December 2015 Briefing - Diabetes & Endocrinology

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Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for December 2015. 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.

AMA: Burnout Is Top Issue for Physicians in 2015

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- Physician burnout is the top issue for physicians in 2015, according to a report published by the American Medical Association (AMA).

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Celiac Disease Ups Autoimmune Thyroid Disease Risk in T1DM

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- Celiac disease (CD) is a risk factor for development of autoimmune thyroid disease (ATD) in patients with type 1 diabetes (T1D), according to a study published online Dec. 17 in Diabetes Care.

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Researchers Call for Retraction of Nitroglycerin-Bone Density Study

WEDNESDAY, Dec. 30, 2015 (HealthDay News) -- Some authors of a published study that claimed nitroglycerin might boost bone density in older women have asked that the study be retracted, saying the lead researcher falsified data in the report. The research was first published in February 2011 in the Journal of the American Medical Association. The request for a retraction appeared online Dec. 28 on the journal's website.

Notice of Retraction

Eating Potatoes on a Regular Basis May Up Risk of T2DM

TUESDAY, Dec. 29, 2015 (HealthDay News) -- Greater potato consumption is associated with increased risk of type 2 diabetes (T2D), according to a study published online Dec. 17 in Diabetes Care.

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Thyroid CA Patients Report Poor QOL, Despite Good Prognoses

TUESDAY, Dec. 29, 2015 (HealthDay News) -- Thyroid cancer survivors report lower quality of life than people who survive other cancers, according to research published in the Dec. 17 issue of Thyroid.

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Cohesive Care Team Ups Health Benefit of EHR Use in Diabetes

TUESDAY, Dec. 29, 2015 (HealthDay News) -- Electronic health record (EHR)-related health improvement is greater for patients with diabetes cared for by primary care teams with higher cohesion, according to a study published online Dec. 10 in the American Journal of Managed Care.

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Higher Hospital Prices in U.S. 'Monopoly Markets'

MONDAY, Dec. 28, 2015 (HealthDay News) -- Prices at hospitals in monopoly markets are 15 percent higher than those at hospitals in areas with at least four providers, according to research published recently at the Health Care Pricing Project website.

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Better Info Needed in Transfer From Peds to Adult Care for T1DM

MONDAY, Dec. 28, 2015 (HealthDay News) -- For young adults with type 1 diabetes transitioning from pediatric care to adult endocrinologists, information transfer seems to be inadequate, according to research published online Dec. 17 in Diabetes Care.

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Specific, Consistent ICD-10 Coding Key to Timely Payments

TUESDAY, Dec. 22, 2015 (HealthDay News) -- In order to prevent denials, it is important to code correctly within the International Classification of Diseases, Tenth Revision (ICD-10), with specificity matching documentation, according to an article published in Medical Economics.

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Intranasal Glucagon Treats Hypoglycemia in Type 1 Diabetes

MONDAY, Dec. 21, 2015 (HealthDay News) -- For patients with type 1 diabetes, intranasal glucagon is effective for treating insulin-induced hypoglycemia, according to a study published online Dec. 17 in Diabetes Care.

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Affordable Care Act Has Improved Access to Care, Affordability

MONDAY, Dec. 21, 2015 (HealthDay News) -- Implementation of the Affordable Care Act has improved access to care and affordability of care for many adults, according to a study published in the December issue of Health Affairs.

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Intra-Pancreatic Triacylglycerol Drops With Weight Loss in T2DM

MONDAY, Dec. 21, 2015 (HealthDay News) -- The weight loss-associated decrease in intra-pancreatic triacylglycerol which occurs after gastric bypass is specific to type 2 diabetes mellitus (T2DM), according to a study published online Dec. 1 in Diabetes Care.

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High T, Estradiol Increases Risk of Incident Fibroid Development

FRIDAY, Dec. 18, 2015 (HealthDay News) -- Having high testosterone (T) along with high estradiol (E2) levels is associated with an elevated risk of incident fibroids during midlife in women, according to a study published online Dec. 15 in the Journal of Clinical Endocrinology & Metabolism.

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Meta-Analysis: Risk of Dementia Up in Type 2 Diabetes

FRIDAY, Dec. 18, 2015 (HealthDay News) -- The risk of dementia is increased for individuals with type 2 diabetes, and the additional risk of vascular dementia, but not nonvascular dementia, is greater in women than in men, according to a meta-analysis published online Dec. 17 in Diabetes Care.

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Prevalence of Diabetes, Diabetic Nephropathy Up in U.S. Children

THURSDAY, Dec. 17, 2015 (HealthDay News) -- For the commercially-insured pediatric population in the United States, the prevalence of diabetes and diabetic nephropathy increased from 2002 to 2013, according to a study published online Dec. 17 in Diabetes Care.

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ART Conception Tied to Increased Odds of Maternal Morbidity

THURSDAY, Dec. 17, 2015 (HealthDay News) -- For singleton pregnancies, conception with assisted reproductive technology (ART) is associated with increased risk of severe maternal morbidity, according to a study published in the January issue of Obstetrics & Gynecology.

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Industry Outpacing NIH in Funding Research

WEDNESDAY, Dec. 16, 2015 (HealthDay News) -- There's been a sharp rise in the number of industry-funded clinical trials and a significant decline in those financed by the U.S. government in recent years, according to findings published in the Dec. 15 issue of the Journal of the American Medical Association.

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Postpartum Lifestyle Program Cuts Weight Retention in GDM

WEDNESDAY, Dec. 16, 2015 (HealthDay News) -- A diabetes prevention program (DPP)-derived lifestyle intervention is beneficial for addressing postpartum weight retention for women with gestational diabetes mellitus, according to a study published online Dec. 9 in Diabetes Care.

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Early Gestational Diabetes Tied to Poor Outcomes

MONDAY, Dec. 14, 2015 (HealthDay News) -- Diagnosis of gestational diabetes mellitus (GDM) early in pregnancy remains associated with poorer pregnancy outcomes, according to a study published online Dec. 8 in Diabetes Care.

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Early Sexual Maturation Doesn't Always Signal Onset of Puberty

MONDAY, Dec. 14, 2015 (HealthDay News) -- Children who develop certain signs of puberty at an early age are commonly referred to specialists for an evaluation, but this is often unnecessary, according to a new American Academy of Pediatrics report published online Dec. 14 in Pediatrics.

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New Model of Inpatient Care Can Improve Outcomes

MONDAY, Dec. 14, 2015 (HealthDay News) -- Implementation of a new model of care can improve outcomes of care in medical and surgical units, according to a study published in the December issue of the Journal of Hospital Medicine.

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Seven Behaviors Suggested to Improve 'Art of Medicine'

FRIDAY, Dec. 11, 2015 (HealthDay News) -- Seven behaviors should be implemented to improve the art of medicine, which can help improve relationships with patients, according to an article published in Family Practice Management.

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Excessive Testing May Be Compromising T2DM Care

THURSDAY, Dec. 10, 2015 (HealthDay News) -- Many Americans with type 2 diabetes may be getting unnecessary tests -- and, in some cases, needless changes in medication, according to a study published online Dec. 8 in The BMJ.

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Percentage of Graduates Entering GME Stable Over Past Decade

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- Despite an increase in the number of U.S. medical school graduates, over the past decade the percentage entering graduate medical education (GME) training has remained stable, according to a research letter published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Warfarin + Sulfonylureas May Increase Risk of Hospitalization

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- Taking warfarin at the same time as glipizide or glimepiride may increase the risk of hospitalization, according to a study published online Dec. 7 in The BMJ.

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Depression Not Uncommon Among Resident Physicians

WEDNESDAY, Dec. 9, 2015 (HealthDay News) -- More than one in four doctors-in-training may be depressed, which could put their patients at risk, according to a study published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Med Ed Can Be Improved for High-Value, Cost-Conscious Care

TUESDAY, Dec. 8, 2015 (HealthDay News) -- The combination of effective transmission of knowledge, facilitation of reflective practice, and a supportive environment can educate physicians to deliver high-value, cost-conscious care, according to a review published in the Dec. 8 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Maternal PCOS May Raise Odds for Autism in Offspring

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Children of mothers with polycystic ovary syndrome (PCOS) may have an increased risk for autism spectrum disorders (ASDs), according to research published online Dec. 8 in Molecular Psychiatry.

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CDC: Fewer Americans Struggling With Medical Bills

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Fewer American families are struggling to pay medical bills, according to a report from the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Review Compares Outcomes, Safety for Once-Weekly GLP-1RAs

TUESDAY, Dec. 8, 2015 (HealthDay News) -- Cardiometabolic outcomes and safety vary among different once-weekly glucagon-like peptide-1 receptor agonist (GLP-1RA) treatments, according to a review published online Dec. 8 in the Annals of Internal Medicine.

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U.S. Health Care Spending Increased in 2014

TUESDAY, Dec. 8, 2015 (HealthDay News) -- The expansion of insurance coverage and increases in retail prescription drug spending contributed to an increase in total national health care expenditures in 2014, according to a report published online Dec. 2 in Health Affairs.

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AAP: Screen All Children for Cholesterol, Depression, HIV

MONDAY, Dec. 7, 2015 (HealthDay News) -- All children should be screened for high cholesterol, depression, and HIV, with some tests starting as early as age 9, according to new guidelines from the American Academy of Pediatrics published online Dec. 7 in Pediatrics.

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Bariatric Surgery Beats Medical Control for Diabetes Remission

MONDAY, Dec. 7, 2015 (HealthDay News) -- Surgery is more effective than medical control for diabetes remission, with predictors including lower baseline glycemia and shorter diabetes duration, according to research published online Dec. 1 in Diabetes Care.

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Breaking Up Prolonged Sitting Benefits Postmenopausal Women

MONDAY, Dec. 7, 2015 (HealthDay News) -- Breaking up prolonged sitting with standing or walking improves postprandial markers of cardiometabolic health in overweight/obese, dysglycemic, postmenopausal women, according to a study published online Dec. 1 in Diabetes Care.

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Transgender Transition Treatment Deemed Cost-Effective

MONDAY, Dec. 7, 2015 (HealthDay News) -- Providing sex reassignment surgery and hormone treatment for transgender men and women is cost-effective, according to a study published online recently in the Journal of General Internal Medicine.

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Metformin Linked to Beneficial Changes in Gut Bacteria

FRIDAY, Dec. 4, 2015 (HealthDay News) -- Metformin appears to trigger favorable changes in intestinal bacteria, according to a study published online Dec. 2 in Nature.

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Testosterone Treatment Tied to Improved Insulin Sensitivity

FRIDAY, Dec. 4, 2015 (HealthDay News) -- For men with type 2 diabetes and hypogonadotropic hypogonadism (HH), testosterone treatment is associated with improved insulin sensitivity, according to a study published online Nov. 29 in Diabetes Care.

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CDC: Too Few Taking Needed Cholesterol-Lowering Drugs

FRIDAY, Dec. 4, 2015 (HealthDay News) -- Nearly half of American adults who should be taking cholesterol-lowering drugs don't, according to research published in the Dec. 4 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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IV Bisphosphonate Tx Linked to Drop in Bone Turnover in DMD

FRIDAY, Dec. 4, 2015 (HealthDay News) -- For patients with Duchenne muscular dystrophy (DMD), intravenous bisphosphonate therapy is associated with declines in bone turnover, according to a study published online Nov. 28 in the Journal of Bone and Mineral Research.

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Plasma Prekallikrein May Be Vascular Risk Factor in T1DM

THURSDAY, Dec. 3, 2015 (HealthDay News) -- Plasma prekallikrein (PK) is associated with vascular disease risk in type 1 diabetes, according to a study published online Nov. 24 in Diabetes.

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AMA: Case Before Supreme Court Threatens Patient Privacy

THURSDAY, Dec. 3, 2015 (HealthDay News) -- A case before the Supreme Court is potentially threatening patient confidentiality, according to the American Medical Association (AMA).

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Lixisenatide Doesn't Affect Cardiovascular Risk in T2DM

THURSDAY, Dec. 3, 2015 (HealthDay News) -- The addition of lixisenatide to usual care does not impact the rate of major cardiovascular events or other serious adverse events among patients with type 2 diabetes and a recent acute coronary syndrome, according to a study published in the Dec. 3 issue of the New England Journal of Medicine.

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Burnout Rates on the Rise for Physicians

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- Burnout is a growing problem among American doctors, according to research published in the December issue of the Mayo Clinic Proceedings.

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Metformin Does Not Boost Glycemic Control in T1DM

WEDNESDAY, Dec. 2, 2015 (HealthDay News) -- Adding metformin to insulin therapy won't boost glycemic control for overweight teens with type 1 diabetes, according to a study published in the Dec. 1 issue of the Journal of the American Medical Association.

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Lower Patient Satisfaction With High Clinician Computer Use

TUESDAY, Dec. 1, 2015 (HealthDay News) -- For patients in safety-net clinics, high computer use by clinicians is associated with lower patient satisfaction and differences in communication, according to a research letter published online Nov. 30 in JAMA Internal Medicine.

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