Study: Antenatal inositol doesn't help prevent gestational diabetes | Study: Many youths with diabetes don't get screened for diabetic retinopathy | Researchers harvest umbilical T cells for diabetes treatment
March 24, 2017
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Study: Antenatal inositol doesn't help prevent gestational diabetes
Irish researchers found a higher rate of gestational diabetes among women who received 1,100 mg myo-inositol, 27.6 g D-chiro-inositol and 400 µg folic acid than those on folic acid alone. The findings in Diabetes Care, based on 240 women with a mean age of 31.3, revealed that the rate of gestational diabetes was lower among those who had a normal weight in the intervention group, compared with normal-weight women in the control group, and higher among those who were overweight or obese in the intervention group, compared with overweight or obese women in the control group.
Healio (free registration)/Endocrine Today (3/23) 
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Study: Many youths with diabetes don't get screened for diabetic retinopathy
A study in JAMA Ophthalmology showed that 64.9% of youths with type 1 diabetes and 42.2% of youths with type 2 diabetes with health insurance received screening for diabetic retinopathy during eye examination. Researchers used a cohort of 12,686 diabetes patients and found that those with type 1 diabetes were 114% more likely to have an eye examination within 6 years of being diagnosed with diabetes, compared with type 2 diabetes patients.
MedPage Today (free registration) (3/23) 
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Researchers harvest umbilical T cells for diabetes treatment
University of Florida Health researchers have collected and multiplied regulatory T cells from umbilical cords that could be frozen and used for later treatment of type 1 diabetes, according to a study in the journal Molecular Therapy. The cells are used to repair an imbalance in the number or function of specific immune cells, which may be a factor in the disease. (U.K.) (3/23) 
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Nutrition & Wellness
Researchers evaluate efficacy of CANA/PHEN in obesity
Coadministration of canagliflozin and phentermine once daily was associated with superior weight loss from baseline at week 26 among overweight or obese individuals without type 2 diabetes, compared with the placebo group, according to a study in Diabetes Care. Researchers analyzed 335 individuals and found that CANA/PHEN coadministration was also more likely to result in weight loss of more than 5% and reduction in systolic blood pressure, compared with placebo.
Physician's Briefing/HealthDay News (3/23) 
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Jackson, Miss., named fattest city in US by WalletHub
WalletHub's 2017 Fattest Cities in America list has the Jackson, Miss., metro area at the top and Seattle-Tacoma-Bellevue in Washington state at the bottom. The list is compiled based on 17 weight-related measures, such as the number of inactive adults, projected obesity rates and access to healthy foods.
U.S. News & World Report (3/22) 
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Poor health is keeping US men out of the workforce
The US has one of the lowest labor-participation rates for prime working-age men among developed countries, and poor health could help explain why, writes Alana Semuels. Recent studies have found that obesity, diabetes, alcoholism and widespread use of pain medications all lead to unhealthy people who cannot work, especially among people who didn't go to college.
The Atlantic online (3/22),  The Washington Post (tiered subscription model) (3/23) 
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Practice Update
Survey: Most providers unprepared for MACRA
Sixty-four percent of health care providers surveyed by Stoltenburg Consulting reported being either unprepared or very unprepared to implement the Medicare Access and CHIP Reauthorization Act. The poll also found that 68% of respondents said clinical, financial and IT departments should cooperate in MACRA preparation and compliance.
Healthcare IT News (3/22) 
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Trends & Technology
ACA rollback concerns public health experts starting to see results
Coverage expansions and federal funding under the Affordable Care Act helped hundreds of thousands of Colorado residents gain access to care and allowed Denver and other cities across the US to develop new and better systems for helping their poorest people manage chronic medical conditions, mental health care, dental care and primary care. Public health experts fear that progress is being put at risk just as data is beginning to show its benefits, including: fewer emergency department visits and improved utilization of primary and preventive care, dental care, and mental health services.
Los Angeles Times (tiered subscription model) (3/22) 
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Medicaid overhaul will put pressure on state budgets, LTC assistance
If it becomes law, the American Health Care Act will fundamentally change Medicaid, offering states either per capita or block grant funding, and eliminating the open-ended funding states now have for the program, which is a major source of long-term-care support for low-income seniors. Regardless of which approach states choose, observers say budgets would be squeezed and services scaled back as a result.
Kaiser Health News (3/22),  The Wall Street Journal (tiered subscription model) (3/22) 
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