American Diabetes Association Research Update: Amaranth Diabetes Foundation Chooses Which Researchers to Support For the past fifteen years, the generous funds raised by the Amaranth Diabetes Foundation (ADF) for the American Diabetes Association Research Foundation (ADRF) have been directed to specific research projects. The ADARF always took great care to choose the “best of the best” researchers whose work aligned with the interests of the ADF Board. But today, we are able to give your members a greater say in determining how your money is being spent. The ADF Board will now choose the three ADAsponsored researchers it will support for a three-year period. Here’s a look at the selection process and the new projects YOUR ADF Board has chosen to support. Step 1: Every three years, beginning in 2015, representatives from ADA will present several cutting-edge research projects to officers on the ADF Board. In February of 2015, Dr. Allison McElvaine, Director of Research Communications and Angela Nazworth, Director of Philanthropic Communications met with H.L. Bizzy Herbolsheimer, H.L. Victoria Ault, S.K. Del Militare, H.L. Dianne Dean and S.K. Stoney Pavlik to present six different projects from researchers across the country. Before selecting which researchers to present to the ADF Board members, Angela met with H.L. Bizzy to discuss which research topics and geographic regions of the U.S. would be of most interest. Step 2: The ADF Board will vote to decide which researchers to select. ADF also has the option to request additional researchers to choose from if they are not 100% happy with the original choices presented. This year, all ADF leaders who attended the presentation were very happy with the options and decided to submit those six choices to all ADF Board members. After a majority was reached, H.L. Bizzy informed the ADA of the decision. Step 3: The money donated to the ADARF from the ADF will be applied to the new projects at the start of the Amaranth’s next fiscal year. Projects of the three researchers currently supported by the ADF (Dr. Piganelli, Dr. Willis and Dr. Kishore) are coming to a close, so the next gift from ADF in July will be directed to the three new projects selected by your Board. It is the intention of ADF to fund the three selected projects for duration of the three-year grant cycle. As always, the lead scientists from each project will be invited to attend the Supreme Session and all will provide timely progress updates that ADA will share. The ADF board will be kept closely informed on how your money is being spent. The American Diabetes Association would like to take this opportunity to once again thank each and every Amaranth member for being a champion of diabetes research! Today it is evident that research funded and supported by the Association—much of which has been made possible because of ADF— contributes immeasurably to the development of treatments and initiatives that allow people with diabetes to live longer, healthier, and more comfortable lives. Knowing that so much has already been done drives our efforts to Stop Diabetes® with continual pursuit of a cure! Meet the Researchers ADF will Sponsor for the Next Three Years: Understanding the Connections between Cholesterol and Diabetes Jeffrey S. Elmendorf, Ph.D. Indiana University, Indianapolis, Indiana Total Grant Amount: $345,000 Project Description: Many studies suggest that cholesterol accumulates in fat and muscle cells before insulin resistance sets in. Lowering cholesterol in these cells seems to improve insulin sensitivity. Understanding how cholesterol accumulates in fat and muscle cells can lead to new ways to treat or prevent diabetes. This study seeks to understand how increased cholesterol production occurs, and how it is linked to insulin resistance. Preliminary studies suggest that the accumulation of cholesterol in fat and muscle cells prevents insulin from moving glucose into the cells. This study may lead to the use of new or existing cholesterol-lowering medications to more effectively treat, and ultimately prevent, diabetes. How will this work help a person with diabetes? Our work suggests that lowering excess cholesterol in fat and muscle improves blood glucose levels. Understanding how cholesterol levels are increased in these cells and how excess cholesterol is linked to diabetes risk holds promise to lead to new ways to treat and prevent diabetes. Improving Wound Therapy to Reduce Amputations in Diabetes Lawrence A. Lavery, D.P.M. University of Texas Southwestern Medical Center, Dallas, Texas Total Grant Amount: $595,879 Project Description: Infected foot wounds are one of the most common reasons for hospitalization and amputation among people with diabetes. This study will evaluate the clinical effectiveness of Negative Pressure Wound Therapy (NPWT). NPWT is done with a device that applies gentle suction to the wound using special dressings. This study will compare NPWT with continuous antiseptic irrigation to "traditional" NPWT. The study uses NPWT as a drug delivery system to reduce bacterial infection and accelerate wound healing. Enrolled patients will be assigned randomly to receive either traditional NPWT or NPWT with irrigation. The study results will demonstrate whether NPWT with antiseptic irrigation reduces infections and promotes wound healing in complex diabetic foot wounds. If successful, the study could lead to a significant reduction in the costs of surgical intervention and length of hospital stay. How will this work help a person with diabetes? For patients with diabetes and infected wounds, improved therapies to eradicate infection and speed healing should protect people with diabetes from amputation. This project will give surgeons evidence-based treatment options to improve limb reconstruction and salvage. Order of the Amaranth Crown and Sword Article: April 2015 Page 2 Regenerating Beta Cells to Treat and Prevent Diabetes Laura Cristina Alonso, M.D. University of Massachusetts Medical School, Worcester, Massachusetts Total Grant Amount: $345,000 Project Description: The risk of getting type 2 diabetes is determined, in part, by genetics. Large studies in thousands of people have identified certain regions of DNA that increase diabetes risk, but how these genetic differences lead to diabetes is not known. One of the regions of DNA associated with diabetes lies near genes that are known to impact pancreatic beta cell (the cells that make insulin) number in mice. This project sets out to study whether the genetic changes that increase diabetes risk alter human beta cells characteristics, like insulin production, insulin secretion, and beta cell regeneration. We will compare responses in human beta cells from donors with protective DNA changes against donors with risk-increasing DNA changes. Results from these studies may help understand why certain people are at risk for diabetes, and which cellular processes are defective. It is possible that these results may allow genetic testing to identify particular individuals in whom diabetes can be prevented by medicines lowering blood lipid levels. In the long run, studies such as this will lead to personalized medicine for diabetes prevention and treatment. How will this work help a person with diabetes? The long-term goal of this project is to find ways to get beta cells to re-grow, in order to prevent or treat diabetes. This project may result in improved understanding of what stops beta cells from undergoing cell division, so we can find ways to solve this problem. In addition, we hope it will allow for the creation of a genetic test to determine which treatment might have the best chance of working for each patient. Order of the Amaranth Crown and Sword Article: April 2015 Page 3