Researchers found that patients with newly diagnosed type 2 diabetes who achieve early and maintained HbA1C control between 6.5% and 7% were at a reduced likelihood of experiencing a cardiovascular event than those who maintain an aggressive or poor glycemic control. The findings in Current Medical Research and Opinion, based on data from 11,426 patients, also showed that aggressive glucose control increases macrovascular risk among those with a longer diabetes duration and those with poor glycemic control at the time of the intensive therapy initiation.
The Journal of the American College of Cardiology published new guidance from the American College of Cardiology on the management of patients who experience bleeding while taking anticoagulants. Risks and benefits, as well as the initial indications for starting anticoagulation, should be reconsidered before restarting the drugs, according to the guidance.
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A study in JAMA Cardiology showed that type 2 diabetes patients with a higher urinary albumin-to-creatinine ratio experienced more cardiovascular events, such as CV death, hospitalization for heart failure, ischemic stroke or myocardial infarction, over an average follow-up of 2.1 years, compared with those who had a lower UARC. Researchers evaluated 15,760 patients and found that even low-level increases in UACR of up to 30 mg/g were associated with an increased CV risk and all-cause mortality, compared with a UACR of less than 10 mg/g.
Surgery of any kind raises the risk of perioperative myocardial injury in older patients and in patients with heart disease, but the condition has subtle symptoms and is often missed, researchers reported in Circulation. A high-sensitivity troponin test can detect the condition, and researcher and cardiologist Christian Puelacher says management strategies should be tailored to the patient.
People who have health insurance under the Affordable Care Act and don't re-enroll by the Dec. 15 deadline will be automatically enrolled in the same plan or a similar one. Experts say that could leave people with a more costly plan they don't want, and they might not have a chance to change it as they have in the past.
Coordinated interventions that address social determinants of health in so-called health care superutilizers have saved state Medicaid programs more than $2 for every $1 invested, according to a National Governors Association analysis of a pilot program. Alaska and Puerto Rico reported substantial cost savings and improvements in beneficiary outcomes after just a year in the pilot program.