July 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 July 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.

Single BMD, Fracture History Predict Long-Term Fracture Risk

MONDAY, July 31, 2017 (HealthDay News) -- For older women, a single bone mineral density (BMD) measure and fracture history can predict long-term fracture risk, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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FDA Proposes Lowering Nicotine Levels in Cigarettes

MONDAY, July 31, 2017 (HealthDay News) -- The U.S. Food and Drug Administration plans to begin a public dialogue about reducing nicotine levels in combustible cigarettes to non-addictive levels through achievable product standards, agency officials said Friday.

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Benefit for Generalist + Specialist Care in Complex Conditions

MONDAY, July 31, 2017 (HealthDay News) -- For patients with diabetes and compensated cirrhosis, those who visit both primary care providers (PCPs) and specialists have lower odds of experiencing decompensation and/or hospitalization compared with those visiting a PCP only, according to research published online July 26 in Diabetes Care.

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Thyroid Cancer Tied to Regular Thyroxine Use in Hypothyroidism

FRIDAY, July 28, 2017 (HealthDay News) -- Patients with primary hypothyroidism who are regular thyroxine users have increased risk of thyroid cancer, according to a study published online July 19 in the Journal of Clinical Pharmacology.

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Moderate Drinking May Be Protective Against Diabetes

FRIDAY, July 28, 2017 (HealthDay News) -- Pattern of alcohol consumption may play a role in risk of type 2 diabetes, according to a study published online July 27 in Diabetologia.

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Walnuts Up Insula Activation to Highly Desirable Food Cues

FRIDAY, July 28, 2017 (HealthDay News) -- Short-term walnut consumption is associated with reduced feelings of hunger and appetite and increased activation of the right insula, according to a study published online July 17 in Diabetes, Obesity and Metabolism.

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Serum γ-Glutamyltransferase Linked to MetS in Children, Teens

THURSDAY, July 27, 2017 (HealthDay News) -- For children and adolescents, serum γ-glutamyltransferase (GGT) is associated with metabolic syndrome (MetS), according to a study published online July 25 in the Journal of Diabetes Investigation.

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2016 Saw Increase in Number of Physicians Since 2010 Census

THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.

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Bariatric Surgery Delay Can Result in Worse Outcomes

WEDNESDAY, July 26, 2017 (HealthDay News) -- Bariatric surgery at body mass index (BMI) less than 40 kg/m² tends to achieve better results, according to research published online July 26 in JAMA Surgery.

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Health Benefits of Healthy Lifestyle Quantified in U.S.

WEDNESDAY, July 26, 2017 (HealthDay News) -- For people age 50 years and older, having a favorable behavioral profile is associated with increased life expectancy and delayed onset of disability compared with the whole U.S. population, according to a study published online July 19 in Health Affairs.

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Survey Reveals Prediabetes Knowledge Gaps in Primary Care

TUESDAY, July 25, 2017 (HealthDay News) -- Most primary care physicians (PCPs) can't identify all 11 risk factors for prediabetes, according to a study published online July 20 in the Journal of General Internal Medicine.

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Greater Engagement for Patients Who Read Visit Notes

TUESDAY, July 25, 2017 (HealthDay News) -- Greater engagement is reported by patients who read notes and submit feedback, according to a study published in the July issue of the Journal of Medical Internet Research.

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Fasting Plasma Glucose, HbA1c Linked to Alzheimer's in T2DM

TUESDAY, July 25, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM), fasting plasma glucose (FPG) visit-to-visit variation, represented by the coefficient of variation (CV), and hemoglobin A1c (HbA1c) CV are independently associated with Alzheimer's disease (AD), according to a study published online July 13 in Diabetes Care.

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Many Americans Qualify As 'Overfat'

MONDAY, July 24, 2017 (HealthDay News) -- Traditional measurements do not fully capture the high rates of "overfat" individuals in developed countries, according to a study published online July 24 in Frontiers in Public Health.

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Average Increase in Physician Compensation 2.9% in 2016

MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.

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Provider-, Site-Level Factors Linked to Testosterone Receipt

MONDAY, July 24, 2017 (HealthDay News) -- Provider- and site-level factors, including experience, specialty, and site location, are associated with testosterone prescribing, according to a study published online July 18 in the Journal of Clinical Endocrinology and Metabolism.

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Exercise Training Improves Left Ventricular Function in T1DM

MONDAY, July 24, 2017 (HealthDay News) -- For adolescents with type 1 diabetes, a 20-week exercise training intervention is associated with improved aerobic capacity and stroke volume, according to a study published online July 18 in Diabetes Care.

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Prevalence of Vertebral Fracture Varies With Assessment Method

MONDAY, July 24, 2017 (HealthDay News) -- The prevalence of vertebral fracture varies for different methods of radiological assessment, according to a study published online July 18 in the Journal of Bone and Mineral Research.

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AMA Module Offers Help for Adding Pharmacist to Practice

FRIDAY, July 21, 2017 (HealthDay News) -- A new American Medical Association (AMA) education module has been developed to help embed clinical pharmacists within a medical practice.

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Perceived Physical Activity Level Predicts Mortality

FRIDAY, July 21, 2017 (HealthDay News) -- Perceived physical activity is associated with mortality, even after adjustment for actual physical activity, according to a study published online July 20 in Health Psychology.

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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene

FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.

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Visceral/Subcutaneous Fat Ratio Predicts CVD in T2DM

FRIDAY, July 21, 2017 (HealthDay News) -- For patients with type 2 diabetes, the ratio of visceral fat area (VFA) to subcutaneous fat area (SFA) (V/S ratio) is predictive of cardiovascular disease (CVD), according to a study published online July 7 in the Journal of Diabetes Investigation.

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C-Section, GDM Rates Down With Maternal Lifestyle Interventions

THURSDAY, July 20, 2017 (HealthDay News) -- Healthful lifestyle interventions consistently reduce gestational weight gain across various subgroups of women and significantly lower the odds of cesarean section without adversely affecting offspring outcomes, according to a study published online July 19 in The BMJ.

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68Ga-Somatostatin Analog PET-CT Linked to Reduced Costs

THURSDAY, July 20, 2017 (HealthDay News) -- For imaging neuroendocrine tumors, 68Ga-somatostatin analog positron emission tomography-computed tomography (PET-CT) is associated with reduced costs compared with 111In-octreotide scintigraphy, according to a study published online July 17 in the Journal of Medical Imaging and Radiation Oncology.

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Earlier Menopause Independently Tied to Higher Risk of T2DM

THURSDAY, July 20, 2017 (HealthDay News) -- The earlier a woman begins menopause, the greater her risk of developing type 2 diabetes, according to a study published online July 18 in Diabetologia.

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Aspirin Responsiveness Can Change After Bariatric Surgery

THURSDAY, July 20, 2017 (HealthDay News) -- The effects of aspirin on platelet inhibition may be more potent after bariatric surgery, according to a study published online July 14 in Cardiovascular Therapeutics.

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CDC: >100 Million Americans Have Diabetes or Prediabetes

WEDNESDAY, July 19, 2017 (HealthDay News) -- As of 2015, 9.4 percent of the population -- 30.3 million -- had diabetes, and another 84.1 million had prediabetes, the U.S. Centers for Disease Control and Prevention reported Tuesday.

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Chronic Disease Risk Rises With Even Slow, Steady Weight Gain

WEDNESDAY, July 19, 2017 (HealthDay News) -- Even a few extra pounds gained in early or middle adulthood can increase risk of chronic diseases such as type 2 diabetes and hypertension, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Electronic Messaging Intervention Cuts Cardiovascular Risk in T2DM

WEDNESDAY, July 19, 2017 (HealthDay News) -- For patients with type 2 diabetes mellitus, a electronic messaging intervention is effective for reducing cardiovascular risk, according to a study published online July 12 in the Journal of Clinical Nursing.

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High Court Rules Against Interstate Medical Liability

TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.

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NT-proBNP Improves Heart Failure Prediction in T2DM

TUESDAY, July 18, 2017 (HealthDay News) -- For patients with type 2 diabetes, N-terminal pro-B-type natriuretic peptide (NT-proBNP) improves prediction of heart failure, according to a study published online July 6 in Diabetes Care.

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Type of Plant-Based Diet Affects Risk of Coronary Heart Disease

TUESDAY, July 18, 2017 (HealthDay News) -- While a plant-based diet can reduce risk of coronary heart disease (CHD), not all plant-based foods are equally healthy, and this distinction deserves more emphasis in dietary recommendations, according to a study published in the July 25 issue of the Journal of the American College of Cardiology.

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Patient-Centered Communication Could Help Reduce Burnout

MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.

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Stem Cell Educator Therapy May Help Fight Diabetes

MONDAY, July 17, 2017 (HealthDay News) -- Stem cell educator therapy may provide long term benefits in type 1 and type 2 diabetes, according to a study published online July 7 in Stem Cells Translational Medicine.

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Early Career Burnout Can Be Contagious Via Social Networks

FRIDAY, July 14, 2017 (HealthDay News) -- For early career teachers (ECTs), social network members' burnout levels are associated with increased burnout levels, according to a study published in the August issue of Teaching and Teacher Education.

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Resistance Training Improves Microvascular Blood Flow in T2DM

FRIDAY, July 14, 2017 (HealthDay News) -- Resistance training is associated with improvement in oral glucose challenge (OGC)-stimulated muscle microvascular blood flow (MBF) and glycemic control, according to a study published online July 7 in Diabetes Care.

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Thyroid Status Linked to Impaired HRQoL in Dialysis Patients

FRIDAY, July 14, 2017 (HealthDay News) -- For hemodialysis patients, thyroid status is associated with impaired health-related quality of life (HRQoL), according to a study published online July 13 in the Clinical Journal of the American Society of Nephrology.

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Large Study Shows Eating Better at Any Age Can Prolong Life

THURSDAY, July 13, 2017 (HealthDay News) -- Sustained diet changes -- even later in life -- can extend people's lives, according to research published in the July 13 issue of the New England Journal of Medicine.

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International Variation in Prevalence of Celiac in T1DM

THURSDAY, July 13, 2017 (HealthDay News) -- Celiac disease (CD) is a common comorbidity in young people with type 1 diabetes, and the prevalence appears to vary internationally, according to a study published online June 29 in Diabetes Care.

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Medicaid Enrollees Are Satisfied With Their Health Care

WEDNESDAY, July 12, 2017 (HealthDay News) -- Medicaid enrollees are largely satisfied with their health care, and most are able to access the care they need when they need it, according to a research letter published online July 10 in JAMA Internal Medicine.

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Increased Parental Anxiety With Increased Diabetes Risk

WEDNESDAY, July 12, 2017 (HealthDay News) -- Parents of children at increased genetic risk for type 1 diabetes and with positive islet autoantibody (IA) testing have increased anxiety, according to a study published online June 29 in Diabetes Care.

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Intensive Lifestyle Changes May Up Frailty Fracture Risk in DM

TUESDAY, July 11, 2017 (HealthDay News) -- For overweight or obese individuals with diabetes mellitus (DM), intensive lifestyle intervention (ILI) does not increase overall fracture risk but correlates with increased risk of frailty fracture, according to a study published online July 5 in the Journal of Bone and Mineral Research.

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Regular Coffee Consumption May Help Extend Lifespan

TUESDAY, July 11, 2017 (HealthDay News) -- Drinking coffee is linked to longevity, according to two studies published online July 11 in the Annals of Internal Medicine.

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Health Service Use Unchanged From 1996-1997 to 2011-2012

TUESDAY, July 11, 2017 (HealthDay News) -- Utilization of health services was largely unchanged from 1996-1997 to 2011-2012, but expenditures increased, according to a study published in the July/August issue of the Annals of Family Medicine.

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American Adults Without Health Insurance Rises by Two Million

TUESDAY, July 11, 2017 (HealthDay News) -- The number of American adults without health insurance has increased by about two million so far this year, according to a new Gallup-Sharecare Well-Being Index poll.

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Patients Are Often Recording Doctor's Visits

TUESDAY, July 11, 2017 (HealthDay News) -- Patients may be recording office visits, with or without permission, according to an opinion piece published online July 10 in the Journal of the American Medical Association.

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Rate of Non-Health Care Facility Medication Errors on the Rise

MONDAY, July 10, 2017 (HealthDay News) -- The rate of serious medication errors has doubled since 2000, according to a study published online July 10 in Clinical Toxicology.

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Coronary CT Angiography Ups Prediction of MACE in T2DM

MONDAY, July 10, 2017 (HealthDay News) -- For asymptomatic patients with type 2 diabetes, the addition of coronary computed tomography angiography (CCTA)-detected obstructive coronary artery disease (CAD) improves prediction of major adverse cardiovascular events (MACE), according to a study published online June 29 in Diabetes Care.

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Improved Glycemic Control With Eradication of Hepatitis C

FRIDAY, July 7, 2017 (HealthDay News) -- For patients with type 2 diabetes, direct-acting antiviral (DAA) treatment of hepatitis C virus (HCV) is associated with improved glycemic control and reduced antidiabetic medication use, according to a study published online June 28 in Diabetes Care.

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Market Competition Linked to Change in Generic Drug Prices

THURSDAY, July 6, 2017 (HealthDay News) -- Market competition levels are associated with changes in the price of generic drugs, according to a study published online July 4 in the Annals of Internal Medicine.

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AMA: Doctors Should Make Sure Their Online Info Is Accurate

THURSDAY, July 6, 2017 (HealthDay News) -- In a technologically advanced society, physicians need to take advantage of the internet to reach patients and exercise caution in their online presence, according to a report published by the American Medical Association.

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Hyperbaric Oxygen Therapy Increasingly Being Used

THURSDAY, July 6, 2017 (HealthDay News) -- Hyperbaric oxygen therapy is increasingly being used, especially for those with diabetes, although the American Diabetes Association does not recommend the treatment, according to a report published by Kaiser Health News.

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Insulin Degludec Linked to Reduced Rate of Hypoglycemia

THURSDAY, July 6, 2017 (HealthDay News) -- For patients with type 1 or type 2 diabetes, insulin degludec is associated with a reduced rate of hypoglycemic episodes compared with insulin glargine, according to two studies published in the July 4 issue of the Journal of the American Medical Association.

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Comparable Metabolic Effects for E-Cigarettes, Smoking

WEDNESDAY, July 5, 2017 (HealthDay News) -- Electronic cigarette smoking has the same deleterious effect on weight and metabolic parameters as traditional cigarettes, according to research published online June 29 in Obesity Reviews.

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Therapeutic Inertia in 19 Percent With T2DM, HbA1c ≥8 Percent

WEDNESDAY, July 5, 2017 (HealthDay News) -- Therapeutic inertia occurs in 19.1 percent of patients with type 2 diabetes with hemoglobin A1c (HbA1c) ≥8 percent on two or more non-insulin antidiabetic drugs (NIADs), according to a study published online June 28 in Diabetes, Obesity and Metabolism.

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