Study: Acute coronary syndromes patients with diabetes at higher risk of MACE | Incident type 2 diabetes risk tied to statin therapy, study finds | Study examines hyperbaric oxygen in diabetic foot ulcers
The crude rate of major adverse cardiac events was higher among patients with acute coronary syndromes and diabetes at 25.9%, compared with 16.3% and 16.1% among those with prediabetes and normal glucose metabolism, respectively, according to a study in JACC: Cardiovascular Imaging. Researchers used a cohort of 547 ACS patients and found that an increased risk of MACE was associated with diabetes, but not with prediabetes.
Researchers found a higher likelihood of developing incident type 2 diabetes among at-risk adults who received statin therapy prior to being diagnosed with diabetes. The findings in BMJ Open Diabetes Research & Care, based on 3,234 participants in the Diabetes Prevention Program Outcomes Study, revealed that a longer duration of statin use was associated with a higher diabetes risk among those in the lifestyle intervention group than those in the metformin and usual care groups.
A review in Clinical Therapeutics of 526 patients in nine clinical trials found that hyperbaric oxygen therapy for diabetic foot ulcers did not affect the incidence of healed ulcers. However, hyperbaric oxygen treatment did show a statistically significant greater reduction in the wound area of the ulcer.
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A CDC report found 48.3% of US adults with hypertension had it under control in 2015-2016 and high blood pressure was more common among non-Hispanic black adults than other race or ethnic groups. Overall, 29% of adults had high blood pressure and the rate of controlled hypertension increased with age.
Researchers found that adults who did moderate-intensity walking for 120 minutes or less per week were at a reduced likelihood of dying prematurely from all causes, compared with inactive individuals, while higher levels of walking were tied to a 20% lower mortality risk. The findings in the American Journal of Preventive Medicine, based on data on more than 139,000 adults enrolled in the Cancer Prevention Study II Nutrition Cohort, showed that the age-standardized overall death rate among those who walked less than the recommended amount of physical activity was 2,851 per 100,000, compared with 4,293 per 100,000 among inactive participants.
Health care providers may use EHRs to reduce unnecessary medical testing, which could affect patient safety and satisfaction, researchers reported in JAMA Internal Medicine. Cedars-Sinai Medical Center in Los Angeles, a participant of the Choosing Wisely campaign, integrated an alert system into its physician EHR workflow that resulted in reduced test ordering.
President Donald Trump reportedly is considering Alex Azar, a former HHS deputy secretary under President George W. Bush who in 2007 went on to work for Eli Lilly and Co., where he led the drugmaker's US operations from 2012 to January. CMS Administrator Seema Verma and FDA Commissioner Scott Gottlieb are no longer being considered for the role, administration sources say.
Despite GOP efforts to cut federal funding of Medicaid, 26 states have expanded or enhanced benefits and 17 plan to expand next year, according to a recent Kaiser Family Foundation survey. Benefits have been increased for mental health, substance abuse treatment, telemedicine and dental care. Four states have added cancer screening benefits.