May 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 May 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: Physicians Driving the Slowing of Health Care Costs

FRIDAY, May 29, 2015 (HealthDay News) -- Low physician spending is contributing to an overall slowing of health care costs, according to a viewpoint piece published by the American Medical Association (AMA).

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Insulin Resistance Not Linked to Post-Adolescent Acne

FRIDAY, May 29, 2015 (HealthDay News) -- Insulin resistance does not appear to be a significant factor in post-adolescent acne, according to a study published in the June issue of the International Journal of Dermatology.

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RYGB Cuts Markers of Oxidative Stress in Subcutaneous Tissue

FRIDAY, May 29, 2015 (HealthDay News) -- Roux-en-Y gastric bypass (RYGB) surgery attenuates markers of oxidative stress in subcutaneous adipose tissue, according to a study published online May 22 in Diabetes.

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Metformin Linked With Lower Open-Angle Glaucoma Risk

THURSDAY, May 28, 2015 (HealthDay News) -- Metformin is associated with a lower risk of developing open-angle glaucoma (OAG), according to a study published online May 28 in JAMA Ophthalmology.

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Vegan Diet Tied to Weight Loss, Improved Neuropathy in DM

THURSDAY, May 28, 2015 (HealthDay News) -- A vegan diet might help patients with diabetic neuropathy lose weight and find some pain relief, a small pilot study suggests. The findings were published online May 26 in Nutrition & Diabetes.

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Specific Trans Fatty Acids Linked With Incident Diabetes

THURSDAY, May 28, 2015 (HealthDay News) -- Among older adults, specific trans fatty acids (TFAs) may be associated with diabetes mellitus (DM), according to a study published in the June issue of Diabetes Care.

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Post-CABG Predictors of Stroke Identified for Diabetes Patients

THURSDAY, May 28, 2015 (HealthDay News) -- For patients with diabetes mellitus undergoing multivessel coronary artery bypass grafting (CABG), predictors of stroke include previous stroke, warfarin use, and surgery outside the United States or Canada, according to research published in the May 15 issue of The American Journal of Cardiology.

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Primary Androgen Deprivation Tx May Raise DM Risk by 60 Percent

THURSDAY, May 28, 2015 (HealthDay News) -- Primary androgen deprivation therapy increases diabetes risk, particularly in men under 70 years of age, according to research published in the June issue of The Journal of Urology.

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More Evidence Supports Higher Fiber Intake to Lower DM Risk

WEDNESDAY, May 27, 2015 (HealthDay News) -- More evidence that a high fiber diet helps protect against type 2 diabetes has been presented in research published online May 26 in Diabetologia.

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Review: Fracture Risk Up With Subclinical Hyperthyroidism

WEDNESDAY, May 27, 2015 (HealthDay News) -- Subclinical hyperthyroidism ups risk for hip and other fractures, according to a review published in the May 26 issue of the Journal of the American Medical Association.

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Fat, Protein, Glycemic Index All Modify Postprandial Glycemia

WEDNESDAY, May 27, 2015 (HealthDay News) -- Dietary fat, protein, and glycemic index (GI) modify postprandial glycemia in type 1 diabetes, according to a review published in the June issue of Diabetes Care.

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Caution Urged When Using EHR Shortcut Features

TUESDAY, May 26, 2015 (HealthDay News) -- Caution should be exercised with use of electronic health record (EHR) documentation short cuts, according to a report published in Medical Economics.

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Factors Linked to Development of Celiac Disease Identified

TUESDAY, May 26, 2015 (HealthDay News) -- Certain perinatal factors, including sex of the child, maternal celiac disease, and type 1 diabetes, are associated with development of celiac disease in children, according to a study published in the May issue of Clinical Gastroenterology and Hepatology.

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Gender-Based Differences in Glycemic Control in T2DM

TUESDAY, May 26, 2015 (HealthDay News) -- For patients with type 2 diabetes, there are gender-based differences in glycemic control and hypoglycemia after insulin treatment, according to research published in the June issue of Diabetes, Obesity and Metabolism.

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Large Practices Focused on Small Selection of EHR Products

FRIDAY, May 22, 2015 (HealthDay News) -- Sixty percent of clinicians in practices with 26 or more clinicians report use of one of 10 electronic health record (EHR) products, according to a report published by AmericanEHR Partners.

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Front Desk Staff Has Key Role in Managing Practice Cash Flow

FRIDAY, May 22, 2015 (HealthDay News) -- Three steps that can be implemented by front desk staff can help increase practices' cash flow, according to an article published in Medical Economics.

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AMA: Avoiding Distress in Medical School

FRIDAY, May 22, 2015 (HealthDay News) -- Understanding the key drivers underlying medical students' distress can help address the issues and enhance student well-being, according to an article published by the American Medical Association.

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Beloranib Safe, Efficacious for Weight Loss in Obesity

FRIDAY, May 22, 2015 (HealthDay News) -- Beloranib seems efficacious and safe for weight loss in obese patients, according to a study published in the June issue of Diabetes, Obesity and Metabolism.

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Personalized Assessments During Eye Visits Don't Lower HbA1c

FRIDAY, May 22, 2015 (HealthDay News) -- For patients with diabetes, personalized education and diabetes risk assessments performed during retinal ophthalmologic visits do not result in improved glycemic control, according to a study published online May 21 in JAMA Ophthalmology.

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CDC: Smoking Rates on Decline in Many States

FRIDAY, May 22, 2015 (HealthDay News) -- Cigarette smoking continues to decline in about half of American states, according to the latest U.S. government estimates. The new report was published in the May 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Resistance Training Effects Vary Per Genetic Profiles

FRIDAY, May 22, 2015 (HealthDay News) -- Resistance training seems to be most effective for people with a low genetic risk for a high body mass index, according to a study published online April 30 in the International Journal of Obesity.

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Over One-Third of Americans Have Metabolic Syndrome

THURSDAY, May 21, 2015 (HealthDay News) -- More than one-third of U.S. adults have metabolic syndrome, according to a research letter published in the May 19 issue of the Journal of the American Medical Association.

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CV Autonomic Neuropathy Predicts Urological Issues

THURSDAY, May 21, 2015 (HealthDay News) -- For men with type 1 diabetes, cardiovascular autonomic neuropathy is associated with erectile dysfunction and/or lower urinary tract symptoms, according to a study published in the June issue of The Journal of Urology.

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Changes Observed in HbA1c During Ramadan

WEDNESDAY, May 20, 2015 (HealthDay News) -- For patients with type 2 diabetes, during Ramadan, the greatest change among metabolic parameters is seen for glycemia, according to a study published online May 13 in the Journal of Diabetes Investigation.

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Washington D.C. Nabs Highest American Fitness Index Ranking

TUESDAY, May 19, 2015 (HealthDay News) -- Washington, D.C, is the fittest of the 50 largest cities in the United States, followed by Minneapolis-St. Paul and San Diego, according to the eighth annual American Fitness Index (AFI) rankings from the American College of Sports Medicine and the Anthem Foundation.

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Shift Work Tied to Poor Health Indicators, Metabolic Syndrome

TUESDAY, May 19, 2015 (HealthDay News) -- Shift work may be hazardous to metabolic health, according to research published online May 17 in Sleep Health, the journal of the National Sleep Foundation.

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Glucose Variation Impacts Coronary Plaque Vulnerability

TUESDAY, May 19, 2015 (HealthDay News) -- For patients with coronary artery disease (CAD) pretreated with lipid-lowering therapy, daily glucose fluctuation may affect coronary plaque vulnerability, according to a study published in the May issue of JACC: Cardiovascular Interventions.

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Tips Provided for Doctors Who Want to Move to Private Practice

MONDAY, May 18, 2015 (HealthDay News) -- For physicians who want to transition to private practice, several factors need consideration, including finances, legal matters, and insurance, according to an article published in Medical Economics.

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FDA: Watch for Ketoacidosis With SGLT2 Inhibitors

MONDAY, May 18, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has issued a warning about the risk of ketoacidosis with use of sodium-glucose cotransporter-2 (SGLT2) inhibitors.

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Early Insulin Initiation Beneficial in Seniors With T2DM

MONDAY, May 18, 2015 (HealthDay News) -- For older Medicare beneficiaries with type 2 diabetes mellitus (T2DM), early insulin initiation offers clinical benefit, according to a study published online May 8 in the Journal of the American Geriatrics Society.

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Iron Deficiency Seems to Affect Many Metabolic Pathways

FRIDAY, May 15, 2015 (HealthDay News) -- For young women with iron deficiency anemia (IDA), iron therapy is associated with increases in serum folate, vitamin B12, and with other biochemical parameters, according to a study published online May 11 in the International Journal of Laboratory Hematology.

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Guidance Offered to Help Doctors Deal With 'Dr. Google'

TUESDAY, May 12, 2015 (HealthDay News) -- Good communication is the key to resolving conflicts between the tests and treatment a patient may want based on online searches and those a physician believes are necessary, according to an article published online in Medical Economics.

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New Health Care Index Reports Increases in Consumer Costs

TUESDAY, May 12, 2015 (HealthDay News) -- A new Health Care Index shows increases in consumer costs, according to a report published by U.S. News & World Report.

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Nondisclosure Clauses Often Used in Malpractice Settlements

TUESDAY, May 12, 2015 (HealthDay News) -- Nondisclosure clauses are frequently used in malpractice settlement agreements, according to research published online May 11 in JAMA Internal Medicine.

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Metabolic Response to Weight Loss Varies Greatly

TUESDAY, May 12, 2015 (HealthDay News) -- 'Thrifty' metabolism might sabotage weight loss efforts for some, according to a study published online May 11 in Diabetes.

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AMA: Six Traits of Financially Prepared Female Physicians

MONDAY, May 11, 2015 (HealthDay News) -- The traits of a financially prepared female physician include having a retirement portfolio that is on track or ahead of schedule for age and career stage, having a liquid emergency fund, and feeling adequately protected in the event of a disability, according to a report published by the American Medical Association (AMA).

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Active Video Games Offer Health Benefit for Children/Teens

MONDAY, May 11, 2015 (HealthDay News) -- Active video games (AVGs) are a good alternative to sedentary behavior, and can provide health benefits comparable to laboratory-based exercise or field-based physical activity, according to research published online May 6 in Obesity Reviews.

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Medical Students Want to Focus Learning on Preparing for Future

THURSDAY, May 7, 2015 (HealthDay News) -- Medical students report wanting to learn more about topics that are not currently being taught, including leadership training, health policy, health economics, and experiential learning, according to a report from the American Medical Association (AMA).

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ACA Tied to Nearly 17 Million Gaining Health Coverage

THURSDAY, May 7, 2015 (HealthDay News) -- As a result of the Affordable Care Act (ACA), nearly 17 million previously uninsured Americans now have health coverage, according to a 2013 to 2015 report from the Rand Corporation.

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CDC: Mortality Rate Declining Among Aging Boomers

THURSDAY, May 7, 2015 (HealthDay News) -- A new study finds mixed results for the health of America's aging "Baby Boom" generation, with nearly half of people ages 55 to 64 taking a prescription cardiovascular drug and about one in five dealing with diabetes. However, the report from the U.S. Centers for Disease Control and Prevention also finds that the overall mortality rate in this age group has gone down over the past decade.

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Strategies Provided for Maximizing Payment

WEDNESDAY, May 6, 2015 (HealthDay News) -- Physicians should use standard billing practices, including regular statements, to maximize accounts, and know that collection agencies and lawyers can help collect payment when necessary, according to an article published in Medical Economics.

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Many Foods Marketed to Children Don't Meet Nutrition Guidelines

WEDNESDAY, May 6, 2015 (HealthDay News) -- More than half of the food and beverage products marketed to children do not meet the federal Interagency Working Group's nutrition recommendations, according to a study published April 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Bit of Extra Weight Tied to Better Survival in T2DM

TUESDAY, May 5, 2015 (HealthDay News) -- Compared to underweight or normal-weight people with type 2 diabetes, those who are overweight but not obese may be less likely to die over a 10-year study period, according to research published in the May 5 issue of the Annals of Internal Medicine.

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Five 'Top Issues' to Be Discussed at AMA Medical Student Forum

MONDAY, May 4, 2015 (HealthDay News) -- Issues that will be at the forefront of the National Medical Student Meeting include vaccinations, health care economics, Medicaid expansion, medical education loans, and the nationwide opioid epidemic, according to a report from the American Medical Association (AMA).

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High-Value Research of 2014 Presented for Endocrinology

MONDAY, May 4, 2015 (HealthDay News) -- Articles relating to diabetes and obesity, lipid management, bone metabolism, adrenal disorders, and thyroid disorders are included in a special endocrinology update summary published online April 30 in the Annals of Internal Medicine.

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Church-Based Intervention Linked to Healthy Lifestyle Changes

FRIDAY, May 1, 2015 (HealthDay News) -- A pilot church-based diabetes self-management intervention in a Latino community is associated with improvement in lifestyle factors that affect diabetes risk, according to a study published online April 28 in the Journal of General Internal Medicine.

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Drop Just One Sugar-Sweetened Drink Daily, Drop DM Risk Greatly

FRIDAY, May 1, 2015 (HealthDay News) -- Exchanging one sugar-sweetened beverage for water or unsweetened coffee or tea daily could lower diabetes risk by up to 25 percent, according to research reported online April 30 in Diabetologia.

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2 Minute Walk Each Hour May Reduce Odds of Premature Death

FRIDAY, May 1, 2015 (HealthDay News) -- Getting up and walking for two minutes every hour could help reverse the negative health effects from prolonged sitting, new research suggests. The findings were published online April 30 in the Clinical Journal of the American Society of Nephrology.

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