Study shows benefits of maintaining healthy weight to BP control | HbA1C and fasting glucose compared for diabetes diagnosis | Researchers find no link between diabetic retinopathy, plasma lipids
October 13, 2017
AANP SmartBrief
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Health Care News
Study shows benefits of maintaining healthy weight to BP control
Researchers analyzed data on 4,630 participants, ages 18 to 30, and found that those who maintained optimal body weight had a 41% reduced risk of having an increase in blood pressure levels as they aged, compared with those who did not maintain a healthy weight. The findings, presented at the 2017 American Heart Association Council on Hypertension, AHA Council on Kidney in Cardiovascular Disease, American Society of Hypertension Joint Scientific Sessions, also revealed that maintaining at least four healthy behaviors was tied to 27% higher odds of having normal BP, rather than increasing BP, from early adulthood to middle age.
Medscape (free registration) (10/12) 
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HbA1C and fasting glucose compared for diabetes diagnosis
Researchers who worked with data from 3,523 Vietnamese individuals found HbA1C testing may be more sensitive than fasting plasma glucose in identifying diabetes and prediabetes. The findings in PLOS ONE revealed that only 59% of patients with diabetes identified using HbA1C criteria also met FPG criteria for diagnosis.
Endocrinology Advisor (10/6) 
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Researchers find no link between diabetic retinopathy, plasma lipids
The risk of having diabetic retinopathy or severe DR was not causally associated with any lipid fractions, according to a study in Diabetes. Researchers conducted a meta-analysis of data from 18 studies involving 12,322 individuals with and without DR and found that DR was also not significantly correlated with lipid fractions in the Caucasian or Chinese subgroup analyses.
Physician's Briefing/HealthDay News (10/11) 
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Interested in Diabetes Self-management Education (DSME)?
The Wellness iNPractice Diabetes network gives Nurse Practitioners like you exclusive access to a comprehensive library of educational slide presentations. Register and download the Diabetes Self-management Education and Support (DSME/S) Module today!
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Pharmaceutical News
FDA chief warns of looming drug shortages amid hurricane fallout
FDA chief warns of looming drug shortages amid hurricane fallout
(Joe Raedle/Getty Images)
FDA Commissioner Dr. Scott Gottlieb said US hospitals and pharmacies might encounter drug shortages in the next two to three weeks because most Puerto Rico pharmaceutical plants are operating at partial capacity due to problems with the power supply and poor access to materials after Hurricane Maria. Gottlieb said it's unclear when drugmakers will be able to return to full manufacturing capacity, and he asked drugmakers to be more transparent about the problems they are facing.
Reuters (10/10) 
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Sacred Heart University Online Nursing Programs
Be a professional who leads from the heart with an online nursing degree from Sacred Heart. Four programs to advance your career: RN-BSN, RN-BSN-MSN, MSN with 3 tracks, or DNP. CCNE accredited, no GRE, and award winning faculty. Download Brochure.
Emerging Trends, Products and Technologies
Global cost of treating obesity to reach $1.2T per year by 2025
A study by the World Obesity Federation showed that the cost of treating obesity would reach $1.2 trillion annually by 2025 across the world, with the US poised to surpass all other nations in terms of health care costs. The US health care system spent $325 billion per year in 2014 to treat cancers associated with obesity and other obesity-related illnesses and is projected to spend $4.2 trillion between this year and 2025, researchers found.
CBS News/The Associated Press (10/11) 
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Prevalence of risk factors for stroke increases, study finds
Researchers found an increase in the prevalence of risk factors for ischemic stroke from 2004 to 2014, including diabetes, which increased from 31% to 38% among hospitalized stroke patients and rose by 2% each year. The findings in Neurology, based on 922,451 patients, revealed that 48.7% of Hispanic patients had diabetes, compared with 30.5% of white patients.
Healio (free registration)/Cardiology Today (10/11),  HealthDay News (10/11) 
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Research compares efficacy of insulin pumps, injections in youths with diabetes
The yearly rate of hypoglycemia among children and teens with type 1 diabetes who used insulin pumps was 9.55 per 100 patients, compared with 13.97 per 100 patients among those who received insulin injections, according to a study in the Journal of the American Medical Association. UK researchers evaluated data on 30,579 youths with a mean age of 14.1 and found that insulin pump users were also less likely to develop ketoacidosis and had lower levels of glycated hemoglobin and reduced total daily insulin doses than those on insulin injections.
Reuters (10/10) 
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Health Policy and Legislative News
Trump to discontinue CSR payments
Trump to discontinue CSR payments
(Joe Raedle/Getty Images)
The Trump administration announced Thursday that it will immediately discontinue cost-sharing reduction payments, saying it cannot lawfully continue the payments because there is no congressional appropriation, a move criticized by Democratic lawmakers and state attorneys general. A Congressional Budget Office analysis released in August found that halting CSR payments would increase premiums by about 20% and leave an additional 1 million Americans uninsured.
Reuters (10/12),  The Hill (10/12),  Lincoln Journal Star (Neb.) (tiered subscription model)/The Associated Press (10/12) 
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Trump signs health care executive order
President Donald Trump signed an executive order today designed to make it easier for small businesses to band together to purchase health insurance through association plans. The order will also relax restrictions on short-term health plans and allow consumers to pay premiums using health reimbursement arrangements.
New York Post (10/12),  The Hill (10/11),  The Wall Street Journal (tiered subscription model) (10/11) 
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Last chance to comment on USPSTF cervical cancer screening guidelines
Critics of draft US Preventive Services Task Force recommendations say less-frequent cervical cancer screening could lead to missed diagnoses, particularly in Latina and black women. The draft recommendations say women 30 to 64 years old should either get a Pap smear every three years or be tested for human papillomavirus every five years instead of both every five years, which 24 medical associations still recommend. The USPSTF is accepting comments on the proposal until 8 p.m. Eastern Time today.
National Public Radio (10/11) 
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AANP CE Activities for Managing Insomnia
In partnership with AAPA and Medical Logix, AANP is proud to present, Managing Insomnia: Practical Considerations for Effective Patient Care (1.0 CE with 0.5 pharmacology), which consists of two separate activities. These activities will assist PAs and NPs in applying the criteria for the diagnosis of insomnia disorders, formulating treatment plans based on the patients' presentation and concerns, and setting appropriate patient expectations when starting or switching to various pharmacologic options for insomnia. These activities are supported by an independent educational grant from Merck. For more details, visit the AANP CE Center.
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