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	<title>Comments on: The Diabetes Community Appeal to the FDA: Don&#8217;t Slam the Door on Progress!</title>
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	<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html</link>
	<description>A gold mine of straight talk and encouragement for people living with diabetes</description>
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		<title>By: &#187; Rebecca Killion: An FDA Patient Rep with Diabetes Speaks Out - DiabetesMine: the all things diabetes blog</title>
		<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html/comment-page-1#comment-235504</link>
		<dc:creator>&#187; Rebecca Killion: An FDA Patient Rep with Diabetes Speaks Out - DiabetesMine: the all things diabetes blog</dc:creator>
		<pubDate>Mon, 12 Jan 2009 13:00:30 +0000</pubDate>
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		<description>[...] The Diabetes Community Appeal to the FDA: Don&#8217;t Slam the Door on Progress!  [...]</description>
		<content:encoded><![CDATA[<p>[...] The Diabetes Community Appeal to the FDA: Don&#8217;t Slam the Door on Progress!  [...]</p>
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		<title>By: &#187; Rebecca Killion: An FDA Patient Rep with Diabetes Speaks Out - DiabetesMine: the all things diabetes blog</title>
		<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html/comment-page-1#comment-235505</link>
		<dc:creator>&#187; Rebecca Killion: An FDA Patient Rep with Diabetes Speaks Out - DiabetesMine: the all things diabetes blog</dc:creator>
		<pubDate>Mon, 12 Jan 2009 13:00:30 +0000</pubDate>
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		<description>[...] The Diabetes Community Appeal to the FDA: Don&#8217;t Slam the Door on Progress!  [...]</description>
		<content:encoded><![CDATA[<p>[...] The Diabetes Community Appeal to the FDA: Don&#8217;t Slam the Door on Progress!  [...]</p>
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		<title>By: Paula&#8217;s Point of View &#187; Blog Archive &#187; Read and Sign the Petition to the FDA</title>
		<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html/comment-page-1#comment-230355</link>
		<dc:creator>Paula&#8217;s Point of View &#187; Blog Archive &#187; Read and Sign the Petition to the FDA</dc:creator>
		<pubDate>Fri, 09 Jan 2009 23:09:13 +0000</pubDate>
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		<description>[...] http://www.diabetesmine.com/ [...]</description>
		<content:encoded><![CDATA[<p>[...] <a href="http://www.diabetesmine.com/" rel="nofollow">http://www.diabetesmine.com/</a> [...]</p>
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		<title>By: SugarStats.com - Simple, Online Blood Sugar Tracking for Diabetes Management &#187; Blog Archive &#187; Healing the FDA: Ask the FDA to Better Serve Diabetes Patient Needs</title>
		<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html/comment-page-1#comment-225888</link>
		<dc:creator>SugarStats.com - Simple, Online Blood Sugar Tracking for Diabetes Management &#187; Blog Archive &#187; Healing the FDA: Ask the FDA to Better Serve Diabetes Patient Needs</dc:creator>
		<pubDate>Wed, 07 Jan 2009 20:28:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.diabetesmine.com/?p=5294#comment-225888</guid>
		<description>[...] http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-p... [...]</description>
		<content:encoded><![CDATA[<p>[...] <a href="http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-p.." rel="nofollow">http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-p..</a>. [...]</p>
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		<title>By: Anne Findlay</title>
		<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html/comment-page-1#comment-224215</link>
		<dc:creator>Anne Findlay</dc:creator>
		<pubDate>Tue, 06 Jan 2009 19:00:51 +0000</pubDate>
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		<description>Maybe someone could explain how these drugs are checked for cardiac safety in phase 1?</description>
		<content:encoded><![CDATA[<p>Maybe someone could explain how these drugs are checked for cardiac safety in phase 1?</p>
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		<title>By: Anne</title>
		<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html/comment-page-1#comment-224004</link>
		<dc:creator>Anne</dc:creator>
		<pubDate>Tue, 06 Jan 2009 15:46:19 +0000</pubDate>
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		<description>I am in support of patient needs awareness by the FDA as described by the petition, but it is unclear to me why we wouldn&#039;t support more scrutiny, as the above commenter also states, into the association between type 2 drugs and cardiovascular events.  The letter that I read seemed to be specific to type 2 drugs and the patient population those will serve do have a much increased risk of cardiovascular events.  I haven&#039;t been able to find a clear explanation on what makes these new requirements over the top, other than that they will be costly &amp; take time.  With the large &amp; increasing number of type 2 patients out there, there will be a market that will attract new drugs, it seems, even if it is pricey getting the testing done.  Personally, I have some loved ones with type 2 diabetes and I have worried about the side-effects--in particular, cardiovascular effects--they may be experiencing from the drugs they are taking.  Because past drugs slipped through the cracks, it doesn&#039;t seem to me like they shouldn&#039;t be more careful in the future.

On the more general issue of patient advocacy and the FDA, I am all for it.  But I&#039;d rather (or in the specific case of type 2 drugs, I&#039;d rather my loved ones) wait a year or two than be the guinea pig for the FDA.  If there is a clear explanation of exactly why the requirements are so unreasonable, I&#039;d like to see it, since I am not an expert in that!

Thanks,
Anne</description>
		<content:encoded><![CDATA[<p>I am in support of patient needs awareness by the FDA as described by the petition, but it is unclear to me why we wouldn&#8217;t support more scrutiny, as the above commenter also states, into the association between type 2 drugs and cardiovascular events.  The letter that I read seemed to be specific to type 2 drugs and the patient population those will serve do have a much increased risk of cardiovascular events.  I haven&#8217;t been able to find a clear explanation on what makes these new requirements over the top, other than that they will be costly &amp; take time.  With the large &amp; increasing number of type 2 patients out there, there will be a market that will attract new drugs, it seems, even if it is pricey getting the testing done.  Personally, I have some loved ones with type 2 diabetes and I have worried about the side-effects&#8211;in particular, cardiovascular effects&#8211;they may be experiencing from the drugs they are taking.  Because past drugs slipped through the cracks, it doesn&#8217;t seem to me like they shouldn&#8217;t be more careful in the future.</p>
<p>On the more general issue of patient advocacy and the FDA, I am all for it.  But I&#8217;d rather (or in the specific case of type 2 drugs, I&#8217;d rather my loved ones) wait a year or two than be the guinea pig for the FDA.  If there is a clear explanation of exactly why the requirements are so unreasonable, I&#8217;d like to see it, since I am not an expert in that!</p>
<p>Thanks,<br />
Anne</p>
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		<title>By: Lawrence I gottlieb MD</title>
		<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html/comment-page-1#comment-223920</link>
		<dc:creator>Lawrence I gottlieb MD</dc:creator>
		<pubDate>Tue, 06 Jan 2009 14:36:43 +0000</pubDate>
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		<description>Diabetes, unlike many other diseases, has a strong association with cardiovascular disease. Why shouldn&#039;t drugs intended for treatment of diabetes be given the added scrutiny to help protect patients from  risk. 
I suspect that the &quot;mainstream corporate driven Media&quot; and the altruistic pharmaceutical industry may cancel each other.</description>
		<content:encoded><![CDATA[<p>Diabetes, unlike many other diseases, has a strong association with cardiovascular disease. Why shouldn&#8217;t drugs intended for treatment of diabetes be given the added scrutiny to help protect patients from  risk.<br />
I suspect that the &#8220;mainstream corporate driven Media&#8221; and the altruistic pharmaceutical industry may cancel each other.</p>
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		<title>By: tmana</title>
		<link>http://www.diabetesmine.com/2009/01/the-diabetes-community-appeal-to-the-fda-dont-slam-the-door-on-progress.html/comment-page-1#comment-222055</link>
		<dc:creator>tmana</dc:creator>
		<pubDate>Mon, 05 Jan 2009 15:39:55 +0000</pubDate>
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		<description>One of the interesting and well-known observations regarding the FDA boondoggles (and they go well beyond &quot;cardiovascular effect testing&quot;) is that under today&#039;s regulations, &lt;i&gt;aspirin&lt;/i&gt; -- which has been GRAS (Generally Regarded As Safe) for many, many years -- could not pass the FDA approval process. 

Another observation, made several places by Dr. Mary Ruwart (research pharmacologist turned political activist) is that -- again, even before the cardiovascular-improvement requirement -- the FDA&#039;s approval process more than doubles (almost trebles) the amount of time it takes to get a drug from development to market, ignores anything that does not come out of Big Pharma (with Big Graft attached to it!), and &lt;i&gt;kills&lt;/i&gt; many, many more people than it saves.</description>
		<content:encoded><![CDATA[<p>One of the interesting and well-known observations regarding the FDA boondoggles (and they go well beyond &#8220;cardiovascular effect testing&#8221;) is that under today&#8217;s regulations, <i>aspirin</i> &#8212; which has been GRAS (Generally Regarded As Safe) for many, many years &#8212; could not pass the FDA approval process. </p>
<p>Another observation, made several places by Dr. Mary Ruwart (research pharmacologist turned political activist) is that &#8212; again, even before the cardiovascular-improvement requirement &#8212; the FDA&#8217;s approval process more than doubles (almost trebles) the amount of time it takes to get a drug from development to market, ignores anything that does not come out of Big Pharma (with Big Graft attached to it!), and <i>kills</i> many, many more people than it saves.</p>
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