Smart insulin- The major drawback of Type I is the dependence on regular external doses of insulin. While technology has made it more and more manageable with insulin pens, it results in the patient’s life to be largely centered around their medication. In 2015, researchers at the University of North Carolina devised a glucose-monitoring, insulin-delivery system using nanotechnology and biomedical engineering. The smart insulin patch consists of an array of tiny needles which can be used anywhere on the body to detect glucose levels and release insulin accordingly. The technology is currently undergoing revision and pre-clinical testing.

Islet transplant- Recovering healthy pancreas from cadavers and transplanting islet cells into the liver of the patient is an experimental procedure in practice since 2008 to assist with Type I. However, the success rate of this intervention is low due to rejection by the patient’s immune system and dependence on immune-suppressants which increase the risk of infection. It also does not completely reverse the patient’s insulin-dependence and requires regular low doses of insulin. A variation of this therapy at the University of Miami in 2017 was a successful transplant of pancreatic islet cells into the stomach lining of the patient which resulted in her complete remission from Type I and independence from constant insulin injections.

Stem cell therapy- With the evolution of cell biology techniques, we now have the ability to program immature cells to develop into a specific lineage of cells. Viacyte, a California based biomedical engineered a direct delivery device in April 2017, which when placed under the skin delivers stem cells into the bloodstream. These stem cells are programmed to home into the pancreas and develop into mature insulin-producing cells to replace those eliminated by the immune system. While this device is still in its nascent stages of the trial, it would be a life-saver for patients with highly variable glucose levels and severe risk of hypoglycemia.

Immature beta cells- Another variation of the stem cell therapy may be derived from our ability to now image the pancreatic tissue at unprecedented resolution. Scientists from the University of California, Davis identified an immature population of beta cells which can produce insulin but, unlike mature beta cells, are unaffected by the presence of glucose in the blood since they do not have glucose receptors. This discovery could lead to a deeper understanding of how beta cells function, and these immature cells can be manipulated to produce more insulin to keep the glucose levels in check. In February 2018, researchers at the University of Miami identified the exact anatomical location of pancreatic stem cells which can be stimulated to be glucose-responsive insulin-producing cells. Subsequently, University of California, San Francisco reported that beta cells can be ‘trained’ to adapt to a deficiency in oxygen and nutrients due to exposure before and during the transplantation, ideally ensuring an endless supply of insulin-producing beta cells.

IgM immunotherapy- The antibody IgM has been used as a diagnostic marker for Type I since the early 2000s. A team of researchers at the University of Virginia have found a new role for IgM as a vaccine against Type I autoimmunity. Injecting human IgM into diabetic mice resulted in a reduction of autoimmune reactivity, restoration of the balance of cells in the pancreas and reversal of Type I.

Methyldopa- This is a classic case of serendipity in science. Methyldopa is a clinically approved drug to treat hypertension. Scientists at the University of Colorado and the University of Florida screened all FDA-approved small molecules to check if any of them could prevent the autoimmune pathway of Type I from getting activated and Methyldopa was a successful candidate. After successful experiments on mice and a pilot clinical study, the drug can be developed as a vaccine to prevent Type I in those at risk.

Vaccines- Enteroviral infections are known to cause Type I in newborns by triggering an autoimmune response against islet beta cells. At the University of Finland, scientists have developed a vaccine that can potentially eliminate enteroviruses and thus prevent Type I. Another common vaccine B.C.G. used routinely against tuberculosis has been used by doctors at the Massachusetts General Hospital as a vaccine against Type I. They have been successful in a pilot clinical trial by reducing the insulin dosage to one-third of the patient’s initial requirement even after 5-10 years of the vaccination.

The DiRECT study from the Newcastle University, the UK with 300 diabetics aged 20-65 demonstrated that a severely calorie-restricted diet can result in remission of Type II in around 86% of the patients. This is a very promising result since there is a rapid increase in obesity and Type II. A strict weight loss intervention may be a means of both prevention and cure of Type II diabetes. Interestingly, Lorcaserin, a weight loss drug was reported by Harvard University to reduce the incidence of diabetes and the risk of hypoglycemia in patients being treated for obesity. This is supported by multiple recent findings from the neurobiology community that obesity results in activation of the microglia cells in the brain and results in impaired modulation of hormones and increased glucose levels or resistance to insulin and hence treating obesity would also reduce the likelihood of an array of metabolic disorders.

Wearable technology has translated to better diagnostic and monitoring devices for diabetes. We have had home kits for monitoring blood glucose levels since 1981, but almost all variants require blood by pricking the finger with a lancet. A proof-of-concept study in South Korea of a wearable glucose monitor in the form of contact lenses has been successfully tested in rabbits. The silicon lens has an outward facing LED which is switched off in response to high levels of glucose in the tears as detected by a sensitive nano-sized glucose monitor. While this technology needs more work before it can be available for humans, it is a step in the direction of real-time, non-invasive glucose monitoring. Another variant of the wearable monitor is a color-changing tattoo ink with liquid biosensors developed by MIT and Harvard Medical School which can detect changes in the glucose levels, pH or salt in the interstitial fluid between the cells. This study is currently in research mode with no plans for clinical trials. However, the possibility of using the human skin as an interactive display for physiological monitoring is extremely attractive for developing non-invasive diabetes management products as is the case with an armband that can monitor the glucose in sweat via an ionic sensor. The simple bioengineered product from the University of California, Berkeley is primed for continuous monitoring of not just glucose, but also sodium, potassium, body temperature and other physiological parameters with a fully integrated electronic system that can log and update the data into a mobile device, making non-invasive continuous monitoring a possibility.

The Mexican cavefish has been established as a new model organism for studying diabetes. It’s a blind fish that lives deep in the sea with no access to light and food for long periods of time. It has evolved to survive these harsh conditions by having an insatiable appetite and insulin receptors which do not respond in the presence of high blood sugar. As a result, the cavefish is severely diabetic but can function normally. While this physiological make-up is fatal to humans, understanding the function of the glucose regulation in cavefish may be vital to developing novel therapies for diabetes management and cure.

With medical technology advancing fast, we may be looking at a future with the potential to decrease healthcare costs worldwide to deal with diabetes in its diagnosis, management, and prevention.

Sahana Shankar is a Ph.D. candidate in Structural and Molecular Biology at Academia Sinica, Taiwan. When she is not extracting protein, she loves to travel, read and writes scicomm articles. Her passion is to translate the science in fascinating research papers in health and medicine into common parlance. She believes understanding the science behind the world around us is indispensable to our engagement with it. She has contributed to Brainwave, a children’s science magazine from the Amar Chitra Katha family and Newslaundry, an independent news portal.

Time seemed to be flying, when I was in conversation with a very jovial person Dr David Kirkpatrick, a General Practitioner at Al Zahra (Pvt.) Medical Centre. His take on life is truly an admirable one and he makes you feel that life is all about exploring opportunities in the right way and with the right attitude it can be never too late to build on a dream and acquire it.

He came to UK when he was five years old, and completed his entire schooling there. For three months thereafter, he was clueless about the direction he would be taking in life. Medicine was not at all in the radar for him, not until he had worked in a hospital environment. Today, he has been a practising GP for about 30 years.

His mother one day remarked,“ You have gone through a very expensive education and you cannot stay like this Ð doing nothing”. He gave an interview for a job with the London Police and the Navy and finally found a job at Radcliffe Hospital, Oxford in U.K. where he worked for about a year as a potter in an X-ray dept.

Dr Kirkpatrick said, “When I went home returning from my job Ð one night, my mother said ‘Have you had any more thought about what you want to do?’ I replied, “You know mother, I wish I had done medicine, I really love that hospital environment.” Immediately his mother said that his grandfather had left some money in a trust and the trustees would be happy to know that he wanted to get back to school to study science.

Without wasting any more time, Dr Kirkpatrick decided to go to St. Edwards School in Oxford for 12 months to do ‘A’ levels in physics, chemistry and biology. He had done English, history and French. He joined the Middlesex Medical School and Hospital in London for further training and then went on with his further education in the field of medicine. By then he was already focused on becoming a General Practitioner.

He got married in 1976 and then they travelled to New Zealand, where his wife was offered a job. He says, “We had planned to stay in New Zealand for a year or two but we stayed there for 26 years. I had my own practice for 23 years in New Zealand but wanted a change from the same atmosphere. We had good friends, a nice lifestyle and house but when our boys left university and were independent, my wife wanted to travel again.”

“In May 2002, we stopped in UAE on our way back to England that time I gave a couple of interviews in a few hospitals in the UAE. On 2nd November 2002, we arrived in the UAE to settle here and I started my job with Al Zahra Hospital on 9th November 2002.”

He says, “It has been a good experience at Al Zahra, as I get to see an extraordinary range of cultures and nationalities walking into my room for consultation here in Dubai, which I did not see in New Zealand. I am happy to be working with nice people and in good surroundings.”

“Another good thing about being in Dubai is travel,” he says. “Travelling back home and visiting other places in the world from UAE is very convenient compared to New Zealand.” He has been to Africa, Morocco, Petra, Thailand etc…, but finds the Fiji Island the best travel destination. He wants to see the TajMahal and visit Bhutan and many other places across the globe.

He is also a passionate photographer, who likes to capture candid pictures of people and beautiful places on film. He has gathered thousands of photos in his computer. He states, “I disappear in my study area for hours to play around with my collection in Photoshop.” However, he admits it to be a very time consuming hobby.

He finds great delight in practicing his cooking skills on a regular basis. “I feel cooking is a great way to relax. When you get back home after a busy day at work, just put on an apron and get into the kitchen to try out some delicious recipes. It is a nice way to stay away from stress. I love playing golf, squash and tennis but don’t get much of a chance to play,” he discloses speaking about his pastime activities.

“I like to do some form of exercise every day. We have a gym and pool in our building; I manage to go for a workout 2-3 times a week. I feel exercising and walking helps me think better. I often find myself composing e-mails and narrating new ideas well while I am exercising.”

Talking about his philosophy as a doctor he reveals, “I feel that doctors should be teachers. When patients walk out of their room, they should have an idea of what is wrong with them. You have to set aside more time for each patient to explain to them what is going on with them. You have to simplify, a complicated matter to explain it to your patients.”

“I follow a simple rule, I limit myself to giving three bits of information to each patient and I repeat the information twice for my patient to understand it thoroughly and this works. The formula is simple distil down a complex matter into something that you can describe in a few minutes and hope your patient will absorb it and remember.”

“Another important thing to remember to be a good GP, is that it is important that you have to know what you do not know and you should be prepared to admit the same. In addition, you should have some idea of what is wrong with your patient and whom to refer to for further consultation.”

He concluded with his thoughts about being positive, “I feel good about what I do if a patient leaves my room happy and satisfied with my service. I am a positive person and I am positive about people and I think most people are good people.”

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