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August 2014 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for August 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Report Highlights Progress, Challenges in Health IT

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published by the Robert Wood Johnson Foundation.

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Tax on Sugary Beverages Could Most Reduce Child Obesity

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Simulations demonstrate that an excise tax on sugar-sweetened beverages (SSBs) would be the most effective policy for reducing child obesity, according to research published online Aug. 26 in the American Journal of Preventive Medicine.

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Prognostic Model Developed for Major Outcomes in T1DM

FRIDAY, Aug. 29, 2014 (HealthDay News) -- A prognostic model has been developed and validated which has adequate discrimination for major outcomes in type 1 diabetes, according to a study published online Aug. 28 in Diabetologia.

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Long-Term Use of Sulfonylureas Tied to Coronary Heart Disease

FRIDAY, Aug. 29, 2014 (HealthDay News) -- Among women with diabetes, long-term use of sulfonylureas is associated with a significantly higher risk of incident coronary heart disease (CHD), according to a study published online Aug. 22 in Diabetes Care.

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AMGA: Physician Turnover Still High in 2013

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

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Doctors Frequently Experience Ethical Dilemmas

THURSDAY, Aug. 28, 2014 (HealthDay News) -- For physicians trying to balance various financial and time pressures, ethical dilemmas are common, according to an article published Aug. 7 in Medical Economics.

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Team Approach Improves Practice Efficiency

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- The increasing administrative requirements of a medical practice are requiring a team-based approach to care, and physicians must learn to manage the team, according to an article published Aug. 7 in Medical Economics.

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Risk of Diabetes Up in Hodgkin's Lymphoma Survivors

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- Para-aortic radiation correlates with increased diabetes mellitus (DM) risk for Hodgkin's lymphoma (HL) survivors, according to a study published online Aug. 25 in the Journal of Clinical Oncology.

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In-Utero Exposure to Gestational Diabetes Ups Later Diabetes Risk

WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- In-utero exposure to gestational diabetes mellitus (GDM) increases the likelihood of developing diabetes or prediabetes among obese adolescents, according to a study published online Aug. 25 in Diabetologia.

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HTN Self-Management Beneficial in High-Risk Patients

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Self-monitoring with self-titration of antihypertensive medications is associated with lower blood pressure for patients with hypertension at risk for cardiovascular disease, according to a study published in the Aug. 27 issue of the Journal of the American Medical Association.

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Ban Indoor Use of E-Cigarettes, U.N. Health Agency Says

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Joining a number of other health agencies, the United Nations' World Health Organization (WHO) on Tuesday recommended that countries regulate electronic cigarettes and ban their use indoors until studies prove that "vaping" is harmless to bystanders.

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Low Weight at Birth Ups Risk of Diabetes in Black Women

TUESDAY, Aug. 26, 2014 (HealthDay News) -- Low birth weight is associated with increased risk of type 2 diabetes in black women, independent of body mass index, according to research published in the September issue of Diabetes Care.

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Restrictive, Non-Solicitation Covenants Are Valid

MONDAY, Aug. 25, 2014 (HealthDay News) -- Restrictive and non-solicitation covenants are valid and can be enforced, according to an article published Aug. 5 in Medical Economics.

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Guidelines Presented for Electronic Cigarette Use

MONDAY, Aug. 25, 2014 (HealthDay News) -- Recommendations have been developed regarding electronic cigarette (e-cigarette) use and published online Aug. 24 as an American Heart Association (AHA) policy statement in Circulation.

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Parents Increasingly Less Likely to Perceive Child Obesity

MONDAY, Aug. 25, 2014 (HealthDay News) -- Today, overweight/obese children are less likely to be perceived as overweight by their parents compared to 10 years ago, according to a study published online Aug. 25 in Pediatrics.

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U.S. to Tighten Access to Certain Narcotic Painkillers

FRIDAY, Aug. 22, 2014 (HealthDay News) -- The U.S. Drug Enforcement Administration (DEA) is going ahead with tough new controls on painkillers containing hydrocodone, which has been tied to a surge in dangerous addictions across the United States.

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Organizations Can Help Docs Retain Their Independence

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Ways for physicians to remain in independent practice are highlighted in an article published Aug. 7 in Medical Economics.

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Endogenous Hormones Improve Breast Cancer Risk Models

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Inclusion of endogenous hormones in prediction models improves prediction of invasive breast cancer risk in postmenopausal women, according to a study published online Aug. 18 in the Journal of Clinical Oncology.

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Intensive Lifestyle Changes Lead to Diabetes Cost Savings

FRIDAY, Aug. 22, 2014 (HealthDay News) -- Intensive lifestyle intervention (ILI) can cut health care costs over the long term in patients with type 2 diabetes, compared to diabetes support and education (DSE) alone, according to a study published in the September issue of Diabetes Care.

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FDA: New Test Helps Diagnose Type 1 Diabetes

THURSDAY, Aug. 21, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has approved a new test that may help doctors diagnose type 1 diabetes. The Kronus ZnT8Ab Elisa Assay may help some people with type 1 diabetes receive faster diagnosis and treatment, the FDA said in a news release.

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Age Affects Link Between Obesity, Dementia Risk

THURSDAY, Aug. 21, 2014 (HealthDay News) -- The association between obesity and subsequent dementia varies with the age at which obesity is first recorded, according to a study published online Aug. 20 in the Postgraduate Medical Journal.

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Organized Processes Help Practices Hire Well

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- A defined process is necessary to help physicians hire the right staff for their practice, according to an article published July 24 in Medical Economics.

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Pistachio-Supplemented Diet Beneficial in Prediabetes

WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Pistachio consumption is associated with improvements in glucose and cardiometabolic parameters, according to a study published online Aug. 14 in Diabetes Care.

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Docs Must Consider Liability When Ordering Screening Tests

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Physicians and health care providers must be aware of their potential liability when ordering screening tests, according to an article published July 24 in Medical Economics.

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Boxed Warnings Are Common in Novel Therapeutics

TUESDAY, Aug. 19, 2014 (HealthDay News) -- Boxed warnings are common on recent drug approvals, and many occur years after approval, according to a research letter published online Aug. 15 in JAMA Internal Medicine.

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Fenofibrate Effective for Women and Men With T2DM

TUESDAY, Aug. 19, 2014 (HealthDay News) -- For patients with type 2 diabetes, fenofibrate is effective in women, improving their lipoprotein profile more than in men, according to a study published online Aug. 18 in Diabetologia.

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Hospitalizations for Acute CVD, Stroke Down From 1999 to 2011

TUESDAY, Aug. 19, 2014 (HealthDay News) -- From 1999 through 2011 there were considerable declines in hospitalizations for acute cardiovascular disease and stroke, outpacing those of other conditions, according to a study published online Aug. 18 in Circulation.

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Urban Food Initiative Ethical for Addressing Food Issues

TUESDAY, Aug. 19, 2014 (HealthDay News) -- The urban food initiative (UFI) seems to be a safe and ethical approach to addressing obesity and food insecurity, according to a viewpoint piece published online Aug. 18 in JAMA Pediatrics.

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Diabetic Macular Edema Higher in Some Groups

MONDAY, Aug. 18, 2014 (HealthDay News) -- Some subpopulations of patients with diabetes carry a higher burden of diabetic macular edema (DME), according to a study published online Aug. 14 in JAMA Ophthalmology.

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Early Research With Drug Restores Hair in Alopecia

MONDAY, Aug. 18, 2014 (HealthDay News) -- A drug used to treat a rare type of bone marrow cancer restores hair in patients with alopecia areata, according to a study published online Aug. 17 in Nature Medicine.

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Phthalate Exposure May Lower Testosterone Levels

FRIDAY, Aug. 15, 2014 (HealthDay News) -- Exposure to phthalates, chemicals that are commonly found in plastics and personal care products, may reduce testosterone levels in men, women, and children, according to research published online Aug. 14 in the Journal of Clinical Endocrinology & Metabolism.

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Vitamin D May Affect Success Rate for In Vitro Fertilization

FRIDAY, Aug. 15, 2014 (HealthDay News) -- Vitamin D levels may affect the pregnancy rate in women undergoing in vitro fertilization (IVF), according to research published online Aug. 14 in the Journal of Clinical Endocrinology & Metabolism.

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Nearly One in Five Americans Drink at Least One Soda a Day

THURSDAY, Aug. 14, 2014 (HealthDay News) -- A new survey of American adults across 18 states finds 17 percent drinking at least one sugary soda per day, with rates varying widely across states. These findings were published in the Aug. 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. The survey results also indicated high levels of sweetened fruit drink consumption, with close to 12 percent of adults downing at least one serving daily.

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ACA Incentives May Promote Cardiac Rehab in the Workplace

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Financial incentives and the emphasis on outcomes in the current era of health reform in the United States may encourage delivery of preventive care services, such as cardiac rehabilitation, in the workplace, according to research published in the August issue of the Journal of Occupational and Environmental Medicine.

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Women, Blacks Hit Harder by Heart Disease Risk Factors

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Traditional risk factors contribute to incident cardiovascular disease more in blacks and women, compared to other populations, according to a study published online Aug. 11 in Circulation.

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Childhood Growth Hormone Use Tied to Later Stroke

THURSDAY, Aug. 14, 2014 (HealthDay News) -- There is a strong relationship between growth hormone (GH) treatment during childhood and subsequent hemorrhagic stroke, according to a study published online Aug. 13 in Neurology.

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BMI Explains Risk of Diabetes From Prenatal Smoke Exposure

THURSDAY, Aug. 14, 2014 (HealthDay News) -- The association between maternal and paternal smoking during pregnancy and the risk of type 2 diabetes in daughters is largely explained by body mass index throughout the life course, according to a study published online Aug. 4 in Diabetes Care.

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Crowdsourcing Can Accurately Rate Diet Quality

THURSDAY, Aug. 14, 2014 (HealthDay News) -- Crowdsourcing can provide basic feedback on overall diet quality, according to a study published online Aug. 4 in the Journal of the American Medical Informatics Association.

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Studies Examine Link Between Sodium Intake, Cardiac Health

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- The association between sodium intake and cardiovascular outcomes is complex, according to three studies published online in the Aug. 14 issue of the New England Journal of Medicine.

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Extra Time Spent Counseling, Coordinating Care Billable

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Extra time spent counseling patients and coordinating care can be billed using evaluation and management (E/M) and prolonged service codes, according to an article published July 24 in Medical Economics.

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Lifetime Risk of Diabetes Up, But Years of Life Lost Down

WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- There has been an increase in years spent with diabetes due to trends of continued increases in the incidence of diagnosed diabetes combined with declining mortality, according to research published online Aug. 13 in The Lancet Diabetes & Endocrinology.

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Meta-Analysis Strategy Impacts Estimation of Tx Outcome

TUESDAY, Aug. 12, 2014 (HealthDay News) -- Estimation of treatment outcome varies with the meta-analysis strategy, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.

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Falling Insulin Requirements Linked to Placental Dysfunction

TUESDAY, Aug. 12, 2014 (HealthDay News) -- For women with preexisting diabetes, falling insulin requirements correlate with increased risks of adverse outcomes associated with placental dysfunction, according to a study published online July 28 in Diabetes Care.

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EHR Adoption Increasing, But Stage 2 Criteria Often Not Met

MONDAY, Aug. 11, 2014 (HealthDay News) -- Most U.S. hospitals and office-based physicians have adopted electronic health records (EHR), according to two studies published in the August issue of Health Affairs.

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Issues to Consider With Integration of Telemedicine

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Integrating telemedicine raises various considerations, including operational and legal issues, according to an article published July 24 in Medical Economics.

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Dining Out Equals More Calories Consumed

FRIDAY, Aug. 8, 2014 (HealthDay News) -- For adults, fast-food and full-service restaurant consumption correlates with increased daily total energy intake, according to a study published online July 30 in Public Health Nutrition.

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Interval Walking Improves Glycemic Control in Diabetes

FRIDAY, Aug. 8, 2014 (HealthDay News) -- Interval walking is superior to continuous walking for improving glycemic control in individuals with type 2 diabetes, according to research published online Aug. 4 in Diabetologia.

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VA Health Care Reform Bill Signed Into Law

THURSDAY, Aug. 7, 2014 (HealthDay News) -- A bill signed into law Thursday by President Barack Obama is meant to provide veterans with easier access to government-paid health care.

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Low Vitamin D May Up Risk of Dementia, Alzheimer's Disease

THURSDAY, Aug. 7, 2014 (HealthDay News) -- Low concentrations of serum 25-hydroxyvitamin D (25[OH]D) may increase the risk of developing all-cause dementia and Alzheimer's disease, according to research published online Aug. 6 in Neurology.

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For Women With PCOS, IVF Outcomes Vary With BMI

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- For women with polycystic ovary syndrome (PCOS) undergoing in vitro fertilization (IVF), body mass index (BMI) impacts outcomes, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

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Insulin Sensitivity Is Key Renal Marker in Youth With T2DM

WEDNESDAY, Aug. 6, 2014 (HealthDay News) -- Among adolescents with type 2 diabetes, insulin sensitivity is an important marker of renal health, according to research published online July 28 in Diabetes Care.

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Very Low Carbohydrate Diet Beneficial for Obese With T2DM

TUESDAY, Aug. 5, 2014 (HealthDay News) -- For obese adults with type 2 diabetes mellitus (T2DM), a very low carbohydrate diet is associated with greater improvements in glycemic control and cardiovascular risk markers than an energy-matched high unrefined carbohydrate diet, according to a study published online July 28 in Diabetes Care.

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Many Physicians Have Secondary Income

MONDAY, Aug. 4, 2014 (HealthDay News) -- Many physicians report earning income from sources other than their primary practice/employer, according to an article published July 24 in Medical Economics.

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Job Strain Can Raise Risk of Developing Type 2 Diabetes

MONDAY, Aug. 4, 2014 (HealthDay News) -- Stress at work may increase the risk of developing type 2 diabetes, according to research published in the August issue of Diabetes Care.

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FDA Approves Jardiance for Type 2 Diabetes

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Jardiance (empagliflozin) has been approved by the U.S. Food and Drug Administration to treat type 2 diabetes, the agency said Friday in a news release.

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CMS Recognizes Telehealth in New Physician Fee Schedule

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Earlier this month, the Centers for Medicare & Medicaid Services issued proposed rules for updates to the Physician Fee Schedule and will accept comments until Sept. 2, according to an article published July 7 in Medical Economics.

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More Activity, Less Sitting Both Needed to Cut Obesity Risk

FRIDAY, Aug. 1, 2014 (HealthDay News) -- Both high levels of physical activity and low levels of leisure time sitting may be necessary to reduce the risk of obesity, according to research published online July 31 in Diabetologia.

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Healthy Lifestyle Cuts Metabolic Syndrome Risk in CA Survivors

FRIDAY, Aug. 1, 2014 (HealthDay News) -- For childhood cancer survivors, following a heart-healthy lifestyle is associated with a reduced risk of metabolic syndrome (MetS), according to a study published online July 28 in Cancer.

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