Seniors with diabetes may get more aggressive Tx than recommended | Allergan's DME implant gains FDA approval | Analysis: Nuts may help reduce diabetes risk, weight gain
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July 1, 2014
DiabetesPro SmartBrief
News for diabetes health professionals

Diabetes in Focus
Seniors with diabetes may get more aggressive Tx than recommended
Insulin and sulfonylureas are the second-most-common drugs that drive emergency department visits or admissions and adverse events in diabetes patients ages 65 and older, according to a study in JAMA Internal Medicine. Researchers at the Department of Veterans Affairs also noted a large number of seniors received treatments that were more aggressive than the VA diabetes guidelines recommend. The New York Times (tiered subscription model)/The New Old Age blog (6/30)
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Allergan's DME implant gains FDA approval
Allergan obtained federal approval for its Ozurdex 0.7 mg implant to be used in adult diabetic macular edema patients who received an artificial lens implant or those with cataract surgery scheduled. Medscape (free registration) (6/30)
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Nutrition & Wellness
Analysis: Nuts may help reduce diabetes risk, weight gain
Study data link eating nuts to less weight gain and a reduced risk of diabetes, researchers from the Harvard School of Public Health reported in The American Journal of Clinical Nutrition. Researchers said the fiber and protein in nuts may boost satiety, the fat content may increase oxidation that reduces fat accumulation and the vitamins and minerals in nuts may help lower diabetes risks. (6/30)
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Humid summers, hard winters raise obesity risk, study says
Americans living in counties with humid or rainy summers and those residing in areas with cold, dark winters had increased odds of obesity due in part to reduced physical activity, a study in the American Journal of Public Health indicated. Science World Report (6/30)
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More, larger fat cells seen in obese children
Data presented at the ADA 74th Scientific Sessions revealed obese children had twice as many fat cells and the cells were 17% larger than in their slimmer counterparts. Researchers said higher fat cell levels and larger sizes are tied to inflammation and impaired metabolic function in pediatric patients. Medscape (free registration) (6/30)
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Practice Update
Practice groups opt for affiliations more than formal mergers
A survey by the Medical Group Management Association revealed more than 40% of responding medical practice executives have or will informally integrate their practice with other health care organizations including accountable care organizations, independent practice associations and physician/hospital organizations. Researchers said 27% have or intend to formally merge with another physician-owned practice or sell their practice to a health system or hospital. Healthcare Informatics online (6/30)
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The issues behind the primary care shortage
Projections from the Robert Graham Center suggest the U.S. will require 52,000 more primary care physicians by 2025. However, some government funding designed to boost the pool of primary care practitioners is poised to expire by the end of next year. Other challenges include issues with the medical residency system, scope-of-practice oversight and the appeal of specialty care. USA Today (6/30)
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Trends & Technology
CMS to release national timeline for ICD-10
A national ICD-10 timeline is being developed by the CMS to guide stakeholders as they prepare to implement the new codes next year. The new timeline will include timeframes by which all stakeholders are expected to be ready to undergo end-to-end testing, an important component of ICD-10 conversion. Health Data Management (6/27)
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New rule auto-enrolls ACA coverage renewal
Proposed federal rules would allow automatic re-enrollment in health insurance plans purchased via Affordable Care Act exchanges. The development is expected to ensure more continuity of coverage for enrollees, as occurs with employer-sponsored insurance. Bloomberg (6/27)
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ADA News
Reducing Cardiometabolic Risk: Patient Education Toolkit
The Reducing Cardiometabolic Risk Patient Education Toolkit has nearly 30 reproducible handouts for your patients at risk for or with prediabetes or type 2 diabetes. This newly redesigned kit includes topics such as prediabetes, diabetes management, weight loss, nutrition, physical activity, heart health and complications. All handouts, which are in English and Spanish, are free to download and reproduce. View the kit.
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Inspiration usually comes during work, rather than before it."
-- Madeleine L'Engle,
American writer
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