Study: Diabetes ups mortality risk in takotsubo syndrome | Software bug prompts recall of Roche's connected diabetes management app | Data show positive results for pediatric use of Medtronic's MiniMed 670G
February 19, 2018
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Study: Diabetes ups mortality risk in takotsubo syndrome
A study in Diabetes Care showed that patients with takotsubo syndrome and diabetes had a higher mortality rate and a higher prevalence of hypertension and physical triggers than those without diabetes. German researchers used a cohort of 826 adults with takotsubo syndrome with and without diabetes, mean age of 72, and found that those with diabetes had more severely impaired left ventricular ejection fraction due to typical apical ballooning, a longer hospital stay and a higher pulmonary edema rate, compared with patients without diabetes.
Healio (free registration)/Endocrine Today (2/16) 
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Software bug prompts recall of Roche's connected diabetes management app
A Class II recall involving Roche's Accu-Chek connected diabetes management app has been issued by the FDA following reports of a software bug in the app's Bolus Advisor calculator feature, an error that could cause unexpected changes in the unit of measurement. The company updated the app and recommended that users of the feature track active insulin and insulin bolus amounts carefully for a minimum of eight hours after updating.
Drug Delivery Business News (2/16) 
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Data show positive results for pediatric use of Medtronic's MiniMed 670G
Data from a 105-patient at-home pediatric study of Medtronic's MiniMed 670G hybrid closed-loop diabetes management system showed that compared with baseline data, less glycemic variability, hypo- and hyperglycemia was experienced by patients, with more time spent in the target blood glucose range. Medtronic included the data in its FDA submission to expand indication of the device for use in kids ages 7 to 13.
Drug Delivery Business News (2/15) 
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Nutrition & Wellness
Well-being scores decrease in almost half of US states
The Gallup-Sharecare Well-Being Index found scores in almost half of US states decreased and no state had a significant improvement in well-being from 2016 to 2017. At the top and bottom of the list were South Dakota and West Virginia, respectively, but overall people said they worried more, were less interested in doing things, had less positive energy from family and friends, and were depressed.
USA Today (2/14),  CNBC (2/13) 
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Survey finds 53% of parents do not believe BMI report cards
Research published in the journal Health Promotion Practice found 53% of 66 parents who received a BMI report card on their child did not believe it was accurate. The survey found 33% of parents said the report card caused them to consider their family's health habits, and 22% said it led them to contact a health care professional about their child's weight.
HealthDay News (2/14) 
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Study links nonstick chemicals to weight regain
A study associated higher levels of plasma perfluoroalkyl substances -- chemicals used to make products nonstick or waterproof -- with greater weight regain after weight loss, researchers reported in PLOS Medicine. The link was strongest in women.
MedPage Today (free registration) (2/13) 
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Practice Update
CMS changes E&M rules on EHR entries by medical students
The CMS changed evaluation and management rules so that while teaching physicians still will have to perform or reperform physical exams and handle evaluation and management decision-making, they can just verify a medical student's EHR documentation of them instead of doing redocumentation. The agency said the decision is part of its effort to reduce administrative burdens facing physicians.
Medscape (free registration) (2/15) 
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Inappropriate CDS alert overrides tied to adverse drug events, study finds
Inappropriate overrides of clinical decision support alerts were six times as likely to correspond to a definite or potential adverse drug event, compared with appropriate overrides, a study in BMJ Quality & Safety found. Researchers analyzed 2,448 overridden CDS alerts involving 712 patient encounters and found that 81.6% of the alerts were appropriately overridden.
Becker's Hospital Review (2/14) 
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Hot Topics
Trends & Technology
CMS: US health care spending to hit $5.7T by 2026; insured rate to drop
CMS: US health care spending to hit $5.7T by 2026; insured rate to drop
The CMS Office of the Actuary expects US health care spending to grow an average of 5.5% annually from 2017 to 2026, reaching $5.7 trillion, driven by rising prices for health care goods and services and the aging population. Prescription drug spending will see the fastest average growth at 6.3% annually as prices and use of specialty drugs increase, while the insured rate is predicted to decline to 89.3% from 2016's 91.1% following the repeal of the Affordable Care Act penalty for Americans who don't purchase health insurance.
Reuters (2/14),  Becker's Hospital Review (2/14),  The Hill (2/14) 
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GOP lawmakers discuss possibility of adding ACA fixes to omnibus bill
House Energy and Commerce Committee Chairman Greg Walden, R-Ore., met with Sens. Lamar Alexander, R-Tenn., and Susan Collins, R-Maine, to discuss how they can reconcile House and Senate measures designed to stabilize Affordable Care Act markets. Alexander said he hopes the ACA fix measures will be included in the upcoming omnibus spending bill due next month.
The Hill (2/15) 
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ADA News
Women's Interprofessional Network of the American Diabetes Association (WIN ADA)
The Association recently launched WIN ADA, a new member-only network for female physicians, scientists, educators, and other professionals in the field of diabetes. WIN ADA aims to strengthen the presence and recognize the contributions of women in diabetes research and clinical practice. The group will provide networking and career development opportunities to help women overcome gender-based barriers associated with professional advancement. Learn more and join today.
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