June 2018 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 June 2018. 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.

Practice Management Can Improve Efficiency

FRIDAY, June 29, 2018 (HealthDay News) -- Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.

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AMA Calls for Electronic Health Record Training

FRIDAY, June 29, 2018 (HealthDay News) -- The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.

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Prolonged Leisure-Time Sitting Tied to Increased Mortality Risk

FRIDAY, June 29, 2018 (HealthDay News) -- Prolonged leisure-time sitting is associated with increased risk of mortality, according to a study published online in the American Journal of Epidemiology.

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Data Needed on New Type 2 Diabetes Therapies in Pregnancy

FRIDAY, June 29, 2018 (HealthDay News) -- Evidence is lacking on pregnancy outcomes with new glucose-lowering agents used for treating type 2 diabetes (T2DM), according to a study published online May 28 in Diabetes, Obesity and Metabolism.

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FDA Approves Continuous Glucose Monitoring System

THURSDAY, June 28, 2018 (HealthDay News) -- The Eversense Continuous Glucose Monitoring (CGM) system, which has a fully implantable sensor to detect glucose, has been approved by the U.S. Food and Drug Administration for use in people age 18 years and older with diabetes.

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Genetic Risk, Lifestyle Predict CVD, Diabetes Independently

THURSDAY, June 28, 2018 (HealthDay News) -- Genetic risk and lifestyle are independent predictors of incident cardiovascular disease and diabetes, according to a study published online June 27 in JAMA Cardiology.

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Health Care Technology Impacts Younger Patient Satisfaction

THURSDAY, June 28, 2018 (HealthDay News) -- Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.

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Few Hemodialysis Patients on Medicare Enroll in Hospice

WEDNESDAY, June 27, 2018 (HealthDay News) -- Among Medicare beneficiaries on hemodialysis, few patients are enrolled in hospice at the end of life, regardless of the spending trajectory during the last year of life, according to a study published in the June issue of Health Affairs.

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Intervention Programs Prevent Diabetes Distress in Teens

WEDNESDAY, June 27, 2018 (HealthDay News) Intervention programs that start before psychological symptoms develop can prevent diabetes distress (DD) in teens with type 1 diabetes, according to a study published in the June issue of Diabetes Care.

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AMA Adopts Ethical Guidance on Medical Tourism

TUESDAY, June 26, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

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Insulin Glargine 300 Safe, Effective in Seniors With T2DM

TUESDAY, June 26, 2018 (HealthDay News) -- For older adults, insulin glargine 300 units/mL (Gla-300) is safe and as effective as Gla-100, with a similarly low or lower risk of symptomatic hypoglycemia, according to a study published online June 12 in Diabetes Care.

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Percentage of Teens Trying to Lose Weight Decreasing

MONDAY, June 25, 2018 (HealthDay News) -- From 1988-1994 to 2009-2014 there was an increase in the prevalence of overweight and obesity among U.S. adolescents and a decrease in the percentage who tried to lose weight, according to a research letter published online June 25 in JAMA Pediatrics.

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AMA: Docs Declare Drug Shortages Public Health Emergency

MONDAY, June 25, 2018 (HealthDay News) -- At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.

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Aspirin Use Doesn't Cut Cancer Incidence in Older T2DM Patients

MONDAY, June 25, 2018 (HealthDay News) -- For Japanese patients with type 2 diabetes, low-dose aspirin is not associated with reduced cancer incidence, except in those younger than 65 years, according to a study published online June 16 in Diabetes Care.

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E-Cigarettes May Help Some Quit Tobacco Smoking

FRIDAY, June 22, 2018 (HealthDay News) -- Some individuals self-report that electronic cigarettes (e-cigarettes) help them quit smoking conventional cigarettes, according to a small study published online June 20 in the Harm Reduction Journal.

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Most Teens, Young Adults With Type 1 Diabetes Report Stigma

FRIDAY, June 22, 2018 (HealthDay News) -- Stigma is common in teens with type 1 diabetes and is associated with poor glycemic control, according to a study published recently in the Journal of Medical Internet Research.

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BCG Vaccine Tied to Reduced Hyperglycemia in Type 1 Diabetes

THURSDAY, June 21, 2018 (HealthDay News) -- The Bacillus Calmette Guérin (BCG) vaccine is associated with a reduction in hyperglycemia among patients with type 1 diabetes with long-term disease, according to a study published online June 21 in npj Vaccines.

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More Cash-Pay Patients Means Docs Need Billing Strategies

THURSDAY, June 21, 2018 (HealthDay News) -- More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.

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Adult Obesity Prevalence Varies With Level of Urbanization

WEDNESDAY, June 20, 2018 (HealthDay News) -- For U.S. adult males and females, the prevalence of obesity is 38.9 percent and varies with level of urbanization, according to a study published in the June 19 issue of the Journal of the American Medical Association.

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Many Drugs Made Available Via FDA Expanded Access Programs

WEDNESDAY, June 20, 2018 (HealthDay News) -- Over the past two decades, close to 100 U.S. Food and Drug Administration (FDA)-approved drugs and biologics were made available before FDA approval through expanded access programs, according to a study published online June 15 in JAMA Network Open.

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Attitudes Among Obese Are Not Aligned With Healthy Living

WEDNESDAY, June 20, 2018 (HealthDay News) -- Food-related policies differently impact consumers with obesity and healthy weight, according to a report published by the Hudson Institute.

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HbA1c Targets Should Be Personalized in Type 2 Diabetes

WEDNESDAY, June 20, 2018 (HealthDay News) -- For non-pregnant adults with type 2 diabetes, hemoglobin A1c (HbA1c) targets should be personalized, according to a Clinical Guidelines Synopsis published in the June 19 issue of the Journal of the American Medical Association.

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Considerable Costs Associated With Switching EHR

TUESDAY, June 19, 2018 (HealthDay News) -- Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.

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Prevalence of Obesity 17.8 Percent for Youth in 2013 to 2016

TUESDAY, June 19, 2018 (HealthDay News) -- The prevalence of obesity and severe obesity among U.S. youth was 17.8 and 5.8 percent, respectively, in 2013 to 2016, according to a study published in the June 19 issue of the Journal of the American Medical Association.

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Less Improvement in AHA Diet Score for SNAP Participants

TUESDAY, June 19, 2018 (HealthDay News) -- Participants in the Supplemental Nutrition Assistance Program (SNAP) have less improvement in American Heart Association (AHA) diet scores than other U.S. adults, according to a study published online June 15 in JAMA Network Open.

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Recent-Onset Diabetes Tied to Increased Pancreatic Cancer Risk

TUESDAY, June 19, 2018 (HealthDay News) -- Recent-onset diabetes is associated with more than a two-fold greater increase in risk of pancreatic cancer (PC) than long-standing diabetes in African-Americans and Latinos, according to a study published online June 18 in the Journal of the National Cancer Institute.

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AMA Vows to Improve Access for Docs Seeking Mental Health Care

MONDAY, June 18, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.

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Single Blood Sample Test May Help ID Undiagnosed Diabetes

MONDAY, June 18, 2018 (HealthDay News) -- Single-sample confirmatory testing for diabetes has a high positive predictive value for subsequent diagnosis, according to a study published online June 19 in the Annals of Internal Medicine.

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CDC: Obesity Prevalence Higher in Non-Metropolitan Counties

MONDAY, June 18, 2018 (HealthDay News) -- The prevalence of obesity is higher among those living in non-metropolitan counties versus metropolitan counties, according to research published in the June 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Cleared Blood Glucose Monitor Systems Not Always Accurate

MONDAY, June 18, 2018 (HealthDay News) -- One in three commercially available blood glucose monitor systems (BGMs) meet a predefined accuracy standard, according to research published online June 13 in Diabetes Care.

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Elevated NT-proBNP Found to Up Cardiovascular Risk in T2DM

FRIDAY, June 15, 2018 (HealthDay News) -- Elevated baseline N-terminal B-type natriuretic peptide (NT-proBNP) is independently associated with development of major cardiovascular (CV) events, in particular hospitalization for heart failure, according to a study published online May 30 in Diabetes Care.

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Good Sleep Tied to Better Cardiometabolic Health in Youths

FRIDAY, June 15, 2018 (HealthDay News) -- Longer sleep duration and higher sleep efficiency are associated with a more favorable cardiometabolic profile in early adolescence, according to a study published online June 15 in Pediatrics.

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Foods With Fat and Carbohydrate Are More Highly Valued

THURSDAY, June 14, 2018 (HealthDay News) -- Foods containing fat and carbohydrate are more highly valued than those with only fat or carbohydrate, and this potentiated reward is associated with response in brain areas critical for reward valuation, according to a study published online June 14 in Cell Metabolism.

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AMA: Federal Government Must Tackle Rising Insulin Prices

THURSDAY, June 14, 2018 (HealthDay News) -- U.S. officials need to take action to control spiking insulin prices, the American Medical Association (AMA) says.

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Antipsychotic Tx Linked to Adiposity Changes in Youths

THURSDAY, June 14, 2018 (HealthDay News) -- Youth receiving antipsychotic treatment have adverse changes in adiposity and insulin sensitivity, with the greatest fat increases seen with olanzapine, according to a study published online June 13 in JAMA Psychiatry.

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T2DM Risk in Offspring Greater With T2DM Versus GDM Exposure

THURSDAY, June 14, 2018 (HealthDay News) -- In utero exposure to type 2 diabetes is associated with increased risk of type 2 diabetes in offspring versus exposure to gestational diabetes, according to a study published online June 11 in JAMA Pediatrics.

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IV Fluid Specs Do Not Influence Neuro Outcomes in Kids w/DKA

WEDNESDAY, June 13, 2018 (HealthDay News) -- Neurologic outcomes in children with diabetic ketoacidosis are similar regardless of the rate of administration or the sodium chloride content of intravenous fluids, according to a study published in the June 14 issue of the New England Journal of Medicine.

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Strong Link Identified Between T2DM and Parkinson's Disease

WEDNESDAY, June 13, 2018 (HealthDay News) -- There is an increased rate of subsequent Parkinson's disease among individuals diagnosed with type 2 diabetes mellitus (T2DM), according to a study published online June 13 in Neurology.

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Diabetes Meds Reconciliation May Reduce Risk of ER Visits

WEDNESDAY, June 13, 2018 (HealthDay News) -- Ambulatory medication reconciliation is associated with lower risk of a composite primary outcome of combined frequency of emergency department visits and hospitalizations over six months, according to a study published online June 11 in Diabetes Care.

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How Do Business Partner Data Breaches Affect Your Practice?

TUESDAY, June 12, 2018 (HealthDay News) -- Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.

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Female Teens, Young Adults Not Getting Enough Exercise

TUESDAY, June 12, 2018 (HealthDay News) -- Female adolescents and young adults are not meeting the recommended guidelines for physical activity, according to a study published online June 11 in JAMA Pediatrics.

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Long-Term Type 1 Diabetes Associated With Cognitive Decline

TUESDAY, June 12, 2018 (HealthDay News) -- Both patients with type 1 and patients with type 2 diabetes show overall worse cognition than people without diabetes, according to a study published online June 5 in Diabetes Care.

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Certification Status Tied to Physician Performance Measures

MONDAY, June 11, 2018 (HealthDay News) -- Maintenance of certification (MOC) among physicians is associated with performance on selected Healthcare Effectiveness Data and Information Set (HEDIS) process measures, according to a study published online June 12 in the Annals of Internal Medicine.

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2011 to 2017 Saw Drop in Youth Use of Any Tobacco Products

MONDAY, June 11, 2018 (HealthDay News) -- From 2011 to 2017 there were decreases in current use of any tobacco products among high and middle school students, according to research published in the June 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Cancer Development Linked to Increased Diabetes Risk

MONDAY, June 11, 2018 (HealthDay News) -- Cancer development is associated with increased risk of subsequent type 2 diabetes mellitus, according to a study published online June 7 in JAMA Oncology.

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Infant Omega-3 Supplementation Tied to Decreased Waist Size

FRIDAY, June 8, 2018 (HealthDay News) -- Omega-3 long-chain polyunsaturated fatty acids (n-3 LCPUFA) supplementation in infancy is associated with reduced insulin concentrations and insulin resistance in boys and reduced waist circumference in both sexes at age 5 years, according to a study published online June 8 in Pediatrics.

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Web Program Tied to Better Salt Knowledge, Behaviors in Children

FRIDAY, June 8, 2018 (HealthDay News) -- A web-based salt reduction program is associated with improvement in salt-related knowledge, self-efficacy, and behaviors among children ages 7 to 10 years, according to a study published online June 7 in the Journal of Nutrition Education and Behavior.

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More Rapid Decline in Kidney Function for Diagnosed Diabetes

THURSDAY, June 7, 2018 (HealthDay News) -- Individuals with diagnosed diabetes have more rapid kidney function decline than those without diabetes, according to a study published online June 1 in Diabetes Care.

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Online Consumer Ratings of Physicians Tend to Be Skewed

WEDNESDAY, June 6, 2018 (HealthDay News) -- Online physician reviews tend to be skewed positively, according to a study published in the May issue of the Journal of Medical Internet Research.

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Job Strain May Raise Death Risk in Men With Cardiometabolic Dz

WEDNESDAY, June 6, 2018 (HealthDay News) -- Job strain is associated with an increased risk of death among men with cardiometabolic disease, according to research published online June 5 in The Lancet Diabetes & Endocrinology.

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AMA Guide Highlights Importance of Caring for Caregivers

WEDNESDAY, June 6, 2018 (HealthDay News) -- Physicians have a role to play in caring for caregivers to help prevent burnout, according to a guide for physicians published by the American Medical Association (AMA).

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CDC: Prevalence of No Insurance Varies by Occupational Groups

WEDNESDAY, June 6, 2018 (HealthDay News) -- The prevalence of being uninsured varies by occupational groups, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AAFP Joins Call on FDA to Reduce Nicotine Content in Cigarettes

WEDNESDAY, June 6, 2018 (HealthDay News) -- The American Academy of Family Physicians (AAFP) has joined 40 public health and medical associations in favor of a proposed update to the U.S. Food and Drug Administration's cigarette product standards to reduce the nicotine content in cigarettes.

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CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

TUESDAY, June 5, 2018 (HealthDay News) -- There is considerable variation in office-based physician visit rates by patient age and sex, according to a June data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Post-Hurricane Deaths in Puerto Rico Underestimated

TUESDAY, June 5, 2018 (HealthDay News) -- The actual number of deaths related to Hurricane Maria in Puerto Rico in 2016 is likely more than 70 times the official government estimate of 64, according to a study published online May 29 in the New England Journal of Medicine.

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Case Shows Biotin Can Interfere With Multiple Endocrine Tests

MONDAY, June 4, 2018 (HealthDay News) -- Biotin, which is included in many hair, skin, and nail growth over-the-counter products, can affect multiple hormone levels, according to a case study published online May 10 in the Journal of the Endocrine Society.

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Higher HDL-C Linked to Better Cognition in Older DM Patients

FRIDAY, June 1, 2018 (HealthDay News) -- Higher serum high-density lipoprotein cholesterol (HDL-C) is associated with better executive function among older patients with diabetes mellitus (DM), according to a study published online May 19 in the Journal of Diabetes Investigation.

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Male Thyroid Cancer Survivors Face Higher CVD Risk

FRIDAY, June 1, 2018 (HealthDay News) -- Male thyroid cancer survivors have a nearly 50 percent higher risk of developing cardiovascular disease (CVD) than female survivors within five years of cancer diagnosis, according to a study published online May 29 in the Journal of Clinical Endocrinology & Metabolism.

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Postmenopausal Sex Hormone Levels Associated With Later CVD

FRIDAY, June 1, 2018 (HealthDay News) -- In postmenopausal women, higher testosterone/estradiol ratios are associated with increased risks for incident cardiovascular disease (CVD), coronary heart disease (CHD), and heart failure events, according to a study published in the June 5 issue of the Journal of the American College of Cardiology.

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