<<"From a business perspective, diabetes is the
  perfect disease," said David Kliff, a diabetic
  and investment analyst who specializes in
  diabetes-related ventures. Diabetics "consume
  tons of disposable products, and there is no
  cure. It is a license to print money.">>

<<"There is no money in prevention," said John
  Abramson, a clinical instructor at Harvard
  Medical School and author of "Overdosed America."
  "Our healthcare system is more driven by
  entrepreneurial opportunities than by reasoned
  analysis of effective approaches," he said.

(note the links between junk food and the diabetes epidemic..)


http://www.latimes.com/business/la-fi-diabetes21jan21,0,3784004,full.story?c
oll=la-home-headlines

Diabetics: one sweet market

Patients are finding business opportunities in
the disease -- with product endorsements, a TV
show and more.

By Daniel Yi, LA Times Staff Writer
January 21, 2007

Howard Steinberg produces a television program
that has all the elements of a typical variety
show. There are profiles of famous people,
reports on current issues and an attractive host,
a former Miss America.

But the independently produced show, which airs
weekly as paid programming on CNBC, stands on a
single theme. It is all about, and for, diabetics
— and believed to be the only television show
built around a specific disease. All of the ads
are for diabetes-related products, such as
specially formulated food supplements and insulin
testing strips.

"Diabetics are not just patients, they are
consumers," Steinberg said of the appeal of his
show, "dLife — For Your Diabetes Life," which
claims nearly half a million viewers.

Steinberg is among a growing number of diabetics
— including celebrity endorsers, magazine
publishers and an investment advisor — who are
finding business opportunities in marketing to
others with the chronic disease.

"From a business perspective, diabetes is the
perfect disease," said David Kliff, a diabetic
and investment analyst who specializes in
diabetes-related ventures. Diabetics "consume
tons of disposable products, and there is no
cure. It is a license to print money."

Actor Wilford Brimley of the 1980s TV show "Our
House" has pitched for diabetic products supplier
Liberty Medical for so long that he has become a
subject of parody by comedians. Blues music icon
B.B. King and soul diva Patti LaBelle endorse
products for a division of Johnson & Johnson. And
pro basketball player Adam Morrison, known for
testing his blood sugar on the sidelines, also
signed a deal with Johnson & Johnson — along with
the traditional sneaker contract — after being
drafted this year by the NBA's Charlotte Bobcats.

Entertainer Mother Love has revived her career by
promoting herself as a diabetic, and former Miss
America Nicole Johnson Baker, the main host of
"dLife," has built a marketing machine around her
disease.

Healthcare advocates see in the trend a glaring
sign that the country is losing its battle
against the epidemic, with the most common form,
Type 2, closely linked to unhealthful diets and
lifestyles.

"Our society and our medical community has
basically thrown up their hands and decided it is
too hard to get people to lead healthier lives,
and it is easier to push drugs," said Michael
Jacobsen, executive director of the Center for
Science in the Public Interest.

Sales of diabetes-treatment products total about
$8 billion a year in the U.S., according to
pharmaceutical research firm IMS Health Inc., and
drug makers spend close to $1 billion promoting
their goods to doctors and patients.

"There is no money in prevention," said John
Abramson, a clinical instructor at Harvard
Medical School and author of "Overdosed America."
"Our healthcare system is more driven by
entrepreneurial opportunities than by reasoned
analysis of effective approaches," he said.

The American Diabetes Assn., the nation's largest
advocacy group for diabetics, declined to comment
for this article, saying the group's focus is on
research and support for those suffering from the
disease. Much of the group's research is widely
cited by diabetic marketers.

Steinberg, Kliff and others like them say they
are simply capitalizing on their positions as
insiders to help other diabetics, either by
increasing awareness about the disease or, in
Kliff's case, helping them make profitable
investments.

"There are people who are offended by what I do,"
said Kliff, 45, who lives in the Chicago area and
founded http://www.diabeticinvestor.com after
fellow diabetics sought his financial opinion on
companies making many of the medical products
they used.

Profit fuels innovation, he said. "I am all for
prevention, but if you take the profit motive
away, you will not get what you need" to treat
diabetes.

What makes diabetes suited for this unusual brand
of commercialization is a combination of
overwhelming numbers and a culture that values
indulgence and success, observers say.

The number of diabetics in the U.S., believed to
be about 21 million, exceeds the population of
most states. The number is expected to rise to
48.3 million by 2050, according to the Centers
for Disease Control and Prevention.

The disease — which affects the body's ability to
convert blood glucose, or sugar, into energy — is
so common that any stigma once associated with it
is virtually gone. And because obesity, one of
its leading causes, often is viewed as a societal
problem, diabetics may elicit a good amount of
empathy.

Diabetes is a marketing gold mine in another way.
Although diabetes-related complications such as
kidney and heart problems kill an estimated
200,000 people in the U.S. each year, the disease
can be managed in large part with drugs and
healthful lifestyles. The possibility of triumph
through personal change, as opposed to other
serious diseases whose outcomes are largely in
the hands of medical science, is a compelling
angle.

"Americans love success stories. They like
stories about struggling and overcoming," said
Arthur L. Caplan, director of the University of
Pennsylvania's Center for Bioethics. "Nobody
overcomes Parkinson's. Nobody overcomes
Alzheimer's. We know how those stories end. But
with diabetes, people like Adam Morrison or B.B.
King are telling people what they want to hear:
You can overcome. You can win."

It is a common refrain among those marketing their diabetic experience.

"I have diabetes, but diabetes doesn't have me,"
said Mother Love, a stand-up comedian and radio
personality who writes a column for "dLife's"
website and sometimes co-hosts the show.

Love, 52, developed Type 2 diabetes in her
mid-30s after years of overeating. Type 2 is
closely linked to obesity and lack of exercise
and accounts for 90% to 95% of cases. Type 1,
also known as juvenile diabetes, is more common
in children and is often linked to genetic
factors. Although many who promote the fact that
they are diabetic are Type 1, such as Morrison,
their intended audience is mostly Type 2
sufferers.

"I was so large I couldn't breathe," Love said
recently in a telephone interview from her San
Gabriel Valley home.

"We have a saying in the African American
community about diabetes: 'It's just a little
sugar,' " the Cleveland native said. "But it is
not just a little sugar…. This disease killed
half of my family."

Love has lost more than 100 pounds and is keeping the disease in check.

"I wasn't trying to be a poster child for
diabetes," she said. But the disease gave a boost
to her career, landing her the job at "dLife."

If Love's career was remade by diabetes, Johnson
Baker's has been defined by it.

She was crowned Miss America in 1999, seven years
after being diagnosed with Type 1 diabetes. Since
then, she has marketed herself as a voice for
diabetics. The "dLife" host consults for
pharmaceutical companies, lobbies and raises
funds for diabetes research, and has a line of
medical bracelets.

"Diabetes is the very reason why I became Miss
America" — to promote awareness about the
disease, Johnson Baker, 32, said. "In this
horrible event of being diagnosed with diabetes
came the greatest blessing."

Like others, Johnson Baker and Love see in their
business endeavors an opportunity to help others.
So does Steinberg, 47, creator of "dLife."

"Diabetes is a lifestyle," the marketing veteran
said. "Some lifestyles you choose, some choose
you."

The 30-minute program reflects that lifestyle.
"DLife," a division of Steinberg's LifeMed Media
Inc., pays CNBC for the time slot on Sundays at 4
p.m. Pacific time. It is listed on CNBC's
programming schedule and not categorized as an
infomercial because it is not aimed at selling
any specific product. The editorial content is
distinct from the advertising. Such independently
produced programming is common on many cable
channels, which often use them to fill gaps
between their shows.

Much of "dLife" is about living with the disease,
and the show has included cooking tips, a
diabetic man talking about coping with erectile
dysfunction, and a teenage girl discussing
"diabulimia," in which people manipulate their
insulin take to lose weight.

It has an upbeat and breezy side as well. A
recent episode opened with a group of diabetic
women talking about the challenges of dating.

One woman said she hesitated to tell her date
that she had the disease. Everything was going
well until he decided to play a prank on her by
grabbing and tossing her pager. Except it wasn't
her pager; it was her insulin pump.

"There is nothing like it out there," said viewer
Lauren Lanning, 43, of Highlands Ranch, Colo.,
whose daughter Monica, 12, was diagnosed when she
was 2.

"When I am on the Internet [researching
diabetes], it is just me, by myself," Lanning
said. "When we have 'dLife,' everyone in the
family can watch."

Steinberg's Westport, Conn.-based company is
expected to turn a profit by next year.




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