Wearable devices show who may need more help managing diabetes

A new Dartmouth study in the journal Science Advances suggests that how well people with diabetes manage their blood sugar depends on their experience with the condition and their overall success in controlling their glucose levels, as well as on the season and time of day. The findings could help physicians identify those patients who could benefit from more guidance in regulating their blood sugar, particularly at certain times of year.

The researchers accessed data from wearable glucose monitors that showed how 137 people in the U.S. aged 2 to 76 living primarily with type 1, aka juvenile, diabetes managed their blood sugar on a daily basis. By analyzing more than 91,000 days of data, the study provides the most detailed look yet at how diabetes management can vary by month, day, age, and even how experienced a patient is with the condition.

Patients in the study tended to maintain healthier blood sugar levels from April to September, the researchers found. In these warmer months when activity levels tend to be higher, glucose levels stayed in the healthy range through a larger part of the day than average. In the colder months from October to February, however, the time spent within the normal range was lower than average.

This effect was amplified during the holidays for participants of all ages, with New Year’s Day and Christmas topping the list of days when sugar levels strayed outside the desired target range more often. Despite being a warm-weather holiday, Independence Day was third on the list of days when poor glucose control was recorded.

“We’re looking for specific patterns that could potentially inform clinical guidelines and set the stage for targeted interventions,” says Temiloluwa Prioleau, assistant professor of computer science, one of the study co-authors. The authors note that the majority of their study participants had type 1 diabetes, so it is not clear how these findings might generalize to people with type 2 diabetes.

Some researchers and providers have hypothesized that changes in activity levels, lifestyle, and food intake during different seasons impact blood-glucose management, says co-author Prajakta Belsare, an assistant professor at James Madison University who worked on the study while she was a postdoctoral fellow in the Department of Computer Science.

Given the granularity of their data, the researchers also were able to investigate daily and weekly variations. They found that patients’ glucose levels were more likely to stay normal from Monday to Friday, and more so in the working hours from 9 a.m. to 5 p.m., than on weekends, suggesting that workweek routines have a positive effect.

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For Belsare, one of the more interesting results was how effectively different age groups manage their blood sugar.

“We found that young adults in the 19-to-34 age range were less proficient at managing blood glucose,” she says. It’s likely that this reflects the struggle that newly independent adults face in taking care of their own health without the oversight of parents or caregivers, says Belsare.

The paper doesn’t examine the factors driving the patterns they see. “I think the answer for the ‘why’ would be different for different people,” Prioleau says. “Our goal is to highlight what we’re observing at a population level. Hopefully, this will encourage people to leverage their own past data to inform and shape their future care, through behavioral changes when feasible, or through other types of intervention.”

Andrew Crawford, an assistant professor of medicine at the Geisel School of Medicine and interim section chief of endocrinology at Dartmouth Hitchcock Medical Center who was not involved in the study, says that it could help increase awareness among physicians that certain patients need more focused guidance at specific times of year.

As a physician who treats people with diabetes, Crawford said that the seasonal fluctuations described in the Dartmouth study are indeed consistent with what doctors see. People are less active in colder months and tend to consume more calories and sugary foods around year-end holidays. In warmer months, people are more physically active, which sensitizes the body to the effects of insulin and improves glycemic control, he said.

“What was most surprising to me, however, was that the seasonal variation, particularly the changes around major holidays, were not universal and differed substantially depending on the age of the patient and their general degree of glycemic control during the year,” Crawford says. “This underscores the fact that diabetes is largely a self-managed disease and that individuals with less experience managing their disease require additional education and support around major holidays to avoid hyperglycemia.”

Given the wealth of insights potentially buried in data from wearable sensors, access to real patient information is vital for research and clinical care, says Prioleau. In a previous study, she worked with Abigail Bartolome, Guarini ’23, and collaborators at Geisel to curate an anonymized dataset that the research community can now download to use in future studies intended to demystify diabetes.

“There are a lot of questions around how to personalize (diabetes) management,” she says, “and learning from each individual’s unique data can set the course towards delivering the best possible outcome for them.”

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Light and sound waves reveal negative pressure

Negative pressure is a rare and challenging-to-detect phenomenon in physics. Using liquid-filled optical fibers and sound waves, researchers at the Max Planck Institute for the Science of Light (MPL) in Erlangen have now discovered a new method to measure it. In collaboration with the Leibniz Institute of Photonic Technologies in Jena (IPHT), the scientists in the Quantum Optoacoustics research group, led by Birgit Stiller, can gain important insights into thermodynamic states.

As a physical quantity pressure is encountered in various fields: atmospheric pressure in meteorology, blood pressure in medicine, or even in everyday life with pressure cookers and vacuum-sealed foods. Pressure is defined as a force per unit area acting perpendicular to a surface of a solid, liquid, or gas. Depending on the direction in which the force acts within a closed system, very high pressure can lead to explosive reactions in extrem cases, while very low pressure in a closed system can cause the implosion of the system itself. Overpressure always means that the gas or liquid pushes against the walls of its container from the inside, like a balloon expanding when more air is added. Regardless of whether it’s high or low pressure, the numerical value of pressure is always positive under normal circumstances.

However, liquids exhibit a peculiar characteristic. They can exist in a specific metastable state corresponding to a negative pressure value. In this metastable state, even a tiny external influence can cause the system to collapse into one state or another. One can imagine it as sitting at the top of a roller coaster: the slightest touch on one side or the other sends you hurtling down the tracks. In their current research, the scientists are examining the metastable state of liquids with negative pressure. To achieve this, the research team combined two unique techniques in a study published in Nature Physics to measure various thermodynamic states. Initially, tiny amounts — nanoliters — of a liquid were encapsulated in a fully closed optical fiber, allowing both highly positive and negative pressures. Subsequently, the specific interaction of optical and acoustic waves in the liquid enabled the sensitive measurement of the influence of pressure and temperature in different states of the liquid. Sound waves act as sensors for examining negative pressure values, exploring this unique state of matter with high precision and detailed spatial resolution.

The influence of negative pressure on a liquid can be envisioned as follows: According to the laws of thermodynamics, the volume of the liquid will decrease, but the liquid is retained in the glass fiber capillary by adhesive forces, much like a water droplet sticking to a finger. This results in a “stretching” of the liquid. It is pulled apart and behaves like a rubber band being stretched. Measuring this exotic state typically requires complex equipment with heightened safety precautions. High pressures can be hazardous endeavors, particularly with toxic liquids. Carbon disulfide, used by the researchers in this study, falls into this category. Due to this complication, previous measurement setups for generating and determining negative pressures have required significant laboratory space and even posed a disturbance to the system in the metastable state. With the method presented here, the researchers have instead developed a tiny, simple setup in which they can make very precise pressure measurements using light and sound waves. The fiber used for this purpose is only as thick as a human hair.

“Some phenomena which are difficult to explore with ordinary and established methods can become unexpectedly accessible when new measurement methods are combined with novel platforms. I find that exciting,” says Dr. Birgit Stiller, head of the Quantum Optoacoustics research group at MPL. The sound waves used by the group can detect temperature, pressure, and strain changes very sensitively along an optical fiber. Furthermore, spatially resolved measurements are possible, meaning that the sound waves can provide an image of the situation inside the optical fiber at centimeter-scale resolution along its length. “Our method allows us to gain a deeper understanding of the thermodynamic dependencies in this unique fiber-based system,” says Alexandra Popp, one of the two lead authors of the article. The other lead author, Andreas Geilen, adds: “The measurements revealed some surprising effects. The observation of the negative pressure regime becomes abundantly clear when looking at the frequency of the sound waves.”

The combination of optoacoustic measurements with tightly sealed capillary fibers enables new discoveries regarding the monitoring of chemical reactions in toxic liquids within otherwise difficult-to-investigate materials and microreactors. It can penetrate new, hard-to-access areas of thermodynamics. “This new platform of fully sealed liquid core fibers provides access to high pressures and other thermodynamic regimes,” says Prof. Markus Schmidt from IPHT in Jena, and Dr. Mario Chemnitz, also from IPHT in Jena, emphasizes: “It is of great interest to investigate and even tailor further nonlinear optical phenomena in this type of fiber.” These phenomena can unlock previously unexplored and potentially new properties in the unique thermodynamic state of materials. Birgit Stiller concludes: “The collaboration between our research groups in Erlangen and Jena, with their respective expertise, is unique in gaining new insights into thermodynamic processes and regimes on a tiny and easy-to-handle optical platform.”

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NHS strikes: More than a million appointments cancelled in England

There are calls for both sides to end the doctors’ pay row, ahead of joint strike action next week.

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What you need to know about Covid as new variant rises

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Long Covid: MRI scans reveal new clues to symptoms

Further evidence emerges that a serious infection can leave some major organs with long-term damage.

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Fruit flies offer clues to how brains make reward-based decisions

Like many collectors of L.P. records, James Fitzgerald’s brother-in-law has a favorite store where he consistently finds the best vinyl for his collection. But there are times when he spends hours at the store and comes up empty. He also knows that occasionally he should venture to the record store on the other side of town, where he sometimes scores a hard-to-find gem that was stocked since his last visit.

Fitzgerald’s brother-in-law is making a calculation: weighing probable outcomes to guide his behavior. His favorite record store rewards him more frequently, so he visits that store the most. The second-tier store is less likely to reward him, so he visits that store only occasionally.

Glenn Turner, who like Fitzgerald is a neuroscientist and group leader at HHMI’s Janelia Research Campus, says this “record foraging” habit is a perfect example of a type of behavior called matching that is pervasive in the animal kingdom. Instead of vinyl, non-hipster animals like mice and flies forage for food, using sensory cues like odors to evaluate food quality from a distance.

But, while matching has been observed in everything from pigeons to mice to humans, it was unclear how the brain carried out this value-based decision-making. Researchers had previously proposed a theory for how that might happen, but the idea hadn’t been tested in the real world.

Now, a team of Janelia researchers that includes Fitzgerald, Turner, Janelia Graduate Scholar Adithya Rajagopalan, former Janelia Fellow Ran Darshan and Research Specialist Karen Hibbard has confirmed that the proposed theory works. Rajagopalan’s experiments showed that, like Fitzgerald’s brother-in-law, fruit flies can make decisions based on their expectations about the likelihood of a reward. The team also pinpointed the site in the fly brain where these value adjustments are made, enabling them to directly test this theory on the level of neural circuits.

“We found that flies are using expectation to assign value to their world,” Turner says. “It also really nicely connects back to this theoretical work that was so elegant and explains this widespread phenomenon.”

Uncovering how the fly brain carries out this ubiquitous behavior could help scientists better understand how similar decision-making happens in the brains of larger animals, including humans. Decision-making goes awry in diseases like addiction, so understanding how this process works in simpler brains has broad value, according to the researchers.

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“The kinds of ideas and the theoretical framework that we have identified in this paper feel like a seed for evolution to build on in larger organisms, where more layers are added to allow for more complex behaviors,” says Rajagopalan, the first author of a new paper describing the work.

Investigating matching behavior

Fruit flies, whose brains have been well studied and mapped, were an appealing choice for examining matching and its underlying mechanisms. But first, the team had to design a way to observe fruit fly decisions.

Rajagopalan, who came to the Turner Lab through a joint graduate program with Johns Hopkins University, spearheaded the project. He designed an experiment where a single fly enters one arm of a symmetrical Y-shaped arena. Odors are pumped into the other two arms of the Y. The fly chooses to follow one odor or the other and is rewarded — in this case by having its sugar-sensing neurons activated — but with different probabilities: One odor might translate into a reward 80 percent of the time, while the other odor might yield a reward 20 percent of the time.

The researchers found that the fly learned to expect the rewards in the same proportions they were presented and then made its choice based on those expectations. These actions give the matching behavior its name: 80 percent of the time, the fly chose the odor that gives 80 percent of the rewards. And 20 percent of the time, it chose the odor that yields 20 percent of the rewards.

The team tracked the behavior to specific synapses in the mushroom body, a region of the fly brain responsible for learning and memory. This enabled them to create a model of how the brain carries out this behavior, based on the theory of matching. In this theory, the values associated with different choices are learned through changes in synaptic strength: Synaptic connections are strengthened or weakened in proportion to the difference between expected and received reward. The team’s model based on this theory and the fly’s behavior allowed them to demonstrate how individual synapses are changing to enable value-based decision-making.

The new work emphasizes the important interplay between experiment and theory, converging on a description of the rules governing how an animal learns — an outcome that the researchers say is satisfying on both a conceptual and mechanistic level.

“To be able to see that you can get these sophisticated economic decisions through this simple mechanistic explanation about how synapses are changing is a great illustration of what mechanistic cognitive neuroscience can mean,” Fitzgerald says. “We’re taking this universal property and using the strengths of these small animals to really nail it mechanistically.”

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Probing the deep genetic structure of Africa

Using ancestry decomposition techniques an international research team has revealed a deeply divergent ancestry among admixed populations from the Angolan Namib desert. This unique genetic heritage brings the researchers closer to understanding the distribution of genetic variation in the broader region of southern Africa before the spread of food production.

Africa is the birthplace of modern humans and the continent with the highest level of genetic diversity. While ancient DNA studies are revealing some aspects of the genetic structure of Africa before the spread of food production, issues concerning DNA preservation have limited the insights from ancient DNA.

Hoping to find clues in modern populations, researchers from a Portuguese-Angolan TwinLab ventured into the Angolan Namib desert — a remote, multi-ethnic region where different traditions met. “We were able to locate groups which were thought to have disappeared more than 50 years ago,” states Jorge Rocha, a population geneticist from Centro de Investigação em Biodiversidade e Recursos Genéticos (CIBIO, University of Porto) who led the fieldwork, together with Angolan anthropologists Samuel and Teresa Aço from the Centro de Estudos do Deserto (CEDO).

Among the communities the team encountered are the Kwepe, a pastoral group who used to speak a language known as Kwadi. “Kwadi was a click-language that shared a common ancestor with the Khoe languages spoken by foragers and herders across southern Africa,” explains Anne-Maria Fehn, a linguist from CIBIO who participated in the fieldwork and was able to interview what may well be the last two speakers of Kwadi. “Khoe-Kwadi languages have been linked to a prehistoric migration of eastern African pastoralists,” adds Rocha, whose research focuses on southern African population history. In addition, the team contacted Bantu-speaking groups that are part of the dominant pastoral tradition of southwest Africa, as well as marginalized groups whose origins have been associated with a foraging tradition, distinct from that of the neighboring Kalahari peoples, and whose original language was supposedly lost.

Modern DNA research can complement ancient DNA studies

The team’s new study shows that the inhabitants of the Angolan Namib are quite divergent from other modern populations but also highly structured among themselves. “In agreement with our previous studies on the maternally-inherited DNA, most genome-wide diversity segregates according to socio-economic status. A lot of our efforts were placed in understanding how much of this local variation and global excentricity was caused by genetic drift — a random process that disproportionally affects small populations — and by admixture from vanished populations,” says Sandra Oliveira, a researcher at the University of Bern in Switzerland who worked with these populations during her PhD and post-doc studies with Rocha and Mark Stoneking at CIBIO and the Max Planck Institute for Evolutionary Anthropology (MPI-EVA) in Leipzig, Germany. The team demonstrated that besides the high impact of genetic drift, which contributed to differences among neighboring groups of different socio-economic status, the descendants of Kwadi speakers and the marginalized communities of the Namib Desert retain a unique Pre-Bantu ancestry that is only found in populations from the Namib desert.

Mark Stoneking, who contributed to the earliest genome-wide studies on southern African foragers and participated in this study, says: “Previous studies revealed that foragers from the Kalahari desert descend from an ancestral population who was the first to split from all other extant humans. Our results consistently place the newly identified ancestry within the same ancestral lineage but suggest that the Namib-related ancestry diverged from all other southern African ancestries, followed by a split of northern and southern Kalahari ancestries.” With this new information, the researchers could reconstruct the fine-scale histories of contact emerging from the migration of Khoe-Kwadi-speaking pastoralists and Bantu-speaking farmers into southern Africa. Moreover, the study demonstrates that modern DNA research targeting understudied regions of high ethnolinguistic diversity can complement ancient DNA studies in probing the deep genetic structure of the African continent.

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Family of ill teen say they were silenced by courts

The 19-year-old is named as Sudiksha Thirumalesh after legal restrictions are lifted.

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Jellyfish, with no central brain, shown to learn from past experience

Even without a central brain, jellyfish can learn from past experiences like humans, mice, and flies, scientists report for the first time on September 22 in the journal Current Biology. They trained Caribbean box jellyfish (Tripedalia cystophora) to learn to spot and dodge obstacles. The study challenges previous notions that advanced learning requires a centralized brain and sheds light on the evolutionary roots of learning and memory.

No bigger than a fingernail, these seemingly simple jellies have a complex visual system with 24 eyes embedded in their bell-like body. Living in mangrove swamps, the animal uses its vision to steer through murky waters and swerve around underwater tree roots to snare prey. Scientists demonstrated that the jellies could acquire the ability to avoid obstacles through associative learning, a process through which organisms form mental connections between sensory stimulations and behaviors.

“Learning is the pinnacle performance for nervous systems,” says first author Jan Bielecki of Kiel University, Germany. To successfully teach jellyfish a new trick, he says “it’s best to leverage its natural behaviors, something that makes sense to the animal, so it reaches its full potential.”

The team dressed a round tank with gray and white stripes to simulate the jellyfish’s natural habitat, with gray stripes mimicking mangrove roots that would appear distant. They observed the jellyfish in the tank for 7.5 minutes. Initially, the jelly swam close to these seemingly far stripes and bumped into them frequently. But by the end of the experiment, the jelly increased its average distance to the wall by about 50%, quadrupled the number of successful pivots to avoid collision and cut its contact with the wall by half. The findings suggest that jellyfish can learn from experience through visual and mechanical stimuli.

“If you want to understand complex structures, it’s always good to start as simple as you can,” says senior author Anders Garm of the University of Copenhagen, Denmark. “Looking at these relatively simple nervous systems in jellyfish, we have a much higher chance of understanding all the details and how it comes together to perform behaviors.”

The researchers then sought to identify the underlying process of jellyfish’s associative learning by isolating the animal’s visual sensory centers called rhopalia. Each of these structures houses six eyes and generates pacemaker signals that govern the jellyfish’s pulsing motion, which spikes in frequency when the animal swerves from obstacles.

The team showed the stationary rhopalium moving gray bars to mimic the animal’s approach to objects. The structure did not respond to light gray bars, interpreting them as distant. However, after the researchers trained the rhopalium with weak electric stimulation when the bars approach, it started generating obstacle-dodging signals in response to the light gray bars. These electric stimulations mimicked the mechanical stimuli of a collision. The findings further showed that combining visual and mechanical stimuli is required for associative learning in jellyfish and that the rhopalium serves as a learning center.

Next, the team plans to dive deeper into the cellular interactions of jellyfish nervous systems to tease apart memory formation. They also plan to further understand how the mechanical sensor in the bell works to paint a complete picture of the animal’s associative learning.

“It’s surprising how fast these animals learn; it’s about the same pace as advanced animals are doing,” says Garm. “Even the simplest nervous system seems to be able to do advanced learning, and this might turn out to be an extremely fundamental cellular mechanism invented at the dawn of the evolution nervous system.”

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Colorful primates don’t have better color vision, study finds

Primate species with better colour vision are not more likely to have red skin or fur colouration, as previously thought.

The findings, published this week in the Biological Journal of the Linnean Society, suggest that red skin and/or red-orange fur may be beneficial for use in social communication even in primate species that don’t have particularly good colour vision.

It’s long been assumed that primates’ colourful skin and fur is linked to their enhanced colour vision, and the results may have implications for understanding why these traits exist in different species.

Lead author Robert MacDonald from the University of Bristol explained: “There is a profusion of colour in the animal kingdom — think of the striking feathers of a bird of paradise, or the array of vivid hues on display in a coral reef.

“Mammals, though, don’t tend to be so colourful, and are usually quite muted shades of black, brown, or grey.

“Primates such as monkeys, apes and lemurs are the exception to this. Several primate species have really vibrant coloration, in particular bright red skin on the face or anogenital region which can change intensity to signal things like fertility or rank in the dominance hierarchy, or red-orange fur.

“Primates also happen to have unusually good colour vision in comparison to other mammals; while all other mammals are red-green colourblind, meaning red and green appear as the same colour to them, some primates (including humans) can differentiate between shades of red and green. This enhanced colour visual system is generally thought to have evolved in order to more easily spot ripe red fruit or nutritious young red leaves among foliage, but it also makes it easier to spot the vibrant red colours that some primates exhibit.”

Primates are known to use their red colour traits for communication with other members of their species, for example in signalling information about fertility or rank in the social hierarchy. It seems intuitive that having a better colour visual system that allows these traits to stand out more might have facilitated the evolution of these traits in the first place — it would make sense for a species with better colour vision to evolve to be more colourful to take advantage of this ability.

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The team set out to definitively investigate whether the evolution of enhanced colour visual system in some primates that allows the differentiation of red from green has facilitated the evolution of red colour traits.

Using photographs, the researchers categorised each species of primate in terms of having or not having particular colourful traits (e.g. red skin on the genital region or face, red-orange fur on different parts of the body). They then compared this colour information with each species’ colour visual ability, taking into account the primate family tree, as well as a few other factors which might also influence coloration or colour visual ability such as whether they’re nocturnal or diurnal and the size of the social group they live in. The aim was to find out whether species that have better colour vision are more likely to have red colouration, after controlling for other potential influencing factors.

Robert explained: “The fact that we didn’t find that species with better colour vision are more likely to be colourful contradicts some long-held assumptions about the origins of the striking variation in colour we see within primates, and means we might have to take a closer look about what colourful red skin or fur is being used for in individual species. It shows that despite the large amount of work that has gone into investigating primate colouration in recent years, we still don’t fully understand the pressures that have shaped the evolution of colour in our own closest relatives.”

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