Study: Reduced diabetes risk tied to lactation in gestational diabetes | Diabetes, severe hypoglycemia linked with epilepsy risk | Study links TBI to higher risk of dementia
April 12, 2018
AANP SmartBrief
News for nurse practitioners
Health Care News
Study: Reduced diabetes risk tied to lactation in gestational diabetes
A study in the Journal of Diabetes Investigation showed that lactation significantly reduced the risk of type 2 diabetes among women who had previous gestational diabetes, with the correlation prominent in US studies, compared with those without lactation. Chinese researchers conducted a meta-analysis of 13 cohort studies and found no association between long-term lactation of more than one to three months and diabetes risk.
Physician's Briefing/HealthDay News (4/5) 
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Diabetes, severe hypoglycemia linked with epilepsy risk
Researchers in Taiwan analyzed data for about 1.5 million adults and found that patients with either or both type 2 diabetes and severe hypoglycemia were at a greater risk for epilepsy than people without either condition. The study in Diabetes Research and Clinical Practice also found women were at greater risk than men and people younger than 65 with type 2 diabetes were at a higher risk than seniors with the condition.
Healio (free registration)/Endocrine Today (4/5) 
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Study links TBI to higher risk of dementia
Research published in Lancet Psychiatry found patients who had any type of traumatic brain injury had a 24% higher risk of dementia than those who did not experience a TBI. Even experiencing one mild TBI increased the risk of dementia by 17%.
The New York Times (tiered subscription model) (4/10) 
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PET study: Lack of sleep tied to increase in marker for Alzheimer's
NIH researchers who used PET found that 19 of 20 healthy individuals who experienced one night of sleep deprivation had significantly increased levels of beta-amyloid protein, which is associated with Alzheimer's disease, in their brains, compared with when they had a good night's sleep, but the increases were not clinically significant for Alzheimer's. The findings in the Proceedings of the National Academy of Sciences should prompt more studies to determine whether there is a direct association between inadequate sleep and higher Alzheimer's risk, researchers said.
Quartz (4/9),  HealthDay News (4/9) 
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Menopausal symptom severity linked with vascular dysfunction
A study in Menopause found endothelial dysfunction and arterial stiffness were linked with greater intensity of menopausal symptoms across stages of menopause. The findings were based on 138 healthy women ages 19 to 70.
MedPage Today (free registration) (4/11) 
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Pharmaceutical News
Acute pancreatitis risk not tied to DPP-4I use, study finds
A study in Diabetes Care showed no association between the use of DPP-4 inhibitors and an increased risk of acute pancreatitis among older patients. Researchers used a cohort of 271,510 US Medicare beneficiaries ages 66 and older and found a higher acute pancreatitis risk among those with cardiovascular disease and taking DPP-4 inhibitors or sulfonylureas, compared with those on thiazolidinediones.
Physician's Briefing/HealthDay News (4/10) 
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Emerging Trends, Products and Technologies
Addictive substance exposures increasing among young children
Calls to US poison control centers for youths ages 5 and younger who were exposed to addictive substances totaled 30,520 in 2016, with e-cigarette exposures rising by more than 1,400% over three years and marijuana exposures increasing by 148% over eight years, according to a report from the National Center on Addiction and Substance Abuse. The findings also showed a 93% annual increase in prescription opioid exposures over a nine-year period, as well as an annual increase in alcohol exposures since 2012.
HealthDay News (4/10) 
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Long-acting contraceptives help reduce Colo. teen birth rate
Officials credited a decrease in teen births in Colorado to the state's efforts to increase access to long-acting contraceptives. Millions of dollars in private and public funding have been put toward better access to birth control methods, such as intrauterine devices and hormonal implants.
Durango Herald (Colo.) (4/8) 
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Health Policy and Legislative News
CMS final rule allows states to choose essential health benefits
CMS final rule allows states to choose essential health benefits
(Joe Raedle/Getty Images)
The CMS has issued a final rule that will allow states to determine essential health benefits covered by plans sold on Affordable Care Act exchanges beginning in 2020. The rule also allows states to propose changes to the medical loss ratio while relaxing MLR reporting requirements for insurers, eliminates standardized plan options for 2019, and raises the threshold for premium increases requiring state review from 10% to 15%.
Reuters (4/9),  Modern Healthcare (tiered subscription model) (4/9) 
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New complimentary CE on safe opioid prescribing
Earn up to 2.25 CE, all of which may be applied toward Pharmacology! Safe Opioid Prescribing Series: How to Safely and Effectively Treat Pain in Primary Care, consists of six (6) modules designed to guide NPs through the safe prescribing process starting with an NP self-assessment. These modules address the complex pain focused patient assessment, trial of an opioid prescription, chronic opioid management and termination of treatment. It also has examples of commonly seen pain management cases. This activity is supported by Funding Opportunity #CMS-1L1-15-002 from the U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services. It's available now for free to AANP members and non-members. For complete details visit the AANP CE Center.
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Invention, strictly speaking, is little more than a new combination of those images which have been previously gathered and deposited in the memory; nothing can come of nothing.
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