Study: Diabetes increases risk of sudden cardiac death in young people | Global cost of diabetes reaches $850B annually, experts say | Gestational diabetes risk higher with anxiety, mood disorders, study suggests
November 14, 2017
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Diabetes in Focus
Study: Diabetes increases risk of sudden cardiac death in young people
Researchers analyzed data on all individuals in Denmark ages 1 to 35 in 2000 to 2009 and ages 36 to 49 in 2007 to 2009 and found that 5% of those who died had diabetes, with an all-cause mortality rate of 235 per 100,000 person-years, compared with 51 per 100,000 person-years among those without the condition. The findings, presented at the American Heart Association's annual meeting and published in the journal Circulation, revealed that cardiac diseases were the leading cause of death in those with diabetes.
Physician's Briefing/HealthDay News (11/13) 
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Global cost of diabetes reaches $850B annually, experts say
The number of people with type 2 diabetes has tripled since 2000, to about 451 million adults globally, with the global cost reaching $850 billion per year, according to estimates from the International Diabetes Federation. If current trends continue, the number of individuals with the condition is expected to reach 693 million by 2045.
Reuters (11/13) 
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Gestational diabetes risk higher with anxiety, mood disorders, study suggests
A population-based study from Canada found having an anxiety or mood disorder during the two years before becoming pregnant raised a woman's risk of gestational diabetes, compared with not having the condition. Researchers analyzed the data and found that using a more specific algorithm to define anxiety and mood disorder within one year before pregnancy attenuated the overall rate of the disorders, according to the study in Diabetic Medicine.
Healio (free registration)/Endocrine Today (11/13) 
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ISA stands by women with diabetes
On World Diabetes Day (WDD) today, the International Sweeteners Association (ISA) invites you to review its campaign 'Do it for you' in support of WDD and to watch an inspirational animated video and infographic aiming to urge women to make their diabetes management one of their core priorities. Read More.
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Nutrition & Wellness
Study: Diet high in antioxidants reduces diabetes risk
A study that followed 64,223 middle-age women for 15 years found those who consumed a diet with the most antioxidants had a 27% lower risk of type 2 diabetes, after adjusting for BMI, compared with those who ate the least, researchers wrote in Diabetologia. Coffee was excluded from the study, but fruits, vegetables, alcohol, tea and other hot beverages contributed most to high antioxidant scores.
Medscape (free registration) (11/10) 
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Exercise, interventions reduce risk of falls in older adults
A study in the Journal of the American Medical Association found older adults can reduce their risk of injurious falls through exercise and by combining exercise with vision assessments and treatment, and environmental assessments and modifications. "A fall is often a life-changing event, the start of a downward spiral of increasing frailty, dependency, and loss of self-worth," Dr. Eric Larson of the Kaiser Permanente Washington Health Research Institute wrote in an accompanying editorial.
Medscape (free registration) (11/10) 
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Practice Update
Framework for accountable care draws from successes abroad
A framework published in Health Affairs for implementing value-based care is based on seven characteristics or principles and can be applied to three different care delivery approaches. The framework, derived from care models in Germany, Nepal and the Netherlands, emphasizes the importance of creating a supportive environment for high-value, patient-centered care; basing reforms on evidence; and providing care through multidisciplinary teams.
The American Journal of Managed Care online (11/7),  Healthcare Finance News (11/8) 
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Group calls for improving patient safety in ambulatory care
A position paper from the American College of Physicians said health care organizations must take steps to reduce physician burnout and stress and implement other strategies to improve patient safety in ambulatory care. ACP President Jack Ende, M.D., said a lot of attention has been focused on patient safety in hospitals but preventing medical errors in ambulatory settings is just as important.
HealthLeaders Media (11/7) 
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Trends & Technology
HHS retools approach to promoting value-based care
The transition to value-based care has accelerated since the passage of the Affordable Care Act, which included incentives, but the Trump administration is now implementing regulatory changes that slow or narrow the scope of some initiatives. Indicators point to more voluntary programs, rather than mandatory models, and more flexibility for health care providers.
The New York Times (free-article access for SmartBrief readers) (11/12) 
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Study finds fewer ACA coverage choices, but most consumers still have options
The average number of health insurers participating in Affordable Care Act exchanges dropped to 3.5 per state for the 2018 plan year from 4.3 for 2017 and 5.6 for 2016, according to a study from the Kaiser Family Foundation. However, all counties have at least one insurer offering coverage for 2018, and three-quarters of enrollees have two or more insurers to choose from.
The Hill (11/10) 
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The quality of your life is the quality of your communication.
Tony Robbins,
entrepreneur and motivational speaker
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