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January 30, 2013

News for diabetes health professionals

Diabetes in Focus

Study looks at treatment intensification in youth with type 1 diabetes
About 51.7% of youths with type 1 diabetes transitioned to a more intensive insulin treatment in three years, while 44.7% did not change and 3.6% moved to a less intensive therapy, a study indicated. Shifting to a more intensive treatment was more likely in younger patients, non-Hispanic whites and participants from families with private insurance and higher income and parental education levels, researchers wrote in Diabetes Care. PhysiciansBriefing.com/HealthDay News (1/29)

Diabetes raises death risk in STEMI patients undergoing angioplasty
A study of 6,298 patients undergoing primary angioplasty for ST-segment elevation myocardial infarction found those with diabetes had higher rates of reinfarction, stent thrombosis, target vessel revascularization and death than those who did not have diabetes. The results were published in Diabetes Care. PhysiciansBriefing.com/HealthDay News (1/29)

Fewer Hispanics than whites report having diabetes, survey finds
Data from a Pew Research Center survey showed only 51% of Hispanics monitor their weight, diet and exercise, compared with 60% of the general U.S. population. Researchers also found 34% of Hispanics reported having diabetes or other chronic diseases, while 47% of non-Hispanic whites did so. Fox News Latino (1/29)

Nutrition & Wellness

Shorter exercise periods may still yield health benefits
Participants who had short periods of physical activity adding up to 30 minutes a day showed similar health benefits -- including lower blood pressure and blood cholesterol levels and reduced waist size -- as those who followed a more formal exercise program, according to a study in the American Journal of Health Promotion. Researchers also found those who had shorter bouts of exercise had an 89% likelihood of not developing metabolic syndrome, while those who followed a structured exercise regimen had an 87% chance. Examiner.com (1/29)

Early lunch may lead to greater weight loss, study says
A study of overweight and obese people who took part in a 20-week weight-loss program found that those who had an early lunch lost an average of 22 pounds, compared with 17 pounds lost by those who ate later, researchers said. The study, published in the International Journal of Obesity, found that late-lunchers ate less for breakfast, were more likely to skip breakfast and had lower insulin sensitivity. USA Today (1/29)

Blacks can benefit from modified DASH diet, study says
U.S. researchers who used a culturally modified DASH diet in a study of blacks in two communities found it led to significant increases in fruit and vegetable consumption and made participants more confident about eating healthier. The study, published in the CDC journal Preventing Chronic Disease, showed the diet did not lead to significant decreases in blood pressure, but researchers noted it did show the diet was feasible for that demographic group. PhysiciansBriefing.com/HealthDay News (1/28)

Practice Update

Report calls for U.S. to move toward preventive health model
The nonprofit Trust for America's Health proposed shifting U.S. health care from a sick-care model to a prevention format, and while Executive Director Jeffrey Levi called it the humanitarian thing to do, economists disagreed with the group's assessment that it would reduce costs. Although many preventive services have been proven effective, data show some preventive services may not improve an individual's health, and health policy expert Peter Neumann of Tufts University School of Medicine said that "prevention itself costs money, and some preventive measures can be very expensive, especially if you give them to a lot of people who won't benefit." Reuters (1/29)

Engagement should be goal for patient portals, experts say
Physicians may embrace online patient portals as part of achieving meaningful use of EHRs, but the long-term goal should be better patient engagement, experts said. The process begins with choosing the right system that provides a return on investment and then ensuring the portal integrates with an EHR system. American Medical News (free content) (1/28)

Trends & Technology

New delivery system helps delay peptide breakdown in diabetes
Researchers at Duke University have developed a jelly-based delivery method to help delay the process of peptide drug breakdown in diabetes patients. The method uses an injectable fusion protein that fuses peptide drug copies with heat-sensitive polymers. The protein, which is less painful and easier to inject than microsphere-release technology, turns into jelly inside the body and is slowly broken down by enzymes to release the peptides. Wired.co.uk (U.K.) (1/29)

ADA News

New CME/CE Opportunity for January - Personalizing Patient Goals and Care in Type 2 Diabetes: One Size Does Not Fit All
Additions have been made to the online continuing education program for primary care providers that address their ability to individualize type 2 diabetes care management using a risk-based decision-making approach to achieving clinical guidelines. Earn up to 5.5 continuing education credits. Learn more.

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