November 2014 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 November 2014. 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.

Health Care Organizations See Value of Telemedicine

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

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Yogurt Every Day May Help Keep Diabetes Away

TUESDAY, Nov. 25, 2014 (HealthDay News) -- Eating a serving a day of yogurt may lower the risk of developing type 2 diabetes, according to new research published online Nov. 25 in BMC Medicine.

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FDA: Calorie Counts Mandated at Chain Restaurants

TUESDAY, Nov. 25, 2014 (HealthDay News) -- New rules announced Tuesday by the U.S. Food and Drug Administration will have many restaurant chains posting calorie counts on their menus, and the rules even apply to movie theater popcorn and ice cream parlor fare.

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Statins Not Tied to Women's Gonado-Sexual Dysfunction

TUESDAY, Nov. 25, 2014 (HealthDay News) -- Statin use is not associated with higher risk of gonado-sexual dysfunction in women, according to a study published online Nov. 10 in the Journal of Sexual Medicine.

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Meta-Analysis Confirms Sugar-Sweetened Beverage, T2DM Link

MONDAY, Nov. 24, 2014 (HealthDay News) -- Sugar-sweetened beverage intake is associated with increased risk of type 2 diabetes, according to research published online Nov. 11 in the Journal of Diabetes Investigation.

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Newly Insured Under ACA May Have Trouble Finding Doctors

MONDAY, Nov. 24, 2014 (HealthDay News) -- Millions of Americans bought health insurance coverage through the Affordable Care Act in the past year and physicians may be reluctant to accept these patients.

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Testosterone Testing Has Increased in Recent Years

FRIDAY, Nov. 21, 2014 (HealthDay News) -- There has been a recent increase in the rate of testosterone testing, with more testing seen in men with comorbidities associated with hypogonadism, according to research published online Nov. 10 in the Journal of Sexual Medicine.

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AMA: Gender Inequality Still Exists in Medicine

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Gender inequality still exists in medicine, according to an article published by the American Medical Association (AMA).

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Effect of Interventions to Improve Meds Adherence Vary

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.

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Review: Ketogenic Diets Suppress Appetite Despite Weight Loss

FRIDAY, Nov. 21, 2014 (HealthDay News) -- A review of evidence supports that ketogenic diets suppress appetite despite weight loss. The research was published online Nov. 17 in Obesity Reviews.

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Exercise Might Not Help Glucose Control in Some T2DM

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Certain genes might prevent regular exercise from improving glucose control in up to a fifth of people with type 2 diabetes, according to findings published online Nov. 20 in the Journal of Clinical Endocrinology & Metabolism.

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Cost of Diabetes Care Keeps Climbing

THURSDAY, Nov. 20, 2014 (HealthDay News) -- The cost of diabetes care in the United States has increased 48 percent in recent years, climbing to more than $322 billion annually, according to research published in the December issue of Diabetes Care.

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Risk of Adverse Outcomes Up With PCI In Adults With Diabetes

THURSDAY, Nov. 20, 2014 (HealthDay News) -- For adults with diabetes and multivessel or left main coronary artery disease, percutaneous coronary intervention (PCI) is associated with increased likelihood of a composite outcome compared with coronary artery bypass grafting (CABG), according to a review and meta-analysis published in the Nov. 18 issue of the Annals of Internal Medicine.

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Low Levels of Vitamin D May Raise Early Death Risk

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- Having genetically low levels of vitamin D may raise the risk of early death, but the risk is not linked with early death due to cardiovascular-related causes, according to new research published online Nov. 18 in The BMJ.

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Gynoid Fat Resists Metabolic Risks of Obesity

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- The differences in the developmental profiles of upper-body and lower-body fat depots may explain their opposing associations with obesity-related metabolic disease, according to research published in the November issue of Diabetes.

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Nearly 3 in 10 Americans With Diabetes Don't Know It

TUESDAY, Nov. 18, 2014 (HealthDay News) -- Almost eight million Americans have diabetes but don't know it, and that's despite the fact that about two-thirds of those with undiagnosed diabetes have seen a doctor two or more times in the past year, according to a study published in the Nov. 18 issue of the Annals of Internal Medicine.

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Measuring HbA1c at Admission Helps Tailor Treatment Regimen

MONDAY, Nov. 17, 2014 (HealthDay News) -- Measurement of hemoglobin A1c (HbA1c) at hospital admission can tailor treatment regimens at discharge, according to a study published in the November issue of Diabetes Care.

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Exercise Can Up Reinnervation Capacity in Metabolic Syndrome

FRIDAY, Nov. 14, 2014 (HealthDay News) -- For patients with metabolic syndrome, supervised exercise can improve cutaneous regenerative capacity, according to a study published online Nov. 12 in the Annals of Neurology.

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Telemedicine Screening IDs Diabetic Retinopathy in 1 in 5

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Use of a nonmydriatic camera for retinal imaging combined with the remote evaluation of images identifies diabetic retinopathy (DR) in about 20 percent of patients with diabetes, according to a study published online Nov. 13 in JAMA Ophthalmology.

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Triple Aim Should Be Expanded to Address Physician Burnout

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Expanding the Triple Aim approach -- which includes enhancing patient experience, improving population health, and reducing costs -- to the Quadruple Aim by adding the goal of improving health care provider work life is recommended, according to the authors of an article published in the November/December issue of the Annals of Family Medicine.

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U.S. Prices Soaring for Some Generic Drugs

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Market forces are dramatically driving up the cost of some generic drugs, prompting U.S. investigations into the pricing of what should be cheap alternatives to brand-name medications.

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Detection Up With One-Step Gestational Diabetes Screening

THURSDAY, Nov. 13, 2014 (HealthDay News) -- A two-hour, one-step screening process increases gestational diabetes mellitus (GDM) detection, but has no impact on maternal or neonatal outcomes, according to research published in the October issue of Clinical Diabetes.

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Anemia Prevalent Among Older Patients With Diabetes

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- For older patients with diabetes, the prevalence of anemia is 59 percent, with determinants including older age and longer duration of diabetes, according to research published in the October issue of Clinical Diabetes.

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Axillary Hair, Deodorant Don't Affect Testosterone Absorption

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- After application of testosterone solution, serum testosterone concentration is unaffected by the presence or absence of axillary hair or by the use of deodorant/antiperspirant, according to a study published in the November issue of the Journal of Sexual Medicine.

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Researchers Put Commercial Diet Plans to the Test

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- There are plenty of famous-name diets for weight loss, but none stands out from the pack when it comes to lasting results, according to a review published online Nov. 11 in Circulation: Cardiovascular Quality and Outcomes.

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PSA Rise With Testosterone Gel Tied to Specific Factors

TUESDAY, Nov. 11, 2014 (HealthDay News) -- Factors predicting greater prostate-specific antigen (PSA) increases with use of testosterone gel (T-gel) include age 60 years and older, baseline testosterone (T) ≤250 ng/dL, and percentage of free PSA <20 percent, according to a study published in the November issue of the Journal of Sexual Medicine.

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T2DM Risk Up With Increased Serum Calcium Levels

TUESDAY, Nov. 11, 2014 (HealthDay News) -- For individuals at high cardiovascular risk, serum calcium concentrations correlate with increased diabetes risk, according to research published in the November issue of Diabetes Care.

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Visceral Fat Key Marker for Cardiometabolic Risk

MONDAY, Nov. 10, 2014 (HealthDay News) -- Visceral fat is associated with cardiometabolic risk, including metabolic syndrome, regardless of body mass index (BMI), according to a study published online Nov. 5 in JACC: Cardiovascular Imaging.

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Education Level, BMI Linked to Postpartum GDM Follow-Up

MONDAY, Nov. 10, 2014 (HealthDay News) -- Among women with gestational diabetes mellitus (GDM), lower education level and higher body mass index (BMI) at diagnosis are associated with reduced likelihood of postpartum follow-up, according to research published in the October issue of Clinical Diabetes.

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Guideline Developed for Management of Acromegaly

MONDAY, Nov. 10, 2014 (HealthDay News) -- Recommendations have been developed for the diagnosis and management of acromegaly. The new clinical practice guideline was published in the November issue of the Journal of Clinical Endocrinology & Metabolism.

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Want to Be a Leader? Cultivate a Healthy Look

FRIDAY, Nov. 7, 2014 (HealthDay News) -- It's more important for potential business or political leaders to look healthy than intelligent, according to a study published online Nov. 5 in Frontiers in Human Neuroscience.

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Better Physician Communication at Shift Change Reduces Errors

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduces the risk of adverse events in patients by 30 percent, according to a study published in the Nov. 6 issue of the New England Journal of Medicine.

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FPG + A1C Best Detects Abnormal Glucose Tolerance in Africans

FRIDAY, Nov. 7, 2014 (HealthDay News) -- For U.S.-based Africans, fasting plasma glucose (FPG) and hemoglobin A1c (A1C) in combination have higher sensitivity for abnormal glucose tolerance than either test alone, with no difference by variant hemoglobin status, according to a study published online Oct. 22 in Diabetes Care.

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Docs Spend ~16.6 Percent of Their Time on Administration

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About 16.6 percent of doctors' working hours are spent on administrative work, according to a study published recently in the International Journal of Health Services.

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Collaborative Care Cuts Depression With Diabetes

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Using a nurse case-manager-based collaborative primary care team can cut depressive symptoms in patients with type 2 diabetes, according to a study published online Oct. 14 in Diabetes Care.

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Bone Health After Fracture May Be Overlooked in Men

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Older men are much less likely than women to receive osteoporosis screening and treatment after suffering a wrist fracture, according to a study published in the Nov. 1 issue of The Journal of Bone & Joint Surgery.

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Walking Program Feasible, Safe for Older Adults in Hospital

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A clinical demonstration program of supervised walking for older adults admitted to the hospital is feasible and safe, and its participants are more often discharged directly to home, according to a study published online Oct. 30 in the Journal of the American Geriatrics Society.

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AMA: New Mapping Tool IDs Areas in Need of Physicians

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A new interactive mapping tool can help physicians and their staff determine locations to establish or expand their practice, according to a report published by the American Medical Association (AMA).

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High Iron Intake at Night May Disrupt Glucose Metabolism

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- Dietary intake of iron may affect the circadian rhythm of glucose metabolism in the liver, according to research published online Oct. 14 in Diabetes.

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Optimal Screening Cut-Off ID'd for GDM in Twin Pregnancies

TUESDAY, Nov. 4, 2014 (HealthDay News) -- The optimal one-hour 50-g glucose challenge test (GCT) screening cut-off for gestational diabetes mellitus (GDM) is ≥135 mg/dL in twin pregnancies, according to a study published online Oct. 14 in the American Journal of Obstetrics & Gynecology.

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Opening Visitation Access Boosts Patient, Family Experience

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Opening visitation access across all facilities can improve patient and family experience, according to research published in the July/August issue of the Journal of Nursing Administration.

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Long-Term Shift Work May Drain the Brain

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Working non-standard hours -- "shift work" -- for many years is not only hard on the body, but may also dull the mind, new research suggests. According to the study, published online Nov. 3 in Occupational & Environmental Medicine, those who do shift work for more than 10 years seem to have the equivalent of an extra 6.5 years of age-related decline in memory and thinking skills.

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Training Model Protects Embryo Transfer Success Rates

TUESDAY, Nov. 4, 2014 (HealthDay News) -- In an academic practice, a training model using ultrasound-guided embryo transfer (ET) results in similar live birth rates for reproductive endocrinology and infertility (REI) fellows and attending physicians, according to research published in the November issue of the American Journal of Obstetrics & Gynecology.

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AMA: Absence of Health Insurer Competition in Many Areas

MONDAY, Nov. 3, 2014 (HealthDay News) -- In most metropolitan areas, there is a significant absence of health insurer competition, according to a report published by the American Medical Association (AMA).

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Median Neuropathy at the Wrist May Signal Diabetic Neuropathy

MONDAY, Nov. 3, 2014 (HealthDay News) -- Median neuropathy at the wrist (MN) may be an early indicator of diabetic neuropathy, according to a study published in the November issue of the Journal of Diabetes Investigation.

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Bariatric Surgery Substantially Reduces T2DM Risk in Obese

MONDAY, Nov. 3, 2014 (HealthDay News) -- Bariatric surgery in obese patients significantly lowers risk of developing type 2 diabetes, independent of other factors such as smoking, hypertension, and high cholesterol, according to a study published online Nov. 3 in The Lancet Diabetes & Endocrinology.

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