February 2017 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 February 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.

Strategies Suggested to Protect Practices From Hackers

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Steps should be taken to protect medical practices, including small practices, from hackers, according to a report published in Medical Economics.

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Physician Burnout Eroding Sense of Calling

TUESDAY, Feb. 28, 2017 (HealthDay News) -- For physicians across specialties, burnout is associated with reduced odds of a sense of calling, according to a study published online Feb. 8 in the Mayo Clinic Proceedings.

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Differences in Arrhythmic Risk in Nocturnal, Daytime Hypoglycemia

TUESDAY, Feb. 28, 2017 (HealthDay News) -- For young adults with type 1 diabetes, there are differences in arrhythmic risk and cardiac repolarization during nocturnal versus daytime hypoglycemia, according to a study published online Feb. 17 in Diabetes Care.

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Higher Dietary Potassium to Sodium Ratio Can Lower CVD Risk

TUESDAY, Feb. 28, 2017 (HealthDay News) -- Higher dietary potassium seems to be associated with reduced blood pressure, regardless of sodium intake, with the postulated mechanism involving the distal tubule sodium chloride cotransporter (NCC), according to research published online Feb. 7 in the American Journal of Physiology - Endocrinology and Metabolism.

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Sugar-Sweetened Drink Tax Tied to Sustained Drop in Purchase

MONDAY, Feb. 27, 2017 (HealthDay News) -- Implementation of a tax on sugar-sweetened beverages is associated with a sustained reduction in purchases of taxed beverages, according to a study published online Feb. 22 in Health Affairs.

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Supreme Court Rules Patient Safety Data Subject to Litigation

MONDAY, Feb. 27, 2017 (HealthDay News) -- The Supreme Court of Florida has reversed a District Court of Appeal decision deeming information related to patient safety unprotected from litigation discovery, according to a report published from the American Medical Association.

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USPSTF Recommendation for Overweight, Obese Cost-Effective

MONDAY, Feb. 27, 2017 (HealthDay News) -- Implementing the 2014 U.S. Preventive Services Task Force (USPSTF) recommendations for behavioral counseling is likely to be cost-effective for overweight and obese adults, according to research published online Feb. 17 in Diabetes Care.

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Periodontitis May Be Early Sign of Undiagnosed Diabetes

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Periodontal disease may be a sign of undiagnosed type 2 diabetes, according to a study published in the January issue of BMJ Open Diabetes Research & Care.

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$20 Million Awarded for Quality Payment Program Training

FRIDAY, Feb. 24, 2017 (HealthDay News) -- About $20 million has been awarded to 11 organizations for the first of a five-year program to provide training and education about the Quality Payment Program for clinicians in individual or small group practices, with up to $80 million to be invested over the remaining four years, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

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DPP-4i Treatment Doesn't Up MI, Stroke Risk in Seniors

FRIDAY, Feb. 24, 2017 (HealthDay News) -- For older U.S. Medicare beneficiaries, dipeptidyl peptidase-4 inhibitors (DPP-4i) treatment is not associated with increased cardiovascular (CV) risk relative to sulfonylureas (SU) and thiazolidinediones (TZD), according to a study published online Feb. 14 in Diabetes, Obesity and Metabolism.

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Central Adiposity More Harmful Than Obesity in Older Women

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Among women 70 to 79, being overweight or obese doesn't appear to shorten life span -- unless the weight is centered around the waist; however, being underweight does appear to shorten life span, according to a study published online Feb. 23 in the Journal of the American Geriatrics Society.

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10 Portions of Produce a Day Can Confer Great Health Benefit

FRIDAY, Feb. 24, 2017 (HealthDay News) -- Ten daily servings of fruits and vegetables may be a key to reducing the risk of myocardial infarction, stroke, cancer, and premature death, according to a review published online Feb. 22 in the International Journal of Epidemiology.

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Cytomegalovirus May Up Risk of Diabetes, CVD in Some Women

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cytomegalovirus (CMV) infection may make some women more susceptible to both cardiovascular disease and type 2 diabetes, according to research published online Feb. 23 in Obesity.

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Cyberattacks Remain Serious Threat to Health Providers

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Cyberattacks remain a serious threat to small providers as well as big institutions, according to a report published in Medical Economics.

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Glucagon Receptor Antagonist Ups Blood Pressure in T2DM

THURSDAY, Feb. 23, 2017 (HealthDay News) -- For patients with type 2 diabetes, once-daily treatment with the glucagon receptor antagonist LY2409021 is associated with increases in ambulatory blood pressure (BP), according to a study published online Feb. 13 in Diabetes, Obesity and Metabolism.

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Adiponectin Tied to Increased CV Risk in T2DM, Acute Coronary Sx

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- For patients with type 2 diabetes and acute coronary syndrome (ACS), adiponectin concentration is associated with increased risk of certain cardiovascular (CV) outcomes, according to a study published online Feb. 14 in Diabetes, Obesity and Metabolism.

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Health Information Theft a Pressing Concern for U.S. Patients

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- Forty-four percent of U.S. adults are worried about having their personal health care information stolen, according to findings from the Xerox eHealth Survey published Feb. 9 in HIT Consultant.

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Weight Loss of 10% Beneficial in Overweight, Not Obese, With DM

WEDNESDAY, Feb. 22, 2017 (HealthDay News) -- For overweight, but not obese, individuals with type 2 diabetes (T2D), sustained weight loss (WL) of 10 percent body weight is associated with clinically meaningful cardiometabolic changes, according to research published online Feb. 19 in Diabetes Care.

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CMS Rule Set to Stabilize Small Health Insurance Markets

TUESDAY, Feb. 21, 2017 (HealthDay News) -- The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

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Maintenance Intervention Improves Long-Term Weight Loss

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Successful weight maintenance may be more likely with a series of post-diet coaching sessions conducted mostly by phone, according to a study published online Feb. 21 in the Annals of Internal Medicine.

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Reduced Endothelium-Dependent Vasodilation in T2DM

TUESDAY, Feb. 21, 2017 (HealthDay News) -- Patients with type 2 diabetes have reduced endothelium-dependent vasodilation, regardless of the presence of polyneuropathy, according to a study published online Feb. 15 in Diabetes Care.

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Excess BMI Ups Risk of T1DM in Autoantibody-Positive Relatives

MONDAY, Feb. 20, 2017 (HealthDay News) -- For autoantibody-positive relatives of patients with type 1 diabetes, elevated body mass index (BMI) is associated with increased risk of progression to type 1 diabetes, especially for those aged younger than 12 years, according to a study published online Feb. 15 in Diabetes Care.

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Increased Active Vitamin D May Help Optimize Muscle Strength

MONDAY, Feb. 20, 2017 (HealthDay News) -- High blood levels of active vitamin D may increase muscle strength, according to a study published online Feb. 15 in PLOS ONE.

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Optimal Length of Pregnancy With GDM Questioned

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Adverse perinatal outcomes are higher in insulin-treated gestational diabetes (GDM) than in non-insulin-treated GDM for most outcomes; however, optimal timing of delivery may be earlier than currently recommended, according to a study published online Feb. 15 in Diabetologia.

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Metformin Use Linked to Less Vitamin B12 Measurement

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Long-term metformin use is associated with lower serum vitamin B12 concentration, although metformin users are less likely to receive vitamin B12 testing, according to a study published online Feb. 9 in the Journal of the American Geriatrics Society.

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Vitamin D May Help Reduce Risk of Acute Respiratory Infection

THURSDAY, Feb. 16, 2017 (HealthDay News) -- There's preliminary evidence that adequate amounts of vitamin D might help lower rates of acute respiratory infections, according to a review published online Feb. 15 in The BMJ.

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Health Care Spending Expected to Grow 5.6% Annually to 2025

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Health care spending is expected to grow at an average annual rate of 5.6 percent from 2016 to 2025, according to a report published online Feb. 15 in Health Affairs.

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Liraglutide May Blunt Impact of Exercise in Dysregulated T2DM

THURSDAY, Feb. 16, 2017 (HealthDay News) -- For individuals with dysregulated type 2 diabetes, the addition of the glucagon-like peptide-1 receptor agonist (GLP-1RA) liraglutide may attenuate the impact of exercise, according to a study published online Feb. 11 in Diabetes, Obesity and Metabolism.

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Bariatric Surgery Tied to T2DM Resolution in Obese Patients

THURSDAY, Feb. 16, 2017 (HealthDay News) -- Five years after bariatric surgery, patients with type 2 diabetes who have the procedure show better improvements in quality of life and overall health, compared with those who only take diabetes medications, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.

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Lixisenatide Beneficial in Seniors With Uncontrolled Diabetes

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- Lixisenatide is more effective than placebo for older patients with uncontrolled diabetes on their current medication, with no unexpected safety findings, according to a study published online Feb. 10 in Diabetes Care.

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Dulaglutide Linked to Higher Adherence in T2DM

WEDNESDAY, Feb. 15, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), dulaglutide is associated with higher adherence and lower discontinuation than exenatide once weekly (QW) or liraglutide, according to a study published online Feb. 9 in Diabetes, Obesity and Metabolism.

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Bariatric Embolization Feasible for Severely Obese

WEDNDESDAY, Feb. 15, 2017 (HealthDay News) -- For severely obese patients, bariatric embolization is feasible and seems to be well tolerated, according to a study published online Feb. 14 in Radiology.

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Circulating Extracellular RNAs Linked to Insulin Resistance

TUESDAY, Feb. 14, 2017 (HealthDay News) -- Circulating extracellular RNAs (ex-RNAs) are associated with insulin resistance (IR), according to a study published online Feb. 9 in Diabetes Care.

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FDA Issues Safety Alert for Fluid-Filled Intragastric Balloons

MONDAY, Feb. 13, 2017 (HealthDay News) -- Fluid-filled intragastric balloons used to treat obesity have been linked to two different types of adverse events, according to the U.S. Food and Drug Administration.

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Similar Metabolic Response to Animal, Plant Protein Diets

MONDAY, Feb. 13, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), isocaloric diets high in animal protein (AP) or plant protein (PP) are associated with similar improvements in metabolism and cardiovascular risk factors, according to a study published online Feb. 9 in Diabetes, Obesity and Metabolism.

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Review Links Albuminuria to Cognitive Impairment, Dementia

MONDAY, Feb. 13, 2017 (HealthDay News) -- Albuminuria is associated with cognitive impairment, dementia, and cognitive decline, according to a review published online Feb. 2 in the Journal of the American Geriatrics Society.

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Total Retinal Blood Flow Lower in Diabetic Macular Edema

MONDAY, Feb. 13, 2017 (HealthDay News) -- Total retinal blood flow (TRBF) is significantly lower in eyes of patients with diabetic macular edema (DME), according to a study published online Feb. 9 in JAMA Ophthalmology.

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Ambient Air Pollution May Raise T2DM Risk in Hispanic Children

FRIDAY, Feb. 10, 2017 (HealthDay News) -- High levels of air pollution may increase some Hispanic children's risk of type 2 diabetes, according to a study published online Jan. 30 in Diabetes.

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Miscarriage Risk in Women With High hsCRP Down With Aspirin

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Daily low-dose aspirin (LDA) may increase the live birth rate for women with high levels of inflammation who previously lost a pregnancy, according to a study published online Feb. 3 in the Journal of Clinical Endocrinology and Metabolism.

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Rx Adherence Reminders No More Effective at 'Fresh Start' Dates

FRIDAY, Feb. 10, 2017 (HealthDay News) -- Sending medication adherence reminders following fresh-start dates (life and calendar events indicating the start of new cycles) is not effective for increasing medication adherence, according to a research letter published online Feb. 8 in JAMA Cardiology.

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Valsartan Cuts Microalbuminuria in Impaired Glucose Tolerance

THURSDAY, Feb. 9, 2017 (HealthDay News) -- For patients with impaired glucose tolerance (IGT), valsartan is associated with reduced incidence of microalbuminuria, according to a study published online Jan. 17 in Diabetes, Obesity and Metabolism.

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Review: Smokeless Tobacco Linked to Increased Risk of T2DM

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Consumption of Swedish smokeless tobacco (snus) is associated with increased risk of type 2 diabetes, according to a study published online Feb. 6 in the Journal of Internal Medicine.

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Prenatal BPA Exposure May Dampen Body's Fullness Cues

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- Prenatal exposure to bisphenol A (BPA) may raise a child's risk of obesity by altering hypothalamic circuits that regulate feeding behavior and energy balance, according to an experimental study published online Feb. 7 in Endocrinology.

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Novel Oral Glucose Lowering Drugs Cut Risks in T2DM

WEDNESDAY, Feb. 8, 2017 (HealthDay News) -- For patients with type 2 diabetes, novel oral glucose lowering drugs (GLDs) are associated with reduced risks of all-cause mortality, cardiovascular disease (CVD), and hypoglycemia, compared with insulin use, according to a study published online Jan. 24 in Diabetes, Obesity and Metabolism.

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Sickle Cell Trait May Affect Reliability of HbA1c Readings

TUESDAY, Feb. 7, 2017 (HealthDay News) -- Hemoglobin A1c (HbA1c) measurements may be less accurate in black people who have sickle cell trait (SCT), according to a study published online Feb. 7 in the Journal of the American Medical Association.

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HbA1c Tied to Progression of Aortic Stiffness Without Diabetes

TUESDAY, Feb. 7, 2017 (HealthDay News) -- For individuals without diabetes, glycated hemoglobin (HbA1c) is associated with accelerated progression of aortic stiffness, according to a study published online Jan. 25 in Diabetes Care.

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Microvascular Complications Linked to Severity of Periodontitis

MONDAY, Feb. 6, 2017 (HealthDay News) -- Microvascular complications and poor glycemic control are associated with the severity of periodontitis, according to a study published online Jan. 27 in the Journal of Diabetes Investigation.

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Clinical Practice Guidelines Developed for Pediatric Obesity

MONDAY, Feb. 6, 2017 (HealthDay News) -- In a clinical practice guideline published online Jan. 31 in the Journal of Clinical Endocrinology and Metabolism, recommendations are presented for the assessment, treatment, and prevention of pediatric obesity.

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2000 to 2014 Saw Increase in Vitamin D Deficiency in Children

FRIDAY, Feb. 3, 2017 (HealthDay News) -- From 2000 to 2014 there was an increase in the rate of vitamin D deficiency diagnosis among children, according to a study published online Feb. 3 in Pediatrics.

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High TG, Low HDL-C Levels May Help Further Stratify CHD Risk

FRIDAY, Feb. 3, 2017 (HealthDay News) -- A high fasting triglyceride (TG) level combined with a low high-density lipoprotein cholesterol (HDL-C) level is associated with increased risks of incident coronary heart disease (CHD) and ischemic stroke, especially for patients with diabetes or a low-density lipoprotein cholesterol (LDL-C) level of ≥130 mg/dL, independent of other atherosclerotic cardiovascular disease risk factors, according to a study published online Jan. 25 in Diabetes Care.

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Surgery Can Benefit T2DM Control for Patients With Lumbar Stenosis

THURSDAY, Feb. 2, 2017 (HealthDay News) -- Successful lumbar surgery is associated with improved glycemic control for patients with lumbar spinal stenosis (LSS) and type 2 diabetes mellitus (DM-2), according to a study published in the February issue of The Spine Journal.

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Obese Who Self-Stigmatize May Have Higher Cardiometabolic Risk

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- Attempts to shame an overweight or obese person into losing weight won't motivate them to do so, and may even raise their risk for cardiovascular disease and other health problems, according to research published online Jan. 30 in Obesity.

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HbA1c, Waist-to-Height Ratio Predict Dyslipidemia in T1DM

WEDNESDAY, Feb. 1, 2017 (HealthDay News) -- For youth with type 1 diabetes, hemoglobin A1c (A1C) and waist-to-height ratio (WHtR) are modifiable risk factors that predict change in dyslipidemia, according to a study published online Jan. 26 in Diabetes Care.

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