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March 2017 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for March 2017. 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.

90 Percent of U.S. Physicians Satisfied With Career Choice

FRIDAY, March 31, 2017 (HealthDay News) -- Nine out of 10 American doctors are happy with their choice of profession, even though they have some challenges, according to an American Medical Association (AMA) survey of 1,200 doctors, residents, and medical students, conducted in February.

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Thyroid Cancer Incidence, Mortality Up in U.S. Since 1974

FRIDAY, March 31, 2017 (HealthDay News) -- The overall incidence of thyroid cancer increased by 3.6 percent annually from 1974 to 2013, according to a study published online March 31 in the Journal of the American Medical Association.

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Church-Based Program Sings the Praises of Healthy Eating

FRIDAY, March 31, 2017 (HealthDay News) -- Implementing a 12-week Body and Soul program that includes demonstration of healthy recipes and peer counseling is associated with increases in weekly servings of fruit and vegetables among African-American church members, according to a community case study published online March 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Vertical Integration Insurance Products of Higher Quality

FRIDAY, March 31, 2017 (HealthDay News) -- Insurance products offered by hospitals and health systems, known as vertical integration, are generally of higher quality than other contracts, according to a study published in the March issue of Health Affairs.

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Predictive Low-Glucose Mgmt Cuts Hypoglycemic Events in T1D

FRIDAY, March 31, 2017 (HealthDay News) -- For children with type 1 diabetes, use of the predictive low-glucose management (PLGM) feature of the MiniMed 640G system is associated with a reduced number of hypoglycemic events, according to a study published online March 28 in Diabetes Care.

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Pregnancy Risks Upped in Women With Intellectual Disability

WEDNESDAY, March 29, 2017 (HealthDay News) -- Pregnant women with intellectual and developmental disabilities are at increased risk for adverse maternal and offspring outcomes, according to a study published in the April issue of BJOG: An International Journal of Obstetrics and Gynaecology.

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Teleretinal Diabetic Retinopathy Screening Ups Screening Rates

WEDNESDAY, March 29, 2017 (HealthDay News) -- A primary-care-based teleretinal diabetic retinopathy screening (TDRS) program can reduce wait times for DR screening and increase overall screening rates, according to a study published online March 27 in JAMA Internal Medicine.

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DAPT Cessation Patterns Vary With Diabetes Status After PCI

WEDNESDAY, March 29, 2017 (HealthDay News) -- For patients undergoing dual antiplatelet therapy (DAPT) after percutaneous coronary intervention with a drug-eluting stent (DES), DAPT cessation is significantly lower in patients with diabetes mellitus (DM), according to a study published in the March 27 issue of JACC: Cardiovascular Interventions.

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TV Ads for ACA Enrollment Linked to Decline in Uninsured Rates

TUESDAY, March 28, 2017 (HealthDay News) -- The volume of insurance advertisements during the first Affordable Care Act enrollment period correlated with change in uninsurance rates, with a higher volume of television advertisements linked to declines in uninsurance, according to a study published online March 15 in Health Affairs.

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ACP Issues Challenge to Cut Task Burden and Put Patients First

TUESDAY, March 28, 2017 (HealthDay News) -- In a position paper published online March 28 in the Annals of Internal Medicine, recommendations are presented to address the impact of administrative tasks and reduce the administrative burden on clinicians.

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Virtual Service Boosts Glycemic Control in Hospitalized Adults

TUESDAY, March 28, 2017 (HealthDay News) -- Implementation of a virtual glucose management service (vGMS) is associated with improved inpatient glycemic control, with decreases in hypoglycemia and hyperglycemia, according to a study published online March 28 in the Annals of Internal Medicine.

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Paid Malpractice Claims Cut in Half From 1992 to 2014 in U.S.

MONDAY, March 27, 2017 (HealthDay News) -- From 1992 to 2014 there was a decrease in the rate of malpractice claims paid on behalf of physicians in the United States, but mean compensation amounts increased, according to a study published online March 27 in JAMA Internal Medicine.

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Review: Several Classes of Drugs Treat Pain of Diabetic Neuropathy

MONDAY, March 27, 2017 (HealthDay News) -- Several classes of drugs reduce neuropathy-related pain better than placebo, according to a review published online March 24 in Neurology.

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Genetic Hyperglycemia Raises Risk of Coronary Artery Disease

MONDAY, March 27, 2017 (HealthDay News) -- Genetic predisposition to hyperglycemia raises the odds of coronary artery disease (CAD), independent of type 2 diabetes and other CAD risk factors, according to research published online March 15 in Diabetes Care.

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Increased Use of Newer Meds for Diabetic Nephropathy in the U.S.

MONDAY, March 27, 2017 (HealthDay News) -- From 2010 to 2014 there was an increase in use of diabetes medications, including sulfonylureas and dipeptidyl peptidase-4 inhibitors (DPP-4 inhibitors), among patients with diabetic nephropathy, according to a study published online March 15 in the Journal of Clinical Pharmacy and Therapeutics.

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Inositol Supplements Don't Prevent Gestational Diabetes

FRIDAY, March 24, 2017 (HealthDay News) -- Inositol supplementation in early pregnancy does not prevent gestational diabetes mellitus (GDM) in women with a family history of diabetes, according to a study published online March 21 in Diabetes Care.

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Many Youths With Diabetes Not Receiving Eye Examinations

FRIDAY, March 24, 2017 (HealthDay News) -- Many youths with diabetes do not receive eye examinations to screen for diabetic retinopathy by six years after initial diagnosis, according to a study published online March 23 in JAMA Ophthalmology.

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30-Day Mortality Down During Joint Commission Survey Weeks

THURSDAY, March 23, 2017 (HealthDay News) -- Patients admitted to the hospital during The Joint Commission on-site inspections (surveys) have reduced mortality compared to that seen during non-survey weeks, according to research published online March 20 in JAMA Internal Medicine.

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CANA/PHEN Aids Weight Loss in Obese Without Type 2 Diabetes

THURSDAY, March 23, 2017 (HealthDay News) -- For obese or overweight individuals without type 2 diabetes, coadministration of canagliflozin (CANA) and phentermine (PHEN) is associated with considerable weight loss and is well tolerated, according to a study published online March 13 in Diabetes Care.

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Global Tobacco Control Treaty Has Reduced Smoking Rates

THURSDAY, March 23, 2017 (HealthDay News) -- After 180 countries agreed to a global tobacco control treaty in 2005, there was a 2.55 percent decrease in smoking worldwide during the next decade, according to a study published online March 21 in The Lancet Public Health.

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High BMI in Late Teens Tied to Future Severe Liver Dz in Males

WEDNESDAY, March 22, 2017 (HealthDay News) -- High body mass index (BMI) in late adolescence is associated with future severe liver disease in males, with the risk further increased with type 2 diabetes mellitus (T2DM), according to a study published online March 20 in Gut.

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Warmer Weather Linked to Increased Incidence of Diabetes

TUESDAY, March 21, 2017 (HealthDay News) -- An increase in mean annual outdoor temperature is associated with increased age-adjusted incidence of diabetes in the United States and with increased worldwide prevalence of glucose intolerance, according to research published online March 20 in BMJ Open Diabetes Research & Care.

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Black, Asian Medical Students Less Likely to Be AΩA Members

TUESDAY, March 21, 2017 (HealthDay News) -- Black and Asian medical students are less likely to be members of the Alpha Omega Alpha (AΩA) honor society than white students, according to a study published online March 6 in JAMA Internal Medicine.

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Lack of Recent Health Care Tied to Unawareness of Diabetes

TUESDAY, March 21, 2017 (HealthDay News) -- Factors that are associated with being unaware of diabetes include not receiving health care in the past year, while a family history of diabetes and hospitalizations in the past year are factors associated with increased awareness, according to a study published online March 13 in Diabetes Care.

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Maternal Hyperglycemia Ups Offspring Cardiometabolic Risk

MONDAY, March 20, 2017 (HealthDay News) -- Maternal hyperglycemia during pregnancy is associated with increased risk of abnormal glucose tolerance, obesity, and increased blood pressure (BP) in offspring, independent of maternal obesity, according to a study published online March 9 in Diabetes Care.

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Caloric Restriction Normalizes Bile Acid, Cholesterol Deficiency

MONDAY, March 20, 2017 (HealthDay News) -- Acute caloric restriction normalizes hepatic bile acid (BA) and cholesterol deficiency that is seen in morbidly obese women, according to a study published online March 6 in the Journal of Internal Medicine.

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Los Angeles eConsult Program Can Reduce Wait Times

FRIDAY, March 17, 2017 (HealthDay News) -- Implementation of an electronic system for provision of specialty care was rapidly adopted in Los Angeles, and it can reduce wait times to see specialists, according to a study published in the March issue of Health Affairs.

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High-Intensity Aerobic Exercise May Help Reverse Cellular Aging

THURSDAY, March 16, 2017 (HealthDay News) -- High-intensity exercise training can reverse some manifestations of aging in the body's protein function, according to a study published in the March issue of Cell Metabolism.

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Appeals Court Upholds Restaurant Salt Warning

THURSDAY, March 16, 2017 (HealthDay News) -- An Empire State appeals court has upheld the New York City health department rule that requires restaurants to warn customers about menu items that exceed the 2,300 mg daily recommended sodium limit, according to a report from the American Medical Association (AMA).

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Short Course of Intensive Lifestyle, Drug Tx Helpful in T2DM

THURSDAY, March 16, 2017 (HealthDay News) -- Intensive lifestyle and drug therapy is associated with achievement of normoglycemia and sustained weight loss in patients with type 2 diabetes, according to a study published online March 15 in the Journal of Clinical Endocrinology & Metabolism.

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Access to Fertility Clinics Limited for Many U.S. Women

WEDNESDAY, March 15, 2017 (HealthDay News) -- Nearly 40 percent of reproductive-age women in the United States have little or no access to infertility clinics, according to a study published online March 10 in Fertility & Sterility.

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Women Underrepresented Among Grand Rounds Speakers

WEDNESDAY, March 15, 2017 (HealthDay News) -- Women seem to be underrepresented among academic grand rounds (GR) speakers, according to a research letter published online March 6 in JAMA Internal Medicine.

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Economic Benefit for Lifestyle Modification in Prediabetes

WEDNESDAY, March 15, 2017 (HealthDay News) -- For individuals with prediabetes, participation in lifestyle modifications such as the National Diabetes Prevention Program (DPP) is associated with economic benefit, according to a study published online Feb. 13 in Population Health Management.

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Support for Health Law Up to 48 Percent in February

TUESDAY, March 14, 2017 (HealthDay News) -- Support for the health law is increasing, with most Americans feeling that Medicaid should continue as it is today, according to a report published by Kaiser Health News.

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ADA Updates Standards of Medical Care in Diabetes

TUESDAY, March 14, 2017 (HealthDay News) -- The American Diabetes Association (ADA) recommends metformin as first-line therapy for type 2 diabetes, according to a synopsis of the 2017 ADA Standards of Medical Care in Diabetes published online March 14 in the Annals of Internal Medicine.

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Adverse CV Events Up Post Failure of Fertility Therapy

TUESDAY, March 14, 2017 (HealthDay News) -- Failed fertility therapy may increase risk of long-term adverse cardiovascular events, according to a study published online March 13 in CMAJ, the journal of the Canadian Medical Association.

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Higher Spending by Physicians Not Tied to Better Outcomes

MONDAY, March 13, 2017 (HealthDay News) -- Medicare patients treated by higher-spending physicians are just as likely to be readmitted or die within 30 days of being admitted to the hospital as patients treated by doctors who order fewer or less-expensive tests and treatments, according to a study published online March 13 in JAMA Internal Medicine.

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Risk of T2DM at Different BMIs Varies With Ethnicity

MONDAY, March 13, 2017 (HealthDay News) -- The risk of developing type 2 diabetes mellitus (T2DM) associated with body mass index (BMI) varies between ethnic groups, according to a study published online Feb. 17 in Diabetes, Obesity and Metabolism.

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Lowering Cost of Healthy Foods Increases Consumption

FRIDAY, March 10, 2017 (HealthDay News) -- Governments could boost the consumption of healthy food by making it less expensive, as well as requiring that unhealthier food be more expensive, according to research published online March 1 in PLOS ONE.

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ATA Guidelines Available As Pocket Cards, Mobile Apps

FRIDAY, March 10, 2017 (HealthDay News) -- Two additional quick-reference tools, which offer guidance on management of various thyroid disorders, have been launched by the American Thyroid Association.

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Patients With Thyroid CA Who Choose No Rx Report Isolation

FRIDAY, March 10, 2017 (HealthDay News) -- Patients with thyroid cancer who decide not to intervene experience anxiety, may feel isolated, and are at risk of disengaging from health care, according to a study published online March 9 in JAMA Otolaryngology-Head and Neck Surgery.

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Better Outcomes in T2DM With No Delay in Tx Intensification

FRIDAY, March 10, 2017 (HealthDay News) -- For patients with type 2 diabetes, not delaying intensification of oral antidiabetic drugs (OADs) is associated with greater reductions in hemoglobin A1c (HbA1c), and with reduced risks of cardiovascular events and amputations, according to a study published online Feb. 17 in Diabetes, Obesity and Metabolism.

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Cardiometabolic Risk Factors Not Always Seen With Obesity

THURSDAY, March 9, 2017 (HealthDay News) -- Almost 10 percent of obese people have no cardiometabolic risk factors (CRFs), according to research published March 9 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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ACA's Medicaid Expansion May Pose Challenges to Timely Care

THURSDAY, March 9, 2017 (HealthDay News) -- People living in states that expanded Medicaid under the Affordable Care Act (ACA) are less likely to be uninsured or struggling with the strain of unpaid medical bills, but they also seem to have increased difficulty receiving timely care, according to research published in the March 9 issue of the New England Journal of Medicine.

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Diet Tied to Large Proportion of Cardiometabolic Deaths

WEDNESDAY, March 8, 2017 (HealthDay News) -- Nearly half of all deaths from heart disease, stroke, and diabetes in the United States are associated with diets that lack certain foods and nutrients, such as vegetables, and exceed optimal levels of others, like salt, according to a study published in the March 7 issue of the Journal of the American Medical Association.

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Vildagliptin, Metformin Have Different Effects on BP in T2DM

WEDNESDAY, March 8, 2017 (HealthDay News) -- For patients with type 2 diabetes, vildagliptin lowers blood pressure (BP) and elevates heart rate (HR), while metformin increases HR with no effect on BP during intraduodenal (ID) glucose infusion, according to a study published online March 3 in Diabetes Care.

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Fewer Americans Actively Trying to Lose Weight

TUESDAY, March 7, 2017 (HealthDay News) -- One in every three people in the United States is now obese, compared with one in five 20 years ago, but many have given up on trying to lose the excess weight, according to a research letter published in the March 7 issue of the Journal of the American Medical Association.

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Diabetes Ups Risk of Adverse Outcomes in Chronic Heart Failure

TUESDAY, March 7, 2017 (HealthDay News) -- For outpatients with chronic heart failure, diabetes is associated with increased risk of one-year adverse outcomes, according to a study published online March 2 in Diabetes Care.

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Increased Nonvertebral Fracture Risk After Roux-en-Y Bypass

TUESDAY, March 7, 2017 (HealthDay News) -- Roux-en-Y gastric bypass (RYGB) is associated with increased nonvertebral fracture risk compared with adjustable gastric banding (AGB), according to a study published online March 2 in the Journal of Bone and Mineral Research.

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Republicans Introduce Affordable Care Act Replacement

TUESDAY, March 7, 2017 (HealthDay News) -- An initial Republican replacement for the Affordable Care Act was formally introduced in the House of Representatives on Monday.

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Most Health Care Providers Can Offer Cost Estimate

MONDAY, March 6, 2017 (HealthDay News) -- Most provider organizations can offer a cost estimate, although few patients request one, according to a report published by Becker's Hospital CFO.

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Metreleptin Doesn't Improve Glycemic Control in T1DM

MONDAY, March 6, 2017 (HealthDay News) -- For patients with suboptimally controlled type 1 diabetes mellitus (T1DM), metreleptin does not improve glycemic control, but is associated with reductions in body weight and daily insulin dose, according to a study published online Feb. 21 in Diabetes Care.

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Judgement Bias in Medical Device Recall Decisions

FRIDAY, March 3, 2017 (HealthDay News) -- The characteristics of the signal in user feedback of adverse events associated with medical devices and the situated context of decision makers correlate with judgement bias in reacting to these adverse events, according to research published online Jan. 29 in Production and Operations Management.

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Overall, 8.8 Percent of U.S. Population Uninsured in 2016

THURSDAY, March 2, 2017 (HealthDay News) -- Overall, 8.8 percent of individuals of all ages were uninsured in the first nine months of 2016, which marked a nonsignificant reduction from 2015, according to a Feb. 14 report from the National Center for Health Statistics.

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Reduced Health Care Use for Exenatide Regimens in T2DM

THURSDAY, March 2, 2017 (HealthDay News) -- For patients with type 2 diabetes, treatment with exenatide is associated with reduced health care resource use and costs compared with basal insulin (BI) regimens, according to a study published online Feb. 20 in Diabetes, Obesity and Metabolism.

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Cognitive Outcomes in Children No Better With Levothyroxine Tx

THURSDAY, March 2, 2017 (HealthDay News) -- Treatment for subclinical hypothyroidism or hypothyroxinemia before 20 weeks of gestation is not associated with better cognitive outcomes in children, according to a study published in the March 2 issue of the New England Journal of Medicine.

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Poor Knowledge of Charcot Neuroarthropathy Reported

WEDNESDAY, March 1, 2017 (HealthDay News) -- Most non-foot specialist clinical faculty members at a large academic institution have poor or complete lack of knowledge of Charcot neuroarthropathy (CN), according to a study published online Feb. 8 in Clinical Diabetes and Endocrinology.

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Complication Rates Often Higher in Youth With T2DM Versus T1DM

WEDNESDAY, March 1, 2017 (HealthDay News) -- Young people with type 2 diabetes are much more likely to show signs of complications from the disease than those who have type 1 diabetes, according to a study published in the Feb. 28 issue of the Journal of the American Medical Association.

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Physician's Briefing
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