A study in Diabetes Care showed that 72% of adults with type 1 diabetes and incident stroke had a vascular composite endpoint in 3.4 years of follow-up, including 32% who experienced a hard cardiovascular event, 32% who experienced a recurrent stroke and 8% who experienced multiple strokes. Finnish researchers evaluated data on 144 patients and found a steady drop in overall survival from 76% during the first year to 58% at 5 years.
Falling insulin requirement is a clinical marker for placental dysfunction in pregnant women with pre-existing diabetes, researchers reported in Diabetes Care. Women with a FIR of 15% or higher from the peak daily dose after 20 weeks gestation were at increased risk of having placental dysfunction and preeclampsia, the study found.
Diabetes patients in an intensive aerobic exercise and dietary program saw a greater decrease in average A1C levels than those in a standard care group, and 73.5% required less diabetes medication, compared with 26.4% in the standard care group, according to a study in the Journal of the American Medical Association. Researchers said the improvements in the intervention group did not reach the threshold for equivalence to standard care, but were "in a direction consistent with benefit."
Metabolically healthy adults who were overweight had a 26% higher risk of heart disease, compared with normal-weight adults, while those who were obese had a 28% higher risk, according to a study in the European Heart Journal. People with three or more heart risk factors had twice the likelihood of developing heart disease regardless of their weight, the study found.
A study suggests exercise at a young age may have a positive effect on memory-related neuronal activity. Researchers reported in the journal eNeuro early age exercise may help prevent age-related cognitive impairment later in life by creating a cognitive reserve.
Specialty access standards used by five state Medicaid agencies did not significantly improve access to specialist physicians, according to a study in JAMA Internal Medicine. By next year, the CMS will require state Medicaid programs to implement time and distance standards for managed care organizations to ensure Medicaid patients have adequate access to specialist physicians.
A study in the Journal of the American Medical Informatics Association showed that 44.3% of inpatient and outpatient facilities have EHR systems that allow providers to open three or more patient records at a time, while 38.3% allow only one record to be open at a time and 17.4% allow two records to be open at once. Researchers suggested that hospitals may reduce the risk of documentation errors by limiting the number of patient records that providers can open at once.
Health care organizations want the CMS to do more to ensure hospitals are not unfairly penalized for readmissions due to the socio-demographic makeup of patients. Experts say policy in the 21st Century Cures Act that requires the CMS to consider socio-demographics in readmissions lacks specificity and details, and CMS noted in its final inpatient payment rule that the overall percentage of hospitals being penalized would not show much change.
A Park Associates report said 60% of US broadband households expressed interest in remote care options online or via telephone. In addition, nearly 50% of respondents said they were interested in remote follow-up care as well as virtual care for ongoing chronic health condition treatment, the report said.
Sept. 15 deadline fast approaching -- ADA 2018 National Scientific and Health Care Achievement Awards: Call for nominations
The American Diabetes Association is seeking nominations for the 2018 National Scientific Achievement Awards. Awards will be presented at the 78th Scientific Sessions in Orlando, June 22-26, 2018. Learn more about requirements and to download award information and profiles.