June 2014 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for June 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.

New Plan Would Permit Doctors to Treat Patients in Other States

MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.

Health Highlights: June 30, 2014

FDA Approves Inhaled Medication Afrezza to Treat Diabetes

MONDAY, June 30, 2014 (HealthDay News) -- Afrezza (human insulin) Inhalation Powder, a rapid-acting inhaled insulin, has been approved by the U.S. Food and Drug Administration to treat adults with diabetes. The rapid-acting, inhaled insulin is designed to be used within 20 minutes of beginning a meal, the agency said.

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Guidance Issued for Addressing Primary Ovarian Insufficiency

MONDAY, June 30, 2014 (HealthDay News) -- Adolescents diagnosed with primary ovarian insufficiency should be offered counseling and hormonal therapy, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.

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Kidney Disease Risk Factors Present for Decades

MONDAY, June 30, 2014 (HealthDay News) -- Risk factors for chronic kidney disease (CKD) can be detected 20 to 30 years before diagnosis, according to a study published online June 26 in the Journal of the American Society of Nephrology.

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NYC Can't Ban Large Sugary Drinks: Appeals Court

FRIDAY, June 27, 2014 (HealthDay News) -- New York City's attempt to have its ban on large sodas and other sugary drinks reinstated was denied Thursday by the state's Court of Appeals.

Health Highlights: June 26, 2014

UnitedHealth Cutting More Docs From Medicare Advantage

FRIDAY, June 27, 2014 (HealthDay News) -- UnitedHealth Group's Medicare Advantage network has begun notifying physicians of a new wave of cuts to its network, according to an article published June 17 in Medical Economics.

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Court: Patients Responsible for Outcomes of Risky Behavior

FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.

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Television Viewing Time Linked to All-Cause Mortality

FRIDAY, June 27, 2014 (HealthDay News) -- Television viewing, but not computer or driving time, is associated with all-cause mortality, according to a study published online June 25 in the Journal of the American Heart Association.

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Different Endotypes May Lead to Type 1 Diabetes

FRIDAY, June 27, 2014 (HealthDay News) -- Different immunopathological processes may lead to the development of type 1 diabetes, according to research published online June 17 in Diabetes.

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Tips Offered for Improving Practice Productivity

THURSDAY, June 26, 2014 (HealthDay News) -- Four steps can be utilized to improve practice productivity, according to an article published June 24 in Medical Economics.

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Wikipedia Drug Entries Often Not Up-to-Date

THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.

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FDA Presents Guidance on Use of Nanotechnology in Industry

THURSDAY, June 26, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has released three final guidance documents and one draft guidance document in an effort to provide greater regulatory clarity for industry on the use of nanotechnology.

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Higher Plasma Vitamin D May Cut Hypertension Risk

THURSDAY, June 26, 2014 (HealthDay News) -- People who have genetic variants tied to low production of 25-hydroxyvitamin D (25[OH]D) have an increased risk of hypertension, according to a study published online June 26 in The Lancet Diabetes & Endocrinology.

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Glucagon, GLP-1 Co-Infusion Can Reduce Appetite

WEDNESDAY, June 25, 2014 (HealthDay News) -- Co-infusion of glucagon and glucagon-like peptide 1 (GLP-1) correlates with a reduction in appetite, and GLP-1 protects against glucagon-induced hyperglycemia in healthy volunteers, according to a study published online June 17 in Diabetes.

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Calcium, Vitamin D Improve Metabolic Profile in GDM

WEDNESDAY, June 25, 2014 (HealthDay News) -- For women with gestational diabetes mellitus (GDM), calcium-vitamin D co-supplementation correlates with improvements in metabolic profile, according to a study published online June 23 in Diabetologia.

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CDC Readies Latest Graphic Anti-Smoking Ads

TUESDAY, June 24, 2014 (HealthDay News) -- A new series of ads featuring former smokers whose lives have been harmed by tobacco is set to be released, U.S. health officials said Tuesday.

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Shortage Seen for Adult Endocrinologists

TUESDAY, June 24, 2014 (HealthDay News) -- There is a shortage of adult endocrinologists that will continue to grow with increasing patient demand, according to a study published online June 18 in The Journal of Clinical Endocrinology & Metabolism.

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Medicaid Backlog May Have Financial Ramifications

TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.

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USPSTF Says Evidence Doesn't Support Vitamin D Screening

TUESDAY, June 24, 2014 (HealthDay News) -- Current evidence is insufficient to weigh the benefits and harms of screening for vitamin D deficiency to improve health outcomes in asymptomatic adults, according to a draft evidence report from the U.S. Preventative Service Task Force.

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CMS Launches Initiative to Assist Newly Insured

MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).

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Exercise Induces Hypothalamic Cell Proliferation in Mice

MONDAY, June 23, 2014 (HealthDay News) -- Exercise training induces hypothalamic cell proliferation in adult mice and improves insulin sensitivity, but blocking cell proliferation does not prevent insulin action, according to an experimental study published online June 4 in Diabetes.

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Complex Electronic Record Safety Issues Surface Long After Launch

MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.

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Guidance Offered for Protection When Firing Employees

FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.

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Canola Oil-Enriched Low Glycemic Diet Beneficial in T2DM

FRIDAY, June 20, 2014 (HealthDay News) -- A low glycemic load (GL) diet including α-linolenic acid (ALA) and monounsaturated fatty acid (MUFA) can improve glycemic control for patients with type 2 diabetes, according to a study published online June 14 in Diabetes Care.

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Meta-Analysis Confirms Serum 25(OH)D, Mortality Link

FRIDAY, June 20, 2014 (HealthDay News) -- Serum 25-hydroxyvitamin (25[OH]D) levels are associated with all-cause and cardiovascular mortality, according to a meta-analysis published online June 17 in BMJ.

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CDC: 1 in 10 Moms-to-Be Develop Gestational Diabetes

THURSDAY, June 19, 2014 (HealthDay News) -- As many as one in 10 pregnant women in the United States develop gestational diabetes, a new government study estimates. The report was published June 19 in Preventing Chronic Disease.

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NCHS: Insurance Coverage Expands, Gaps Remain

THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.

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Targeted Thyroid Testing Not Effective in Pregnancy

THURSDAY, June 19, 2014 (HealthDay News) -- A targeted thyroid testing approach is not effective during pregnancy in clinical practice, according to a study published online June 4 in Obstetrics & Gynecology.

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Glycemic Response to Metformin Differs by Race-Ethnicity

THURSDAY, June 19, 2014 (HealthDay News) -- Race-ethnicity appears to influence the effect of metformin on glycemic control in patients with diabetes, according to research published online June 12 in the Journal of Clinical Endocrinology & Metabolism.

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ACA May Mean Healthier Young Adults, Study Suggests

WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's health insurance plan up to age 26 may be good for their health and financial security, a new study suggests. The study was published as a research letter in the June 18 issue of the Journal of the American Medical Association.

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Dr. Oz Rebuked at Senate Hearing Into Fake Diet Products

WEDNESDAY, June 18, 2014 (HealthDay News) -- Celebrity doctor Mehmet Oz was raked over the coals Tuesday at a U.S. Senate hearing into the marketing of fake diet products.

Health Highlights: June 17, 2014

Text Message Program Seems Effective for Smoking Cessation

WEDNESDAY, June 18, 2014 (HealthDay News) -- An automated, personalized, and interactive mobile health program, Text2Quit, seems to be effective for promoting smoking cessation, according to a study published online June 5 in the American Journal of Preventive Medicine.

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FDA Considers Appetite-Curbing Implant for Severely Obese

TUESDAY, June 17, 2014 (HealthDay News) -- A new implant designed to curb the appetite by electrically stimulating intra-abdominal vagus nerve trunks is under review Tuesday by a key advisory committee of the U.S. Food and Drug Administration.

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Tips Offered for Finding Buyer for Medical Practice

TUESDAY, June 17, 2014 (HealthDay News) -- Suggestions are provided for finding a buyer for a medical practice in an article published online June 10 in Medical Economics.

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U.S. Health Care System Ranked Last Again: Report

MONDAY, June 16, 2014 (HealthDay News) -- The United States' health system once again comes in last when compared to 10 other rich nations, according to the latest Commonwealth Fund report on the issue.

Health Highlights: June 16, 2014
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Clinicians Often Fail to Empathize After Adverse Event

MONDAY, June 16, 2014 (HealthDay News) -- The health care industry is recognizing the benefits of prompt and transparent physician communication with patients and families about bad outcomes, according to an article published June 10 in Medical Economics.

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Physician Leadership, Ownership Dominates ACOs

MONDAY, June 16, 2014 (HealthDay News) -- Physicians are playing strong leadership and ownership roles in accountable care organizations (ACOs), according to research published in the June issue of Health Affairs.

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Depressive Symptoms Tied to Incident T2DM in Black Women

MONDAY, June 16, 2014 (HealthDay News) -- Among African-American women, depressive symptoms and antidepressant use are associated with incident type 2 diabetes, according to a study published online June 5 in Diabetes Care.

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HHS Inspector General Finds Big Problem With Medicare Coding

FRIDAY, June 13, 2014 (HealthDay News) -- Nearly 42 percent of Medicare claims for evaluation and management (E/M) services are incorrectly coded, according to an article published June 2 in Medical Economics.

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Gene Variant Associated With Type 2 Diabetes in Latinos

FRIDAY, June 13, 2014 (HealthDay News) -- A rare protein-coding genetic variant is associated with type 2 diabetes in Latino populations, according to research published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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Gut Microbe Composition Differs in Young Diabetes Patients

FRIDAY, June 13, 2014 (HealthDay News) -- Bacteria in the guts of youth with type 1 diabetes appear less balanced than bacteria in children without diabetes, Dutch researchers reported in the June 12 issue of Diabetologia.

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Researchers Hesitant to Use Social Media to Show Findings

FRIDAY, June 13, 2014 (HealthDay News) -- Researchers remain uncertain about the use of social media to communicate their findings to policy makers, according to research published online June 6 in Health Affairs.

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Hydrolyzed Formula Doesn't Cut Diabetes Autoantibodies

THURSDAY, June 12, 2014 (HealthDay News) -- For infants at risk for type 1 diabetes, hydrolyzed formula does not reduce the incidence of diabetes-associated autoantibodies, compared to conventional formula, according to a study published in the June 11 issue of the Journal of the American Medical Association,a theme issue on diabetes.

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Data From EHRs Should Be Used to Improve Patient Care

THURSDAY, June 12, 2014 (HealthDay News) -- The data from electronic health records (EHRs) should be utilized to improve the quality of patient care, according to an article published online June 10 in Medical Economics.

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Mortality Risk Up With Addition of Insulin to Metformin

THURSDAY, June 12, 2014 (HealthDay News) -- For patients with diabetes receiving metformin, the addition of insulin is associated with an increased risk of a composite of acute myocardial infarction (AMI), stroke, or death, compared with addition of a sulfonylurea. These findings were published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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Marriage, Not Cohabitation, Pays Health Dividends for Men

WEDNESDAY, June 11, 2014 (HealthDay News) -- Single and married men are more likely to see a doctor regularly than those living with a partner out of wedlock, according to a new U.S. National Center for Health Statistics (NCHS) study.

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Mindfulness, Cognitive Therapy Beneficial in Diabetes

WEDNESDAY, June 11, 2014 (HealthDay News) -- For patients with diabetes and depressive symptoms, individual mindfulness-based cognitive therapy (MBCT) and individual cognitive behavior therapy (CBT) improve depressive symptoms, according to a study published online June 4 in Diabetes Care.

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Large Increase in Insulin Use Seen 2000 to 2010

WEDNESDAY, June 11, 2014 (HealthDay News) -- From 2000 to 2010 there was a large increase in the use of insulin analogs among privately insured patients with type 2 diabetes, according to a research letter published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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Bariatric Surgery Benefits Diabetes Over Long Term

TUESDAY, June 10, 2014 (HealthDay News) -- Long-term follow-up shows that, in patients with type 2 diabetes, bariatric surgery is associated with greater diabetes remission and fewer diabetes-related complications than usual care, according to a study published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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CDC: U.S. Diabetes Rate Jumps to 29 Million

TUESDAY, June 10, 2014 (HealthDay News) -- The number of Americans with diabetes rose from 26 million in 2010 to 29 million -- 9 percent of the population -- in 2012, according to a report from the U.S. Centers for Disease Control and Prevention.

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Cellphone Exposure May Harm Male Fertility

TUESDAY, June 10, 2014 (HealthDay News) -- Men who carry a cellphone in their pants pocket may harm their sperm and reduce their chances of having children, a new review warns.

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Millions Will Not Have to Pay ACA Tax Penalties: Report

TUESDAY, June 10, 2014 (HealthDay News) -- Although an estimated 30 million people will still be uninsured in 2016, only four million are expected to pay penalties, according to the latest report from the nonpartisan Congressional Budget Office (CBO).

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Study Identifies 41 Powerhouse Fruits and Vegetables

TUESDAY, June 10, 2014 (HealthDay News) -- Forty-one powerhouse fruits and vegetables (PFV) have been classified and validated, according to a study published online June 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Sleep Apnea Severity Predicts Risk of Incident Diabetes

TUESDAY, June 10, 2014 (HealthDay News) -- Obstructive sleep apnea (OSA) severity predicts the risk of incident diabetes, according to a study published online June 4 in the American Journal of Respiratory and Critical Care Medicine.

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Incentives May Lead to Greater Support for Practice Goals

MONDAY, June 9, 2014 (HealthDay News) -- Incentives may aid employees in meeting practice goals, according to an article published May 23 in Medical Economics.

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Depression With Atypical Features Tied to Obesity

MONDAY, June 9, 2014 (HealthDay News) -- The atypical subtype of major depressive disorder (MDD) strongly predicts obesity, according to a study published online June 4 in JAMA Psychiatry.

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Vit D, Parathyroid Hormone Influence Glucose Metabolism

MONDAY, June 9, 2014 (HealthDay News) -- Levels of parathyroid hormone (PTH) should be considered when evaluating the effect of vitamin D status on glucose metabolism, according to research published online May 29 in Diabetes.

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Veterans Affected by Scandal May Seek Private Care

FRIDAY, June 6, 2014 (HealthDay News) -- The recent scandal at the U.S. Department of Veterans Affairs (VA) may lead to more veteran visits to private physicians and community health centers, according to an article published June 2 in Medical Economics.

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Physician Political Contributions Are Increasing, Shifting

FRIDAY, June 6, 2014 (HealthDay News) -- The political alignment of physicians in the United States has shifted from predominantly Republican to predominantly Democrat, based in part on the larger number of women physicians and smaller percentage of physicians practicing solo or in small practices, according to research published online June 2 in JAMA Internal Medicine.

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Review: BPA Is Reproductive Toxicant, Especially in Females

FRIDAY, June 6, 2014 (HealthDay News) -- Bisphenol A (BPA) is an ovarian and uterine toxicant, and may be a testicular toxicant, according to a review published online June 4 in Environmental Health Perspectives.

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Many 'Inconsistencies' in ACA Sign-Ups: Report

THURSDAY, June 5, 2014 (HealthDay News) -- A new government document finds that more than a quarter of the eight million people who signed up for coverage under the Obama Administration's new health care law have "inconsistencies" in the data they supplied.

Health Highlights: June 5, 2014

Gastric Bypass Sx May Be Best Strategy for Obese T2DM Patients

THURSDAY, June 5, 2014 (HealthDay News) -- Compared to diet and lifestyle changes, gastric bypass surgery appears to be the clear winner in helping obese people with type 2 diabetes lose weight and even rid themselves of the disease, according to a pair of studies published online June 4 in JAMA Surgery.

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Financial Incentive Can Up Fruit, Vegetable Purchases

THURSDAY, June 5, 2014 (HealthDay News) -- An intervention to increase fruit and vegetable purchases at farmers' markets for recipients of food assistance (Shop N Save [SNS]) correlates with a significant increase in use of food assistance at the farmers' market, according to a study published online May 22 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Risk of Unnatural Death Is Higher in Diabetes Patients

THURSDAY, June 5, 2014 (HealthDay News) -- Unnatural deaths occur more frequently among individuals with diabetes, according to research published online May 21 in Diabetes Care.

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Claim Denials Expected to Increase

WEDNESDAY, June 4, 2014 (HealthDay News) -- Even with good office procedures, most practices are plagued by claim denials, a hassle that is expected to increase in the coming years, according to an article published May 8 in Medical Economics.

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Most Physicians Would Forgo Aggressive Treatment

WEDNESDAY, June 4, 2014 (HealthDay News) -- Although physicians regularly recommend high-intensity, aggressive, life-prolonging care for their terminally ill patients, the vast majority would choose to forgo such care for themselves at the end of life, according to a study published online May 28 in PLOS ONE.

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Inflammation in PCOS Exacerbated by Pregnancy

WEDNESDAY, June 4, 2014 (HealthDay News) -- In patients with polycystic ovary syndrome (PCOS), low-grade chronic inflammation persists and is exacerbated by pregnancy, according to research published online May 29 in the Journal of Clinical Endocrinology & Metabolism.

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Circadian Misalignment May Impact Diabetes Risk

WEDNESDAY, June 4, 2014 (HealthDay News) -- Circadian misalignment decreases insulin sensitivity and increases inflammation, and is independent of sleep loss in men, according to a study published in the June issue of Diabetes.

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Outcomes of CABG Worse in Patients With Diabetes

TUESDAY, June 3, 2014 (HealthDay News) -- Coronary artery bypass graft surgery (CABG) is more expensive and the risk of long-term adverse outcomes is greater in patients with diabetes mellitus (DM), according to research published in the June issue of the Annals of Thoracic Surgery.

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Quality Up in Patient-Centered Medical Home Care

TUESDAY, June 3, 2014 (HealthDay News) -- The patient-centered medical home (PCMH) model of care is associated with quality improvements compared to care provided by physicians using paper medical records or electronic health records (EHRs), according to a study published in the June 3 issue of the Annals of Internal Medicine.

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EHRs Can Be Used to Boost Practice Revenue

TUESDAY, June 3, 2014 (HealthDay News) -- Practices can achieve return on investment (ROI) for implementation of electronic health record (EHR) systems if they participate in alternative delivery models, according to an article published May 8 in Medical Economics.

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Intensive Lifestyle Changes Lead to Lasting Improvement in T2DM

MONDAY, June 2, 2014 (HealthDay News) -- For obese/overweight adults with type 2 diabetes, an intensive lifestyle intervention (ILI) is associated with a reduced risk of incident depression and with better physical function, according to a study published in the June issue of Diabetes Care.

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