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Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for August 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
Medical Bills in Collections Decrease With Patient Age<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Excess Cardiac Risk Varies With Age of Onset of T1DM<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Excess cardiovascular risk varies with age at diagnosis of type 1 diabetes, according to a study published online Aug. 27 in The Lancet<\/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: Common Diabetes Meds Tied to Serious Genital Infection<\/font><\/p>\n THURSDAY, Aug. 30, 2018 (HealthDay News) — A rare but serious genital infection known as necrotizing fasciitis of the perineum, also called Fournier’s gangrene, has been reported in some patients taking a certain class of type 2 diabetes medicine, according to the U.S. Food and Drug Administration. As a result, the FDA has ordered a new warning about this risk to be added to the prescribing information and patient medication guide of all sodium-glucose cotransporter-2 (SGLT2) inhibitors.<\/p>\n More Information<\/a><\/p>\n Vascular Risk Factors for Brain Calcification in Seniors Identified<\/font><\/p>\n THURSDAY, Aug. 30, 2018 (HealthDay News) — Diabetes and smoking are vascular risk factors associated with hippocampal calcification in older patients with memory issues, according to a study published in the September issue of Radiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n No Meaningful Increase in Physician Compensation Last Year<\/font><\/p>\n THURSDAY, Aug. 30, 2018 (HealthDay News) — There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.<\/p>\n Press Release<\/a><\/p>\n Survey (subscription or payment may be required)<\/a><\/p>\n Label Mix-Up Spurs Recall of Accord Blood Pressure Meds<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — One lot of high blood pressure medication is being recalled after a labeling mix-up, Accord Healthcare Inc. has announced.<\/p>\n light orange to peach colored, round, biconvex tablets debossed with H on one side and 1 on another side<\/a><\/p>\n More Information<\/a><\/p>\n Marketplace Premiums Increase More With Monopolist Insurers<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Wording Used May Affect Thyroid Cancer Patients’ Anxiety, Choices<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — The terminology used to describe small papillary thyroid cancers (PTCs) may affect patients’ anxiety levels and treatment choices, according to a study published online Aug. 23 in JAMA Otolaryngology-Head & Neck Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Medical Practices Should Address Negative Online Reviews<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Artificial Intelligence Holds Promise in Medicine<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Alcohol Is Leading Risk Factor for Global Disease Burden<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Experts Address Loss of the National Guideline Clearinghouse<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Most Research Participants Not Concerned About Data Sharing<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Care Coordination Strategies Aid in Multiple Chronic Diseases<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Care coordination strategies can be beneficial for older patients with multiple chronic diseases, according to a review published in the Aug. 27 issue of CMAJ<\/i>, the journal of the Canadian Medical Association.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial<\/a><\/p>\n AMA Adopts Policy Promoting Health Equity As a Goal<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Medicaid Expansion Linked to Increase in Diabetes Rx Fills<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — Expansions in Medicaid eligibility are associated with an increase in Medicaid diabetes prescriptions filled, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Living in Deprived Area Is Risk Factor for Cognitive Dysfunction<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — Area-level deprivation is an independent risk factor for cognitive dysfunction in older adults, according to a study published in the July issue of the Journal of the American Geriatrics Society<\/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 Increased First-Trimester HbA1c Predicts Gestational Diabetes<\/font><\/p>\n THURSDAY, Aug. 23, 2018 (HealthDay News) — First-trimester glycated hemoglobin (HbA1c) may aid in early identification of women at risk for gestational diabetes mellitus (GDM), according to a study published online Aug. 16 in Scientific Reports<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Frailty in Middle-Aged With Multimorbidity Tied to Mortality<\/font><\/p>\n THURSDAY, Aug. 23, 2018 (HealthDay News) — For middle-aged individuals with multimorbidity, frailty is significantly associated with mortality, according to a study published in the July issue of The Lancet Public Health<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Most Surgical Residents Want Financial Education<\/font><\/p>\n THURSDAY, Aug. 23, 2018 (HealthDay News) — Surgical residents feel strongly that personal financial education should be offered during medical training, according to a study published in the August issue of the Journal of the American College of Surgeons<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n High Prevalence of Diabetes in Those With Severe Mental Illness<\/font><\/p>\n THURSDAY, Aug. 23, 2018 (HealthDay News) — Antipsychotic-treated patients with severe mental illnesses (SMI) have a high prevalence of diabetes and prediabetes, according to a research letter published recently in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Small Practices Also at Risk for Data Breaches<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Strategy Outlined for Shooter Incident in Health Care Facility<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Adhering to a “secure, preserve, fight” strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n National Provider Identifiers Are Vulnerable to Theft<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Paramedic-Led Intervention Cuts Ambulance Calls<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — For low-income older adults who live in subsidized housing, the Community Paramedicine at Clinic (CP@clinic), a paramedic-led, community-based health promotion program to prevent diabetes, cardiovascular disease, and falls for residents 55 years of age and older, lowers the number of ambulance calls and improves quality-adjusted life-years (QALYs), according to a study recently published in CMAJ<\/i>, the journal of the Canadian Medical Association.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Advantages for HDHP Enrollees in Large Versus Small Firms<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Doctors Often Not Discussing Risk Factors With Patients<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.<\/p>\n More Information<\/a><\/p>\n Pennsylvania Case Could Affect Evidence for Malpractice Defense<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n NYU Becomes First Medical School to Cover All Tuition<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.<\/p>\n Press Release<\/a><\/p>\n Experts Offer Tips for Provider Appeal of Denied Medical Claims<\/font><\/p>\n MONDAY, Aug.20, 2018 (HealthDay News) — Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics<\/i>.<\/p>\n More Information<\/a><\/p>\n Declines in Life Expectancy in Many High-Income Countries<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — Life expectancy has declined in recent years in some high-income countries, and in the United States, midlife mortality has increased due to several causes, according to two studies published online Aug. 15 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text – Ho and Hendi<\/a><\/p>\n Abstract\/Full Text – Woolf<\/a><\/p>\n Editorial <\/a><\/p>\n Comments Open on End of NIH Review for Gene Therapy Studies<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead, the panel will assume an advisory role, while the U.S. Food and Drug Administration will assess gene therapy experiments and products as it does with other treatments and drugs. The proposed change will take effect after a public comment period which runs through Oct. 16.<\/p>\n AP News<\/i> Article<\/a><\/p>\n NIH Statement<\/a><\/p>\n Comment on Regulations<\/a><\/p>\n Risk of Death Not Up in T2DM When Risk Factors Within Target<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — Little excess risk of death is seen for patients with type 2 diabetes with five risk-factor variables within target ranges, according to a study published in the Aug. 16 issue of the New England Journal of 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 Residents’ Sleep Deteriorates During Training<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General 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 Practice Names, Logos Should Be Carefully Designed<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Practice names and logos should be carefully designed to emphasize what is unique about a practice, according to a blog post published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n NIH Panel Will No Longer Review Gene Therapy Experiments<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments, according to a perspective piece published online Aug. 15 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n NIH Statement<\/a><\/p>\n Vit D Independently, Inversely Tied to Cholesterol in Children<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Serum 25-hydroxyvitamin D [25(OH)D] is independently and inversely associated with total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol in children, according to a study published in the July issue of the Journal of Clinical Endocrinology & Metabolism<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Weight Gain After Quitting Smoking May Up T2DM Risk<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Smoking cessation accompanied by weight gain is linked to increased risk of type 2 diabetes, according to a study published in the Aug. 16 issue of the New England Journal of 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 Two Strategies for Preventing Diabetes in Minority Patients<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Recognizing the barriers to care for minority patients with type 2 diabetes could reduce the incidence of type 2 diabetes nationwide, according to an article published by the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n ACA Coverage Gains Include Workers Without Insurance<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — After the expanded coverage provisions of the Affordable Care Act (ACA) were implemented in 2014, self-employed individuals and wage earners without employer-sponsored health coverage offers had coverage gains equal to or greater than those of people not employed, according to a report published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Steps Provided for Discharging Patient From Practice<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Patient Portals Don’t Appear to Have Much Traction<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Patient portals have not taken off as expected, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n 6 Factors Related to Inclusion in Health Care Workplace ID’d<\/font><\/p>\n TUESDAY, Aug. 14, 2018 (HealthDay News) — There are six broad factors that can affect inclusion within health care organizations, according to a study published online Aug. 3 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Physicians With Medicine\/Psych Training Can Help Complex Cases<\/font><\/p>\n TUESDAY, Aug. 14, 2018 (HealthDay News) — Physicians boarded in both medicine and psychiatry can offer a way to address some of the challenges associated with caring for medical patients with psychiatric comorbidities, according to an article published in Psychiatric Times<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Four Pros to Integrating EHR, Practice Management Software<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — Consolidating electronic health records and practice management software allows practices to save time and money, make fewer mistakes, and reduce the risk of privacy breaches, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full text<\/a><\/p>\n Low-Energy Diet Induces Different Effects in Men, Women<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — An eight-week low-energy diet (LED) induces different effects in men and women, according to a study published online Aug. 7 in Diabetes, Obesity and Metabolism<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Bariatric Surgery Lowers Microvascular Disease Risk<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — Bariatric surgery is tied to lower overall incidence of microvascular disease in patients with type 2 diabetes mellitus (T2DM), according to a study published online Aug. 7 in the Annals of 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 Cardiac Profiles Up With Exercise, Less Sitting in Early Old Age<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — For adults aged 60 to 64 years, greater light physical activity (PA) and moderate-to-vigorous intensity PA and less sedentary time are associated with more favorable cardiovascular profiles, according to a study published online Aug. 8 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n AMA Adopts Policy on Augmented Intelligence<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy on augmented intelligence, according to a report published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Sufficient Preconception Vitamin D Tied to Lower Miscarriage Risk<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — Preconception vitamin D levels may play a role in maintaining pregnancy, according to a study published recently in The Lancet Diabetes & Endocrinology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA Adopts Policy to Advance Gender Equity in Medicine<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a new policy to study, act for, and advocate to advance gender equity in medicine, according to a report published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n AHA: A Diverse Diet May Not Promote a Healthy Weight<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — The long-standing recommendation to eat a variety of foods may not be a sound way to promote healthy eating patterns and a healthy body weight, according to an American Heart Association science advisory published online Aug. 9 in Circulation<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n American Heart Association Urges Screen Time Limits for Youth<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — The American Heart Association (AHA) is concerned about the impact screen time is having on sedentary behavior in children and teens, according to a scientific statement published online Aug. 6 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Healthy Lifestyle With Diabetes Cuts Cardiovascular Risk<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — Greater adherence to an overall healthy lifestyle is associated with a substantially lower risk of cardiovascular disease (CVD) incidence and mortality among adults with type 2 diabetes (T2D), according to a study published in the June 26 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n