Survey examines physician perception of insulin therapy | Empagliflozin shows efficacy in curbing A1C rates in diabetes | Study ties air pollution to insulin resistance in children
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May 10, 2013
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Diabetes in Focus
Survey examines physician perception of insulin therapy
A survey presented at the American Association of Clinical Endocrinologists annual meeting found that while a majority of primary care physicians believe insulin treatment fares better than oral antidiabetes drugs, 66% of respondents chose to delay insulin therapy, saying it may be too burdensome for their patients. More than half of respondents also said different types of insulin products lead to confusion in prescribing, while almost 60% said the therapy was too complicated for most of their patients, researchers noted. MedPage Today (free registration) (5/7)
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Empagliflozin shows efficacy in curbing A1C rates in diabetes
Empagliflozin monotherapy showed A1C benefits comparable with metformin treatment in type 2 diabetes patients, a study presented at the American Association of Clinical Endocrinologists annual meeting indicated. Researchers also found patients who used empagliflozin as an add-on to metformin therapy attained better fasting plasma glucose levels and greater reductions in body weight at 90 weeks than those who took sitagliptin as an add-on. Medscape (free registration) (5/7)
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Study ties air pollution to insulin resistance in children
Air pollution was associated with increased risk of insulin resistance in 10-year-old children, a German study in Diabetologia showed. Researchers said the odds of insulin resistance increased by 17% for every 10.6 micrograms per cubic meter rise in ambient nitrogen dioxide and by 19% for every 6 micrograms per cubic meter growth in particulate matter levels. Bloomberg (5/9)
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Nutrition & Wellness
Study: Fast-food nutrition shows little improvement
Researchers who analyzed menus from eight fast-food chains found little improvement in nutritional value over a 14-year period, according to a study in the American Journal of Preventive Medicine. The study found fast-food nutrition scores did not change for fruits, vegetables, whole grains and oils, but did improve for meats and saturated fats. Scores for dairy and sodium declined. HealthDay News (5/8)
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Adolescents eat similar number of calories at Subway, McDonald's
A study found that adolescents ate about the same number of calories at Subway as they did at McDonald's, and that meals at both restaurants averaged above the Institute of Medicine recommendation of 850 calories for a teen's lunch. The report was published in the Journal of Adolescent Health. Los Angeles Times (tiered subscription model)/Science Now blog (5/7)
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Money as incentive may boost physical activity in obese
Almost 97% of the 6,500 obese people insured by Blue Care Network who participated in a pedometer-based walking program achieved their fitness goals and avoided a 20% surcharge on their insurance premiums, according to a study from the University of Michigan Health System and Stanford University. The study in the journal Translational Behavioral Medicine said even people who considered the program to be coercive succeeded in achieving the goal of at least 5,000 steps per day. HealthDay News (5/8)
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Practice Update
CMS issues e-Rx guidance for eligible providers
Physicians and group practices have until June 30 to report as electronic prescribers to avoid a 2% cut in 2014 in Medicare Part B payments. CMS released guidance for eligible professionals and groups on reporting requirements and filing for a hardship exemption to avoid the cuts. Health Data Management (5/8)
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Physicians say they want one source for quality measures
Physician groups told the House Ways and Means Health Subcommittee that doctors want quality measures to come from just one entity, and while they support National Quality Forum Standards, some specialists have criticized the organization for being slow to respond to their needs. Physicians said they also need more ways to qualify for value-based payments in Medicare after the sustainable growth rate formula is eliminated. MedPage Today (free registration) (5/7)
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Trends & Technology
FDA clears new diabetes management package from Glooko
The FDA has granted clearance to Palo Alto, Calif.-based firm Glooko for its new diabetes care package containing the Glooko iPhone app, MeterSync Cable and online access for medical professionals and patients. The app keeps track of food and drug intake, while the cable enables users to connect any of 19 different blood glucose meters to an iPhone and have the data charted and assessed by clinicians. MedGadget.com (5/9)
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ADA News
2013 call for nominations for American Diabetes Association National Service Achievement Awards
Do you know an individual or group who has gone above and beyond their commitment to the cause? As you see examples of this level of service to the Association, please consider making sure that it is recognized and nominate them for an American Diabetes Association National Service Achievement Award! All nominations must be received by June 7. Learn more and nominate.
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SmartQuote
Optimism is essential to achievement and it is also the foundation of courage and true progress."
-- Nicholas Murray Butler,
American diplomat and educator
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