March 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 March 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.

Mobile Health App Use Continuing to Increase

TUESDAY, March 31, 2015 (HealthDay News) -- The number of mobile health apps is continuing to increase and doctors are embracing this trend, with more than one-third of physicians recommending their use in the past year, according to an article published in Medical Economics.

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Arsenic Metabolism Linked to Diabetes Incidence

TUESDAY, March 31, 2015 (HealthDay News) -- Arsenic metabolism is prospectively associated with diabetes incidence, according to a study published in the April issue of Diabetes Care.

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Glyburide in Gestational DM Linked to Complications

MONDAY, March 30, 2015 (HealthDay News) -- When used to treat gestational diabetes, glyburide has been linked to a number of complications in the infant, according to a new study. The report was published online March 30 in JAMA Pediatrics.

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2015 Match Sees High Proportion of Unmatched Seniors

MONDAY, March 30, 2015 (HealthDay News) -- About 6.1 percent of U.S. allopathic medical school seniors in the National Resident Matching Program (NRMP) were not placed into first-year residency positions, with a higher percentage of unmatched seniors than in 2014, according to a report published by the American Medical Association.

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Diabetes May Predispose to More Advanced Breast Cancer

FRIDAY, March 27, 2015 (HealthDay News) -- Women with diabetes may have an increased risk of being diagnosed with advanced breast cancer, according to a new study published online March 17 in Breast Cancer Research and Treatment.

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Cardiovascular Disease Risk Equation Can Be Applied Globally

THURSDAY, March 26, 2015 (HealthDay News) -- A cardiovascular disease risk equation has been developed that can be recalibrated for application in different countries, according to a report published online March 25 in The Lancet Diabetes & Endocrinology.

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Prevalence of Subclinical Disease ID'd in African-Americans

THURSDAY, March 26, 2015 (HealthDay News) -- African-Americans have a moderately high prevalence of subclinical disease, which is associated with increased risk of cardiovascular disease (CVD), according to a study published online March 12 in Diabetes Care.

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Physicians Should Be Aware of Signs of Burnout

THURSDAY, March 26, 2015 (HealthDay News) -- Burnout can be prevented if physicians are aware of the warning signs, according to an article published by the American Medical Association.

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FDA: Eylea Approval Expanded to Include Diabetic Retinopathy

WEDNESDAY, March 25, 2015 (HealthDay News) -- U.S. Food and Drug Administration approval of Eylea (aflibercept) has been expanded to treat diabetic retinopathy among people with diabetic macular edema, the agency said Wednesday in a news release.

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Greater Use of Antibiotics Tied to Higher Odds of Diabetes

WEDNESDAY, March 25, 2015 (HealthDay News) -- Repeated use of certain antibiotics may increase a person's risk for type 2 diabetes, new research suggests. The study was published online March 24 in the European Journal of Endocrinology.

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Newly Identified Diabetes Up With Medicaid Expansion

WEDNESDAY, March 25, 2015 (HealthDay News) -- Medicaid expansion is associated with an increase in diabetes diagnosis, according to a study published online March 23 in Diabetes Care.

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Binge Eating Linked to Comorbidities in Obese Adults

WEDNESDAY, March 25, 2015 (HealthDay News) -- For obese adults, binge eating disorder (BED) may be associated with specific medical comorbidities, according to a study published online March 16 in the International Journal of Eating Disorders.

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2015 Diabetes Standards Focus on Individualized Tx Approach

TUESDAY, March 24, 2015 (HealthDay News) -- Therapeutic decisions for diabetes should be individualized, considering factors such as ethnicity and cardiovascular risk, according to an ideas and opinions piece published in the March 24 issue of the Annals of Internal Medicine.

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Balance Compromised in Diabetic Peripheral Neuropathy

MONDAY, March 23, 2015 (HealthDay News) -- Patients with diabetic peripheral neuropathy (DPN) have greater maximum and range of separations of their center of mass from their center of pressure, according to a study published online March 12 in Diabetes Care.

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PTEN Regulation of Insulin Resistance Is Sex Specific

MONDAY, March 23, 2015 (HealthDay News) -- Skeletal muscle phosphatase and tensin homolog deleted on chromosome 10 (PTEN) regulates insulin resistance in a sex-specific manner, according to a study published online March 17 in Scientific Reports.

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Electronic Solutions Underway for Rx Prior Authorizations

FRIDAY, March 20, 2015 (HealthDay News) -- Efforts are underway to offer technological solutions to the burdens associated with prior authorizations, according to an article published in Medical Economics.

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Cardiorespiratory Fitness Tied to Less DM, Despite Other Risks

THURSDAY, March 19, 2015 (HealthDay News) -- Higher cardiorespiratory fitness is associated with a lower risk of incident diabetes, regardless of demographic characteristics and baseline risk factors, according to a study published online March 12 in Diabetes Care.

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Gaining Just 5 Kilograms Greatly Ups T2DM Risk After GDM

THURSDAY, March 19, 2015 (HealthDay News) -- For women with gestational diabetes mellitus (GDM), baseline and most recent body mass index (BMI) and weight gain after GDM correlate with increased long-term risk of developing type 2 diabetes, according to a study published online March 18 in Diabetologia.

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Tool May Predict Short-Term Progression to Type 1 Diabetes

FRIDAY, March 20, 2015 (HealthDay News) -- Researchers have developed a new tool that may predict short-term glycemic progression to type 1 diabetes (T1D). The findings were published online March 10 in Diabetes Care.

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In-Clinic Health Coaching Improves Cardiometabolic Health

THURSDAY, March 19, 2015 (HealthDay News) -- Health coaching by medical assistants can help improve hemoglobin A1c and low-density lipoprotein (LDL) cholesterol control, according to a study published in the March/April issue of the Annals of Family Medicine.

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Strength Training May Cut Type 2 Diabetes Risk in Asian Workers

THURSDAY, March 19, 2015 (HealthDay News) -- Strength training may help cut the risk of incident type 2 diabetes in a working-age Asian population, according to a study published online March 2 in the Journal of Diabetes Investigation.

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Incremental Innovation Impedes Progress on Generic Insulin

WEDNESDAY, March 18, 2015 (HealthDay News) -- Despite the widespread availability of generic drugs, insulin has shown that generics are not an automatic phase in the life cycle of a drug, according to an article published in the March 19 issue of the New England Journal of Medicine.

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Joint European, U.S. Statement Issued on Insulin Pump Safety

WEDNESDAY, March 18, 2015 (HealthDay News) -- Modern insulin pump technologies could be further improved by adopting a more rigorous, standardized, and transparent approach to safety, according to a joint scientific statement from the European Association for the Study of Diabetes and the American Diabetes Association. The statement was published online March 16 in Diabetes Care.

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Diet Soda Intake Tied to Belly Fat in Older Adults

TUESDAY, March 17, 2015 (HealthDay News) -- Increasing diet soda intake (DSI) is tied to greater abdominal obesity in older adults, according to a study published online March 17 in the Journal of the American Geriatrics Society.

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More Than 16 Million Americans Have Gained Coverage Under ACA

TUESDAY, March 17, 2015 (HealthDay News) -- The Obama Administration reported Monday the largest drop in the number of Americans without health insurance since the Johnson administration expanded health coverage through Medicare and Medicaid 50 years ago.

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Moderate Hypoglycemia Impacts Language Processing

MONDAY, March 16, 2015 (HealthDay News) -- Moderate hypoglycemia is associated with deterioration in language processing in adults with and without type 1 diabetes, according to a study published online March 10 in Diabetes Care.

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Gender-Specific Variation in Medical Specialties

MONDAY, March 16, 2015 (HealthDay News) -- Medical specialties vary by gender, with obstetrics/gynecology and pediatrics dominated by female residents and specialties such as surgery, emergency medicine, and anesthesiology dominated by males, according to a report published by the Association of American Medical Colleges (AAMC).

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HHS Wants to Help Restore Joy of Medicine

FRIDAY, March 13, 2015 (HealthDay News) -- The U.S. Department of Health and Human Services (HHS) is listening to physicians and wants to address the regulatory burdens they face, according to a report published by the American Medical Association (AMA).

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Getting Heard May Be Key to Getting New Job

FRIDAY, March 13, 2015 (HealthDay News) -- Your voice may be the key to landing a new job, researchers report in an upcoming issue of Psychological Science.

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AMA, CDC Partner to Focus on Diabetes Prevention

THURSDAY, March 12, 2015 (HealthDay News) -- Reducing the number of Americans with type 2 diabetes is a new mission shared by the American Medical Association (AMA) and the U.S. Centers for Disease Control and Prevention, officials said Thursday.

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Clinical Trial Data Often Not Reported in Timely Manner

THURSDAY, March 12, 2015 (HealthDay News) -- Researchers are not promptly reporting the results of clinical trials to ClinicalTrials.gov, according to an article published in the March 12 issue of the New England Journal of Medicine.

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Physicians Should Plan Exit Strategy in Advance

WEDNESDAY, March 11, 2015 (HealthDay News) -- Physicians should begin planning their exit strategy three to five years in advance, according to the American Medical Association.

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CVD Risk Up With Androgen Deprivation Tx in Prostate Cancer

WEDNESDAY, March 11, 2015 (HealthDay News) -- For men with prostate cancer (PCa), the risk for incident cardiovascular disease (CVD) is increased with androgen deprivation therapy (ADT), according to a study published online March 2 in the Journal of Clinical Oncology.

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Persistent EHR Nonadoption Could Mean Lower Payment

WEDNESDAY, March 11, 2015 (HealthDay News) -- Persistent nonadopters of electronic health records (EHRs) tend to be older, and are employed in smaller practices, according to a letter published in the March 3 issue of the Annals of Internal Medicine.

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Frustrated by Regulations, Doctors Increasingly Miserable

WEDNESDAY, March 11, 2015 (HealthDay News) -- The nationwide Physician Misery Index is 3.7 out of 5, with the vast majority of physicians reporting that the business and regulation of health care has worsened the practice of medicine, according to a report published by Geneia.

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AAMC: Significant Shortfall of Physicians Projected for 2025

TUESDAY, March 10, 2015 (HealthDay News) -- The expected shortfall of physicians is projected to reach about 46,000 to 90,000 by 2025, according to a study conducted by IHS Inc. for the Association of American Medical Colleges (AAMC).

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No Link Found Between Vitamin D Level and Fatal Prostate Cancer

TUESDAY, March 10, 2015 (HealthDay News) -- Neither circulating 25-hydroxyvitamin D (25[OH]D) levels nor common variations in vitamin D pathway genes appear to be associated with risk of fatal prostate cancer, according to research published online March 2 in Cancer.

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Changes Being Made to Med School Applicant Assessment

FRIDAY, March 6, 2015 (HealthDay News) -- In accordance with the changes in graduate medical education to better prepare doctors for a changing health care system, changes are being made to medical school applicant evaluation, according to an article published Feb. 19 by the American Medical Association (AMA).

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Confidence Gap Between Male and Female Med Students

FRIDAY, March 6, 2015 (HealthDay News) -- Female medical students perform at the same or higher level as men, but they lack confidence compared with men, according to a letter published in the March 3 issue of the Annals of Internal Medicine.

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Short-Chain Fatty Acids in Diet Stimulate Fat Utilization

FRIDAY, March 6, 2015 (HealthDay News) -- Short-chain fatty acids (SCFAs), the main products of dietary fiber fermentation, induce a peroxisome proliferator-activated receptor (PPAR) γ-dependent switch from lipid synthesis to lipid utilization, according to research published online Feb. 18 in Diabetes.

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National Hospital Rating Systems Rarely in Agreement

FRIDAY, March 6, 2015 (HealthDay News) -- National hospital rating systems are rarely in agreement, according to a study published in the March issue of Health Affairs.

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FDA Launches First App to Identify Drug Shortages

THURSDAY, March 5, 2015 (HealthDay News) -- A mobile phone application (app) has been released to identify current drug shortages, resolved shortages, or discontinuations of drug products, according to a press release published by the U.S. Food and Drug Administration.

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Statins Tied to Decreased Insulin Sensitivity, Secretion

THURSDAY, March 5, 2015 (HealthDay News) -- Statin drugs may significantly increase a person's risk of developing type 2 diabetes, a new study from Finland suggests. The findings were published March 4 in Diabetologia, the journal of the European Association for the Study of Diabetes.

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Rush University Adds Patient Scores to Doctor Profiles

WEDNESDAY, March 4, 2015 (HealthDay News) -- Rush University Medical Center's website has started adding the results of patient surveys to individual physician profiles, according to a report published by the medical center.

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Study Challenges Management of Benign Thyroid Nodules

TUESDAY, March 3, 2015 (HealthDay News) -- Benign thyroid nodules are common, and research suggests they don't need to be monitored as closely as current guidelines recommend. The findings were published in the March 3 issue of the Journal of the American Medical Association.

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Both High and Low Intensity Exercise Benefit Weight, Waist

TUESDAY, March 3, 2015 (HealthDay News) -- For people who are obese and sedentary, any exercise can help trim abdominal fat, but it may take a bit more effort to get other health benefits, a new study suggests. The findings were published in the March 3 issue of the Annals of Internal Medicine.

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In Vitro Fertilization Birth Rates Continue to Rise

TUESDAY, March 3, 2015 (HealthDay News) -- Nearly 2,000 more infants were born with the help of in vitro fertilization (IVF) in 2013, compared with 2012, according to a new report from the Society for Assisted Reproductive Technology.

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Higher Coffee Consumption Tied to Less Coronary Calcium

TUESDAY, March 3, 2015 (HealthDay News) -- Drinking three to five cups of coffee a day may reduce the risk of developing coronary atherosclerosis, which in turn might reduce the risk for heart attack or stroke, a new study suggests. The report was published online March 2 in Heart.

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Severe Obesity in Youth Even Riskier Than Thought

TUESDAY, March 3, 2015 (HealthDay News) -- Extremely obese children -- such as those at least 100 pounds overweight -- are in deeper trouble in terms of cardiovascular disease risks than doctors have thought, new research suggests. The study appears online March 2 in JAMA Pediatrics.

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Research Measures Perceptions of Physician Compassion

TUESDAY, March 3, 2015 (HealthDay News) -- Patients prefer physicians who convey a more optimistic message, and perceive in them a higher level of compassion, according to a study published online Feb. 26 in JAMA Oncology.

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Age-Specific Causal Link for Adiposity, CV Risk Factors

TUESDAY, March 3, 2015 (HealthDay News) -- Adiposity has an age-specific causal effect on cardiovascular risk factors, according to research published online Feb. 23 in Diabetes.

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Nuts, Including Peanut Butter, May Improve Longevity

MONDAY, March 2, 2015 (HealthDay News) -- Eating nuts, including peanuts and peanut butter, may increase longevity, new research suggests. The study is published online March 2 in JAMA Internal Medicine and was funded by the U.S. National Cancer Institute.

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Hospital Design Has Little Effect on Patient Satisfaction

MONDAY, March 2, 2015 (HealthDay News) -- Hospital design has little effect on patient satisfaction, according to a study published online Feb. 5 in the Journal of Hospital Medicine.

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