 11.2 for Lucentis and 9.7 for Avastin.
For about half the patients, those with vision of 20/40 or better at the start of the study, all the drugs provided an average gain in vision of about 8 letters. But for the other half, with 20/50 or worse eyesight to start, the average improvement was 18.9 letters for Eylea compared with 14.2 for Lucentis and 11.8 for Avastin.
Among these patients with worse vision, 67 percent in the Eylea group had an improvement of at least 15 letters, or three lines on an eye chart, a level experts say is clearly meaningful. Only 50 percent of those treated with Lucentis and 41 percent treated with Avastin gained that much vision.
The study did find that patients getting Eylea needed slightly fewer injections and less of a backup treatment using lasers. That could help offset the higher cost per dose of Eylea.

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