October 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 October 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.

Synchronized Prescription Renewal Process Saves Time

FRIDAY, Oct. 30, 2015 (HealthDay News) -- A synchronized prescription renewal process can save physicians time and money, which can be dedicated to patient care, according to a report from the American Medical Association (AMA).

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Increasing Numbers of Med School Applicants, Enrollees

FRIDAY, Oct. 30, 2015 (HealthDay News) -- There has been a 25 percent increase in the number of medical school enrollees since 2002, with the number reaching an all-time high of 20,630 this year, according to a report published online Oct. 22 by the Association of American Medical Colleges (AAMC).

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Three Distinct Subtypes of T2DM Identified

FRIDAY, Oct. 30, 2015 (HealthDay News) -- Researchers say they've identified three distinct subgroups of type 2 diabetes by reviewing the health records of more than 11,000 patients. The study findings were published in the Oct. 28 issue of Science Translational Medicine.

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Many Seniors May Be Overtreated for T2DM, Hypertension

THURSDAY, Oct. 29, 2015 (HealthDay News) -- When it comes to treating seniors with diabetes, new research suggests that doctors often don't cut back on medications, even when treatment goals are surpassed. The findings were published online Oct. 26 in JAMA Internal Medicine.

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Despite Progress, Mortality Still Risk Up in Patients With T2DM

THURSDAY, Oct. 29, 2015 (HealthDay News) -- Type 2 diabetes still substantially increases mortality risk, with the degree of risk varying with age, renal complications, and glycemic control, according to research published in the Oct. 29 issue of the New England Journal of Medicine.

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Nearly 15 Percent of Plans Lack In-Network Specialists

WEDNESDAY, Oct. 28, 2015 (HealthDay News) -- A considerable proportion of federal marketplace plans lack at least one in-network specialist, according to a research letter published in the Oct. 27 issue of the Journal of the American Medical Association.

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Case of Lactic Acidosis With Metformin, Normal Renal Function

WEDNESDAY, Oct. 28, 2015 (HealthDay News) -- In a case report published in the October issue of Clinical Diabetes, lactic acidosis is described in a patient with normal renal function receiving metformin for type 2 diabetes.

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Physician Emphasizes Importance of Saying Thank You

TUESDAY, Oct. 27, 2015 (HealthDay News) -- The importance of thanking patients for coming to see you, the physician, is described in an essay published online in Medical Economics.

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Rapid Health Benefits Seen With Sugar Reduction in Children

TUESDAY, Oct. 27, 2015 (HealthDay News) -- Cutting most of the sugar from a child's diet can rapidly improve metabolic health, even if the diet still contains the same amount of calories and carbohydrates as before, a new study suggests. The study was published online Oct. 26 in Obesity.

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USPSTF Urges Broader Screening for Type 2 Diabetes

TUESDAY, Oct. 27, 2015 (HealthDay News) -- Clinicians should screen overweight and obese adults between 40 and 70 years old for abnormal blood glucose levels, and should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions, according to new recommendations from the U.S. Preventive Services Task Force. The new recommendations were published online Oct. 27 in the Annals of Internal Medicine.

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Functional Foods Could Help With Long-Term Weight Loss

TUESDAY, Oct. 27, 2015 (HealthDay News) -- Lifestyle modification, including the use of functional foods such as fruits and vegetables, could contribute to weight loss, although evidence of positive results in humans is required, according to a review published in the November issue of Obesity Reviews.

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Vitamin D Supplementation Beneficial in Rheumatoid Arthritis

TUESDAY, Oct. 27, 2015 (HealthDay News) -- For patients with active rheumatoid arthritis and vitamin D deficiency, vitamin D supplementation is associated with improved disease activity within a short period, according to a study published online Oct. 20 in the International Journal of Rheumatic Diseases.

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Cellphone System Ups Glucose Self-Monitoring in Pregnancy

MONDAY, Oct. 26, 2015 (HealthDay News) -- For pregnant women with gestational diabetes mellitus or type 2 diabetes, use of a cellphone-Internet technology (CIT) system, which collects and sends glucose readings directly to a cellphone, is associated with improved compliance in self-monitoring of blood glucose (SMBG), according to a report published in the October issue of Clinical Diabetes.

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AMA: Eight Reasons for Nonadherence to Medications

FRIDAY, Oct. 23, 2015 (HealthDay News) -- Eight reasons associated with patient's intentional nonadherence to medications have been identified in a report published by the American Medical Association (AMA).

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Intensive Lifestyle Intervention Improves GI Symptoms in T2DM

FRIDAY, Oct. 23, 2015 (HealthDay News) -- An intensive lifestyle intervention (ILI) can reduce gastrointestinal symptoms among overweight and obese adults with type 2 diabetes, according to research published in the October issue of Clinical Diabetes.

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Childhood Antibiotics Rx Tied to Weight Gain Through Adolescence

FRIDAY, Oct. 23, 2015 (HealthDay News) -- Repeated antibiotic use is linked to greater weight gains in children, and it could affect their weight for the rest of their lives, a new study suggests. The findings were published online Oct. 21 in the International Journal of Obesity.

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'Dispositional' Mindfulness May Help Ward Off Obesity

THURSDAY, Oct. 22, 2015 (HealthDay News) -- Self-awareness may help reduce the risk of obesity, according to research published online Oct. 19 in the International Journal of Behavioral Medicine.

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Case of Ovarian Hyperthecosis Described

THURSDAY, Oct. 22, 2015 (HealthDay News) -- A case of ovarian hyperthecosis has been presented in the Oct. 22 issue of the New England Journal of Medicine.

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High-Dose Metformin Linked to Increases in Child Height

THURSDAY, Oct. 22, 2015 (HealthDay News) -- Metformin use at high doses seems to be associated with increases in height among children, according to a review published online Sept. 28 in JAMA Pediatrics.

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Gestational, Post-Delivery Weight Gain Linked to Child's Weight

TUESDAY, Oct. 20, 2015 (HealthDay News) -- Maternal gestational weight gain (GWG) and post-delivery weight gain are independently associated with a child's weight development, according to a study published online Oct. 19 in Pediatrics.

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Hypothalamic Axis Ups Glucose Tolerance Via Glycosuria

TUESDAY, Oct. 20, 2015 (HealthDay News) -- A previously unrecognized hypothalamic-sympathetic nervous system (SNS)-renal axis has been identified that may impact glucose homeostasis, according to an experimental study published online Oct. 14 in Diabetes.

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Depressive Symptoms Common Among Youths With Diabetes

FRIDAY, Oct. 16, 2015 (HealthDay News) -- There are more youths with type 1 diabetes (T1D) and type 2 diabetes (T2D) reporting depressive symptoms than there are depression diagnoses in this population, according to a study published online Oct. 12 in Diabetes Care.

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Declining Polyamine Levels Tied to Longer Circadian Period

MONDAY, Oct. 19, 2015 (HealthDay News) -- A group of metabolites whose levels decline as people age appear to have an effect on the circadian clock, according to a study published online Oct. 8 in Cell Metabolism.

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Insulin Dose Doesn't Up Mortality in ACCORD Trial

MONDAY, Oct. 19, 2015 (HealthDay News) -- In the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial, insulin dose is not associated with cardiovascular (CV) death after adjustment for baseline covariates, according to a study published online Oct. 13 in Diabetes Care.

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Premixed Insulin Ups Hypoglycemia in Inpatients

THURSDAY, Oct. 15, 2015 (HealthDay News) -- For hospitalized patients with diabetes, treatment with premixed insulin results in similar glycemic control but higher frequency of hypoglycemia compared with a basal-bolus regimen, according to a study published online Oct. 12 in Diabetes Care.

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Glucose Threshold Suggested for Neonatal Hypoglycemia

THURSDAY, Oct. 15, 2015 (HealthDay News) -- Neonatal hypoglycemia seems not to be associated with adverse neurologic outcomes when the condition is treated to maintain a certain blood glucose concentration, according to a study published online Oct. 14 in the New England Journal of Medicine.

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Paclitaxel-Eluting Not Noninferior to Everolimus-Eluting Stent

THURSDAY, Oct. 15, 2015 (HealthDay News) -- Paclitaxel-eluting stents are not noninferior to everolimus-eluting stents for patients with diabetes mellitus and coronary artery disease undergoing percutaneous coronary intervention (PCI), according to a study published online Oct. 14 in the New England Journal of Medicine to coincide with the Transcatheter Cardiovascular Therapeutics meeting, held from Oct. 11 to 15 in San Francisco.

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α-Tocopherol Bioavailability Lower in Metabolic Syndrome

WEDNESDAY, Oct. 14, 2015 (HealthDay News) -- For adults, α-tocopheraol bioavailability is unaffected by dairy fat quantity but is lower in those with metabolic syndrome (MetS), according to a study published online Oct. 7 in The American Journal of Clinical Nutrition.

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Maternal Glucose Levels Linked to Two CHD Phenotypes

TUESDAY, Oct. 13, 2015 (HealthDay News) -- Maternal midpregnancy measures of glucose and insulin are associated with two different congenital heart disease (CHD) phenotypes, according to a study published online Oct. 12 in JAMA Pediatrics.

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Red Wine at Dinner May Reduce Cardiometabolic Risk in T2DM

TUESDAY, Oct. 13, 2015 (HealthDay News) -- Moderate red wine intake is safe and modestly decreases cardiometabolic risk among patients with well-controlled diabetes following the Mediterranean diet, according to a study published online Oct. 12 in the Annals of Internal Medicine.

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Americans Spend More on Health Care, but Fare Worse

MONDAY, Oct. 12, 2015 (HealthDay News) -- When compared to 12 other industrialized nations, Americans spend more on health care services, but they fare worst in terms of life expectancy, according to recent findings from The Commonwealth Fund.

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L. reuteri Enrichment of Gut Microbiota Ups Insulin Secretion

MONDAY, Oct. 12, 2015 (HealthDay News) -- Enrichment of gut microbiota with Lactobacillus reuteri is associated with increased insulin secretion, according to a study published in the October issue of Diabetes Care.

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Bariatric Surgery Can Lead to Increased Suicide Risk

THURSDAY, Oct. 8, 2015 (HealthDay News) -- Some patients who have bariatric surgery may be more likely to attempt suicide following the procedure, according to a study published online Oct. 7 in JAMA Surgery.

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Short Bursts of Intense Exercise Good for Adolescent Hearts

THURSDAY, Oct. 8, 2015 (HealthDay News) -- Health benefits for teens are achievable with just eight to 10 minutes of high-intensity exercise, according to a study published in the Sept. 15 issue of the American Journal of Physiology: Heart and Circulatory Physiology.

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Low Income, Minority Status Affect Medical Care Wait Times

WEDNESDAY, Oct. 7, 2015 (HealthDay News) -- Blacks and Hispanics spend approximately 25 percent more time seeking health care than whites, and patients also spend more time in a doctor's waiting room if they're unemployed, in a low-paying job, or never attended college, according to research published online Oct. 5 in JAMA Internal Medicine.

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Guidelines Developed for Managing Conflicts of Interest

TUESDAY, Oct. 6, 2015 (HealthDay News) -- The Guidelines International Network has developed principles for disclosure and management of conflicts of interest (COIs) during the clinical practice guideline development process, according to a report published in the Oct. 6 issue of the Annals of Internal Medicine.

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New Protein Biomarker Identified in Insulin Resistance

MONDAY, Oct. 5, 2015 (HealthDay News) -- Proteomic blood profiling has identified new circulating biomarkers for homeostasis model assessment of insulin resistance (HOMA-IR), according to a study published online Sept. 29 in Diabetes.

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New Guidelines Developed for Peri-Op Management of Diabetes

MONDAY, Oct. 5, 2015 (HealthDay News) -- New guidelines have been developed for the perioperative management of surgical patients with diabetes. The guidelines were published online Sept. 29 in Anesthesia.

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Modified SOAP Ups Student Awareness of Health Care Costs

MONDAY, Oct. 5, 2015 (HealthDay News) -- Modification of the traditional Subjective-Objective-Assessment-Plan (SOAP) presentation to consider value (SOAP-V) can help medical students learn to practice high-value, cost-conscious care, according to a study published online Sept. 28 in the Journal of Hospital Medicine.

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Nutrigenetic-Based Diet Doesn't Increase Weight Loss

MONDAY, Oct. 5, 2015 (HealthDay News) -- A nutrigenetic-based diet does not increase weight loss, compared with a standard balanced diet, according to a study published in the September issue of Clinical Gastroenterology and Hepatology.

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Providers Must Understand Legal Limits of Telemedicine

FRIDAY, Oct. 2, 2015 (HealthDay News) -- In order to minimize risk when practicing telemedicine, providers should ensure they hold the proper medical licenses, have medical liability insurance coverage, and communicate with patients regarding the potential risks of telemedicine, according to a report published in Medical Economics.

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Serotonin Levels Low in Ankylosing Spondylitis

FRIDAY, Oct. 2, 2015 (HealthDay News) -- Patients with ankylosing spondylitis (AS) have lower serotonin levels than healthy controls and patients with rheumatoid arthritis (RA), according to a study published online Sept. 30 in the Journal of Bone and Mineral Research.

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Add-On Sitagliptin Cuts Risk of Insulin Initiation in T2DM

FRIDAY, Oct. 2, 2015 (HealthDay News) -- For patients with type 2 diabetes mellitus (T2DM) treated with metformin, add-on sitagliptin is associated with a lower risk of insulin initiation than add-on sulphonylurea, according to a study published in the October issue of Diabetes, Obesity and Metabolism.

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Strategies Provided for Improving EHR Efficiency

THURSDAY, Oct. 1, 2015 (HealthDay News) -- Several strategies can be implemented in order to better use electronic health records (EHRs) for patient care and efficiency, according to an article published in Medical Economics.

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