Research in the Journal of Clinical Hypertension found that Asian-Americans, African-Americans, American Indians/Alaska Natives and Pacific Islanders such as Native Hawaiians are at higher risk of hypertension than whites or Hispanics. White patients were more likely than Hispanic patients to have hypertension, but the overall data were not affected by weight, education level or neighborhood status.
Taiwanese researchers found that children who were hospitalized due to enterovirus infection had a 62% higher likelihood of developing obstructive sleep apnea, compared with those with enterovirus infection who weren't hospitalized. The findings in the Pediatric Infectious Disease Journal also showed a 4.82 times increased risk of OSA among those with allergic rhinitis.
An American College of Sports Medicine official statement published in Current Sports Medicine Reports said caffeinated energy drinks are not safe for children and teens, who are at a higher risk of consumption-related complications. The statement said children and teens should not consume the drinks before, during or after intense exercise and the drinks should not be marketed to them.
A study in Nutrition, Metabolism and Cardiovascular Diseases showed that type 1 diabetes patients who consumed three to five cups of coffee or more daily were at an increased risk of developing metabolic syndrome, compared with those who drank less coffee. Finnish researchers used a cohort of 1,040 adults with type 1 diabetes and found that increased coffee intake was also associated with impaired insulin resistance.
UK researchers found that patients with type 2 diabetes with several markers of higher insulin resistance -- such as higher fasting C-peptide, triglycerides and homeostatic assessment model of insulin resistance-2 -- experienced a reduced HbA1C response to DPP-4 inhibitors at six months, compared with those with less insulin resistance. The findings in Diabetes Care, based on data from 254 patients not treated with insulin and EMRs of 23,001 patients, also revealed an association between response to DPP-4 inhibitors and higher body mass index and triglyceride levels.
A study in Diabetes Care showed that metformin, as long as dosage is adjusted for renal function, was a safe and effective treatment for patients with type 2 diabetes and moderate to severe chronic kidney disease. Researchers cited the importance of assessing the estimated glomerular filtration rate of patients with CKD stage 3 every 6 months and suggested the discontinuation of metformin in patients at risk of having acute kidney injury due to severe disease.
A CDC report showed that approximately 7% of children and adolescents ages 3 to 17 had parent-reported significant head injuries, with such injuries more common among boys and those who are older. The findings, based on 2016 national survey data, also showed a higher head injury risk among whites and those whose parents had more than a high-school education.
Glooko researchers found that Valentine's Day generated the highest average blood glucose level among patients with diabetes at 168 mg/dL, followed by Halloween at 158 mg/dL, Christmas Day at 140 mg/dL and New Year's Eve at 131 mg/dL; Australia had the highest level by country at 194 mg/dL, compared with the US at 183 mg/dL and the UK at 186 mg/dL. The company's 2017 Annual Diabetes Report also revealed the highest frequency of hyperglycemia at 72.1% of days was found in Australia and the greatest hypoglycemia at 23.1% of days in the Netherlands, while Belgium had the lowest frequencies for both conditions at 36.4% and 6.4% of days, respectively.
HHS Secretary Alex Azar told lawmakers during a House committee hearing that HHS remains committed to ensuring affordable access to health care and keeping Medicare solvent by driving out fraud, waste and abuse. Azar said his priorities include shifting Medicare toward a more value-based, outcome-based program; reducing prescription drug costs; and expanding telehealth services.
Five states so far have asked the Trump administration for Medicaid waivers that would allow them to place lifetime caps on the benefits some individuals can receive. The cap waivers come on the heels of other waivers, given to two states so far, that allow for work requirements for some Medicaid recipients.
Join your colleagues June 26-July 1 at the AANP 2018 National Conference in Denver, where thousands of nurse practitioners will convene to network, learn from leading NP experts and earn CE credit. The opening general session keynote speaker will be Rear Admiral Susan Orsega, assistant surgeon general and chief nurse officer with the US Public Health Service, who will share her perspective on ways NPs contribute to the culture of practice in the changing health care landscape. Kevin L. Smith, DNP, FNP, FAANP, is chief clinical officer at Zipnosis and has a passion for transforming patients from passive to savvy health care consumers. During the closing general session, he will share The Reality is Virtual: Connecting with the Connected Patient. More information is available on the conference webpage and in the brochure. Upon completion of registration and payment, your receipt will contain the information needed to make your hotel reservation within the AANP housing block. Questions? Contact: Registration -- Conferences & Meetings at email@example.com or (512) 442-4262; Housing -- AANP Housing Center at firstname.lastname@example.org or (855) 857-5933.