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Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for July 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.<\/p>\n
Learning to Change Important for Improving Practice<\/font><\/p>\n TUESDAY, July 31, 2018 (HealthDay News) — Although physicians typically struggle with change, relying on habits created in their practice, learning to change is important in order to improve practices and better deal with the changes sweeping through medicine, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n FDA Approves Azedra for Rare Adrenal Tumors<\/font><\/p>\n TUESDAY, July 31, 2018 (HealthDay News) — Azedra (iobenguane) has been approved by the U.S. Food and Drug Administration to treat people 12 and older with rare adrenal gland tumors (pheochromocytoma or paraganglioma) that can’t be surgically removed and have spread beyond the original site.<\/p>\n More Information<\/a><\/p>\n Front Desk Staff Can Set Up a Practice for Successful Billing<\/font><\/p>\n TUESDAY, July 31, 2018 (HealthDay News) — Allowing front desk staff adequate time and an uninterrupted environment to focus on billing can prevent problems later on, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n One in Four Older Adults With Diabetes Uses Alternative Meds<\/font><\/p>\n TUESDAY, July 31, 2018 (HealthDay News) — More than 25 percent of older U.S. adults with diabetes use some type of complementary and alternative medicine (CAM), according to a research letter published in the June issue of Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Few Published Programs Address Medical Trainee Mistreatment<\/font><\/p>\n TUESDAY, July 31, 2018 (HealthDay News) — There are very few published descriptions of programs that address the mistreatment of medical trainees, according to a review published online July 27 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Medical Boards May Contribute to Mental Health Stigma for Doctors<\/font><\/p>\n MONDAY, July 30, 2018 (HealthDay News) — Existing policy has been amended to encourage licensing boards to require disclosure of physical or mental health conditions only when these would negatively impact a physicians’ ability to practice medicine, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Four Strategies Help Doctors Make Personal, Professional Gains<\/font><\/p>\n MONDAY, July 30, 2018 (HealthDay News) — In an article published in Physicians Practice<\/i>, four strategies are presented to help physicians make personal and professional gains.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Health Coverage Interruptions Common in Adults With T1DM<\/font><\/p>\n MONDAY, July 30, 2018 (HealthDay News) — Interruptions in private health insurance coverage are common among U.S. adults with type 1 diabetes and are associated with an increase in glycated hemoglobin and in use of acute care services, according to a report published in the July issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Young Cancer Survivors Have High Risk of Endocrine Diseases<\/font><\/p>\n MONDAY, July 30, 2018 (HealthDay News) — Adolescent and young adult cancer survivors have a 73 percent higher risk of endocrine diseases, according to a study published online June 29 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Cross-Continuum Communication Beneficial After Discharge<\/font><\/p>\n FRIDAY, July 27, 2018 (HealthDay News) — Cross-continuum communication after hospital discharge can improve patient outcomes and overall health, according to an article published in Physicians Practice<\/i>.<\/p>\n More Information<\/a><\/p>\n Risk of Heart Failure Up in ALVSD Patients With Diabetes<\/font><\/p>\n FRIDAY, July 27, 2018 (HealthDay News) — For patients with asymptomatic left ventricular systolic dysfunction (ALVSD), those with diabetes have increased risk of heart failure development and hospitalization, according to a study published in the June issue of Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Drop in Osteoporosis Treatment Initiation After Hip Fracture<\/font><\/p>\n FRIDAY, July 27, 2018 (HealthDay News) — In recent years there have been low rates of osteoporosis treatment initiation after a hip fracture, according to research published in the July 20 issue of JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Assessing, Improving Patient Satisfaction Cuts Malpractice Risk<\/font><\/p>\n THURSDAY, July 26, 2018 (HealthDay News) — Assessing and improving patient satisfaction can help physicians avoid being sued for malpractice, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Insurers May Be Underpaying Doctors<\/font><\/p>\n THURSDAY, July 26, 2018 (HealthDay News) — Insurance companies sometimes underpay doctors the contracted amount for a service or procedure, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Diabetes Diagnosis May Impact Health Behaviors of Family<\/font><\/p>\n WEDNESDAY, July 25, 2018 (HealthDay News) — Partners of people with newly diagnosed diabetes have small but significant differences in health-related behavioral changes compared with partners of people without diabetes, according to a study published in the July\/August issue of the Annals of Family Medicine<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text<\/a><\/p>\n Tools, Methods of RCTs Can Be Adapted to Real-World Settings<\/font><\/p>\n WEDNESDAY, July 25, 2018 (HealthDay News) — Use of appropriate statistical methodology can allow for the synthesis of data collected as part of traditional clinical trials with real-world data, according to an Ideas and Opinions piece published online July 24 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Physicians and Practices Should Prepare for Emergencies<\/font><\/p>\n TUESDAY, July 24, 2018 (HealthDay News) — Practices and physicians should prepare for emergency situations, such as natural disasters, network communications failures, and active shooter situations, according to an article published in Medical Economics<\/i>.<\/p>\n More Information<\/a><\/p>\n VA MISSION Act May Up Costs, Lower Vet Health Care Quality<\/font><\/p>\n TUESDAY, July 24, 2018 (HealthDay News) — The Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act may increase costs and reduce quality of health care for veterans, according to an Ideas and Opinions piece published online July 24 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Child Health Concerns Related to Use of Food Additives<\/font><\/p>\n TUESDAY, July 24, 2018 (HealthDay News) — Regulatory changes are needed to address child health concerns related to the use of food additives, according to a policy statement published online July 23 in Pediatrics<\/i>.<\/p>\n Policy Statement<\/a><\/p>\n Technical Report<\/a><\/p>\n Sulfonylureas As 2nd-Line T2DM Therapy Tied to Higher Event Risk<\/font><\/p>\n TUESDAY, July 24, 2018 (HealthDay News) — Sulfonylureas as second-line drugs for type 2 diabetes are associated with an increased risk of cardiovascular and hypoglycemic events compared with remaining on metformin monotherapy or adding to metformin therapy, according to a study published online July 18 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Walmart Generic Drug Discounts Often Offer More Patient Savings<\/font><\/p>\n MONDAY, July 23 2018 (HealthDay News) — Walmart’s Generic Drug Discount Program (GDDP), which sells many commonly used generic medications for $4 per 30-day supply, offers savings over Medicare for some generic cardiovascular medications, according to a research letter published online July 24 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Medical Organizations Must Address Sexual Harassment<\/font><\/p>\n MONDAY, July 23, 2018 (HealthDay News) — Medical institutions and organizations need to ensure there are proactive interventions to transform the workplace in order to address sexual harassment and discrimination, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Intermittent Energy Restriction Effectively Cuts HbA1c in T2DM<\/font><\/p>\n MONDAY, July 23, 2018 (HealthDay News) — For patients with type 2 diabetes, intermittent energy restriction is comparable to continuous energy restriction for reduction of hemoglobin A1c (HbA1c), according to a study published online July 20 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Embezzlement Not Uncommon in Medical Practices<\/font><\/p>\n MONDAY, July 23, 2018 (HealthDay News) — Embezzlement occurs frequently in medical practices and steps should be taken to prevent it, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Increased Coverage in States With Medicaid Expansion<\/font><\/p>\n FRIDAY, July 20, 2018 (HealthDay News) — Coverage rates and access to care are significantly higher in states with Medicaid expansion, compared with non-expansion states, according to a study published in the July issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Empagliflozin Doesn’t Up Risk of Bone Fractures<\/font><\/p>\n FRIDAY, July 20, 2018 (HealthDay News) — Empagliflozin does not increase the risk of bone fracture in patients with type 2 diabetes, according to a study published online June 15 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n FDA Proposes New Rule on Food Labeling in Vending Machines<\/font><\/p>\n FRIDAY, July 20, 2018 (HealthDay News) — A new rule proposed by the U.S. Food and Drug Administration suggests that the type size on packaged foods sold in vending machines be at least 1.5 times the size of the net weight declaration on the front of the package.<\/p>\n More Information<\/a><\/p>\n Same-Day Appointment System Implemented in Health Network<\/font><\/p>\n THURSDAY, July 19, 2018 (HealthDay News) — A same-day appointment system can feasibly be introduced, according to the experiences of one health network presented in an article published in Managed Healthcare Executive<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Characteristics of Severe Hypoglycemia Identified in T2DM<\/font><\/p>\n THURSDAY, July 19, 2018 (HealthDay News) — For patients with type 2 diabetes, characteristics of those with severe hypoglycemia include having a prior diagnosis of non-severe hypoglycemia and hemoglobin A1c (HbA1c) <6 percent, according to a study published in the June issue of Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Patients Care About the Clothes Doctors Wear<\/font><\/p>\n THURSDAY, July 19, 2018 (HealthDay News) — Patients do in fact care what doctors wear, according to a study recently published in BMJ Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Seven Strategies Can Help Practices Manage Staff Time Off<\/font><\/p>\n WEDNESDAY, July 18, 2018 (HealthDay News) — Several strategies can be implemented to help address management of staff time off, allowing mutual respect for the employee and employer requests, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Basal Insulin Analogues Similar for Glucose Lowering<\/font><\/p>\n WEDNESDAY, July 18, 2018 (HealthDay News) — Basal insulin analogues for type 2 diabetes mellitus (T2DM) do not substantially differ in their glucose-lowering effect, according to a review published online July 10 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n CDC: ‘Tips’ Campaign Has Helped a Number of Smokers Quit<\/font><\/p>\n WEDNESDAY, July 18, 2018 (HealthDay News) — The ongoing Tips from Former Smokers (Tips) campaign, which features stories of former smokers living with smoking-related diseases and disabilities, has had a considerable impact, according to a report from the U.S. Centers for Disease Control and Prevention.<\/p>\n Impact of the Campaign<\/a><\/p>\n More Information<\/a><\/p>\n Testosterone Prescribing Down Since 2013<\/font><\/p>\n WEDNESDAY, July 18, 2018 (HealthDay News) — The percentage of U.S. men receiving testosterone prescriptions decreased from 2013 through 2016, according to a research letter published in the July 10 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Risk of CRC, Non-CRC Death Up With Positive Fecal Hb Test<\/font><\/p>\n WEDNESDAY, July 18, 2018 (HealthDay News) — Individuals with a positive fecal hemoglobin (f-Hb) test result have an increased risk of dying from colorectal cancer (CRC) and non-CRC causes, according to a study published online July 16 in Gut<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Alternative Payment Models Should Include Precision Medicine<\/font><\/p>\n TUESDAY, July 17, 2018 (HealthDay News) — The American Medical Association has committed to working to integrate precision medicine into alternative payment models (APMs), according to an article published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Trials Supporting FDA Approval of Breakthrough Drugs Examined<\/font><\/p>\n TUESDAY, July 17, 2018 (HealthDay News) — Pivotal trials supporting U.S. Food and Drug Administration approvals granted Breakthrough Therapy designation often lack randomization, double-blinding, and control groups, according to a research letter published in the July 17 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Evidence of Clinical Inertia in Management of T2DM<\/font><\/p>\n TUESDAY, July 17, 2018 (HealthDay News) — Many patients with type 2 diabetes (T2D) who have a hemoglobin A1c (HbA1c) level expected to trigger treatment intensification often have treatment inappropriately delayed, according to a research letter published in the July issue of Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n FDA Establishes New Task Force on Drug Shortages<\/font><\/p>\n TUESDAY, July 17, 2018 (HealthDay News) — In a recent statement, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced the formation of a new drug shortages task force to thoroughly explore the reasons why drug shortages remain a persistent challenge.<\/p>\n More Information<\/a><\/p>\n Adoption of EHR Linked to Reduction in Mortality Rates<\/font><\/p>\n MONDAY, July 16, 2018 (HealthDay News) — Adoption of electronic health records (EHRs) is associated with a reduction in mortality rates in U.S. hospitals, according to a study published in the July issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n eCare Plan Set to Improve Doctor\/Pharmacist Relationship<\/font><\/p>\n MONDAY, July 16, 2018 (HealthDay News) — The Pharmacist eCare Plan is designed to improve communication between pharmacists and physicians by allowing documentation to be available via electronic health records (EHRs), according to an article published online in Drug Topics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Physician Burnout Tied to Higher Risk of Medical Errors<\/font><\/p>\n MONDAY, July 16, 2018 (HealthDay News) — Physician burnout, fatigue, and work-unit safety grades are independently associated with medical errors, according to a study published online July 9 in the Mayo Clinic Proceedings<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n PM2.5<\/sub> Contributes to Burden of Diabetes Mellitus Globally<\/font><\/p>\n MONDAY, July 16, 2018 (HealthDay News) — Particulate matter (PM) with a diameter of less than 2.5 micrograms per cubic meter of air (PM2.5<\/sub>) makes a substantial contribution to the burden of diabetes, according to a study published in the July issue of The Lancet Planetary Health<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Virtual Assistants Not HIPAA Compliant<\/font><\/p>\n FRIDAY, July 13, 2018 (HealthDay News) — Virtual assistant programs like Google Assistant, Siri, and Alexa are not yet in compliance with the Health Insurance Portability and Accountability Act (HIPAA), warns an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Two Regimens Fail to Stop Declines in \u03b2-Cell Function<\/font><\/p>\n FRIDAY, July 13, 2018 (HealthDay News) — Neither glargine followed by metformin nor metformin alone halts the progressive deterioration of \u03b2-cell function in youth with impaired glucose tolerance (IGT) or recently-diagnosed type 2 diabetes, according to a study published online June 25 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Gender Bias in Medicine Has Far-Reaching Consequences<\/font><\/p>\n FRIDAY, July 13, 2018 (HealthDay News) — Overlooking women in medicine can have far-reaching consequences, according to a perspective piece published in the June 14 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n AMA Aims to Boost Affordability of ACA Marketplace Plans<\/font><\/p>\n THURSDAY, July 12, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted policy to increase the number of people who obtain coverage through the Affordable Care Act (ACA) by making marketplace plans more affordable.<\/p>\n More Information<\/a><\/p>\n 2001 to 2015 Saw Decline in Self-Employment in Health Care<\/font><\/p>\n THURSDAY, July 12, 2018 (HealthDay News) — From 2001 to 2015 there was a decrease in the percentage of health care professionals who are self-employed and a decrease in the earning gap between self-employed and employed health care professionals, according to a study published online July 12 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Patient Experience Officers Can Play Key Role in Medical Offices<\/font><\/p>\n THURSDAY, July 12, 2018 (HealthDay News) — A patient experience officer is an increasingly important new role in physician practices, according to an article recently published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Basal Insulin Analogs Don’t Cut Hypoglycemia-Linked ER Visits<\/font><\/p>\n THURSDAY, July 12, 2018 (HealthDay News) — Initiation of a basal insulin analog versus human neutral protamine Hagedorn (NPH) insulin is not associated with reduction in the risk of hypoglycemia-related emergency department visits or hospital admissions, according to a study published in the July 3 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Mothers’ Healthy Lifestyle Tied to Drop in Offspring Obesity<\/font><\/p>\n THURSDAY, July 12, 2018 (HealthDay News) — Adherence to a healthy lifestyle among mothers during their offspring’s childhood is associated with reduced risk of childhood obesity, according to a study published online July 4 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Peer-Led Education Helps Physicians Save Time With EHRs<\/font><\/p>\n THURSDAY, July 12, 2018 (HealthDay News) — A peer-based education program can improve the efficiency of electronic health record (EHR) use, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Metformin Tied to Acidosis Risk at eGFR <30mL\/min\/1.73 m\u00b2<\/font><\/p>\n WEDNESDAY, July 11, 2018 (HealthDay News) — Metformin use is associated with an increased risk of acidosis at estimated glomerular filtration rate (eGFR) <30mL\/min\/1.73 m\u00b2, according to a study published in the July issue of JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n FDA Requires Safety Label Changes for Fluoroquinolones<\/font><\/p>\n WEDNESDAY, July 11, 2018 (HealthDay News) — The U.S. Food and Drug Administration has strengthened current warnings in the prescribing information about fluoroquinolone antibiotics causing significant decreases in blood glucose as well as mental health side effects.<\/p>\n Press Release<\/a><\/p>\n Safety Announcement<\/a><\/p>\n Circadian System, Misalignment Have Distinct Impact on Insulin<\/font><\/p>\n WEDNESDAY, July 11, 2018 (HealthDay News) — The endogenous circadian system, behavioral cycle, and circadian misalignment have distinct effects on insulin sensitivity and \u03b2-cell function, according to a study published online June 4 in Diabetes, Obesity and Metabolism<\/i>.<\/p>\n