Prediabetes risk tied to immunoglobulin levels, study finds | Research suggests best treatments for diabetes patients with osteoporosis | Study ties gut microbiome changes to metabolic markers
June 23, 2017
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Prediabetes risk tied to immunoglobulin levels, study finds
A study in the journal Metabolism: Clinical and Experimental showed that Chinese adults whose immunoglobulin E levels were in the highest quintile had a 31% increased risk of developing prediabetes, compared with those in the lowest quintile. Chinese researchers used a cohort of 8,856 adults and also found that those in the highest quintile of immunoglobulin A concentration levels were 19% more likely to have prediabetes.
Healio (free registration)/Endocrine Today (6/21) 
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Research suggests best treatments for diabetes patients with osteoporosis
Patients with type 2 diabetes and osteoporosis should be treated with medications that help protect the bones, such as dipeptidyl peptidase-4 inhibitor, glucagonlike peptide-1 receptor agonists, metformin and sulfonylureas, according to a study in The Journal of Clinical Endocrinology and Metabolism. Greek researchers reviewed past studies and guidelines, as well as key journals and abstracts, and noted that "avoiding strict targets for blood glucose levels is important for jointly managing T2D and osteoporosis for the fear of hypoglycemia, falls and fractures." (U.K.) (6/22) 
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Study ties gut microbiome changes to metabolic markers
Chinese researchers found an association between changes to the gut microbiome that correlate with more than 27 metabolic markers. The findings in Nature Medicine, based on an analysis of gut DNA sequencing data involving young Chinese adults with obesity and Chinese adults who underwent bariatric surgery, showed that some species of gut microbes in obese participants were linked to pro-inflammatory molecules, defective glucose disposal pathways and metabolites that are known type 2 diabetes and cardiovascular disease risk factors. (U.K.) (6/20) 
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Nutrition & Wellness
Study links heart healthy lifestyle changes to reduced health care costs
Researchers found that adults with atherosclerosis who took steps to lower their risk of complications by modifying their lifestyle, such as monitoring their blood pressure, getting enough exercise and avoiding smoking, had total average annual pharmaceutical expenditures of $1,400, compared with $4,516 among those who did little to reduce modifiable heart disease risk factors. The findings in the Journal of the American Heart Association were based on 2012 and 2013 data from the Medical Expenditure Panel Survey involving nearly 76,000 individuals.
Reuters (6/21) 
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A father's involvement in caregiving may affect child obesity
A study published in the journal Obesity found children were 33% less likely to be obese at ages 2 to 4 if their fathers frequently helped them with tasks such as brushing their teeth or getting dressed. Researchers said the risk of childhood obesity dropped by 30% for each one-category increase in the frequency that dads took their children out for walks or for play.
MedPage Today (free registration) (6/21) 
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Practice Update
Direct primary care model may not mean better health, analysts say
Direct primary care model may not mean better health, analysts say
(Joe Raedle/Getty Images)
Health care analysts' concerns about the viability of direct primary care models, which allow patients unlimited services for a flat fee, have been renewed following news that Seattle-based practice Qliance, one of the pioneers in this type of care, has closed its public clinics. Some analysts say the model encourages the "worried well" to get unnecessary care without guarantees patients will get evidence-based services that will improve their health, while others argue cost-effective primary care must be developed inside the health insurance context.
National Public Radio/Kaiser Health News (6/20) 
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Patient portal adoption lags among rural patients
An athenahealth analysis found that 18% of rural patients used patient portals between January and August 2016, compared with 33% of urban patients and 21% of suburban ones. Researchers suggested that the geographical disparities in patient portal adoption may be because of lower internet access rates in rural homes.
Becker's Hospital Review (6/21) 
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Trends & Technology
CMS adds more flexibility to HIT mandates in proposed 2018 MACRA rule
Doctors who choose to continue using their legacy EHR systems would be allowed to do so until next year and those who use 2015-certified EHR editions would receive a 10% payment bonus from the CMS, according to the proposed 2018 Medicare Access and CHIP Reauthorization Act rule. The proposed rule "helps credit clinicians for using health IT within a care improvement context, and we see this as a more outcomes-focused approach to measuring health IT use," said Dr. Doug Fridsma, CEO of the American Medical Informatics Association.
Healthcare IT News (6/21) 
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House subcommittee reviews cybersecurity role of HHS
The House Subcommittee on Oversight and Investigations told HHS to focus its cybersecurity efforts on patient safety and protected health information security. "Overall, the health care and public health sector has improved its ability to manage cybersecurity events, including HHS' management of the WannaCry malware that resulted in minimal effect on US health organizations," said Health Subcommittee Chairman Michael Burgess, R-Texas, who added that protecting patient privacy and securing important data need "continuous evaluation and adjustment."
Health IT Security (6/21) 
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Anyone can hold the helm when the sea is calm.
Publilius Syrus,
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