Experts debunk "obesity paradox" in diabetes patients | Higher metabolite concentrations raise ESRD risk in diabetes | Fructosamine, glycated albumin rates may predict diabetes risk
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January 16, 2014
DiabetesPro SmartBrief
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Diabetes in Focus
Experts debunk "obesity paradox" in diabetes patients
People who were overweight or obese when diagnosed with type 2 diabetes had a 9% to 33% higher mortality risk than their slimmer counterparts, with the odds increasing as body weight increased, according to a large study in The New England Journal of Medicine. Researchers also found diabetes diagnosis before age 65 heightens the risk of dying in patients with extra weight. Reuters (1/15)
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Higher metabolite concentrations raise ESRD risk in diabetes
A study in Kidney International found higher concentrations of uremic solutes and lower amino acid concentrations were associated with increased odds of end-stage renal disease in type 2 diabetes patients. The results demonstrate that abnormal concentrations of certain metabolites may trigger ESRD progression in diabetes patients, and the findings may aid in the development of new drugs and tests, researchers said. Healio (free registration)/Endocrine Today (1/15)
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Fructosamine, glycated albumin rates may predict diabetes risk
Research published in The Lancet Diabetes & Endocrinology revealed fructosamine and glycated albumin levels greater than the 95th percentile were tied to increased risk of diabetes, retinopathy and chronic kidney disease. The results suggest that although A1C remains the best marker of diabetes onset, evaluating fructosamine and glycated albumin levels may also predict the odds of diabetes and microvascular conditions. MedPage Today (free registration) (1/15)
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Nutrition & Wellness
Researchers ID key risk factors for obesity in preschoolers
Researchers at the University of Illinois found sleep deprivation, higher parental BMI and dietary restrictions for weight loss were the three most influential factors in obesity among preschoolers. "These risk factors are malleable and provide a road map for developing interventions that can lead to a possible reduction in children's weight status," said lead researcher Brent McBride. The findings appear in the journal Childhood Obesity. RedOrbit (1/15)
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Study: Few online coupons are for fruits, vegetables
A study of online coupons found that 25% were for snacks, candies and desserts, 14% offered discounts for prepared meals, 3% were for vegetables and less than 1% were for fruit. Researchers wrote on the website of Preventing Chronic Disease that grocers have the ability to influence dietary patterns and that consumers and retailers might benefit if more incentives were offered for perishable food items. Medscape (free registration) (1/13)
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Signs promoting stairwell use may drive workers to exercise
Employees who worked in offices that put up signs encouraging people to use the stairs were about three times more likely to utilize them, and stairwells with natural lighting showed greater usage than darker ones, a study in Preventive Medicine indicated. Researchers also found most participants climbed at least one flight of stairs at work daily and that men and leaner individuals were more likely than women and heavier participants to use the stairs. Reuters (1/15)
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Practice Update
Survey finds some physicians see increase in appointments
A survey of 139 physicians conducted at the beginning of January found about 25% reported increases in patients seeking appointments, while 58% said they had seen no change. Some physicians are preparing for a possible influx of patients due to the Affordable Care Act by utilizing more technology, such as online prescription refills. MarketWatch (1/13)
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Modest improvements seen in patient-centered medical home approach
Data from a Patient-Centered Primary Care Collaborative report indicated that patient-centered medical home models yielded modest yet positive results for cost reduction, reducing emergency department visits and decreasing inpatient admissions in facilities that adopted the approach. However, researchers said the PCMH model appeared to show less impact on reducing readmissions, improving population health and boosting preventive services. (1/15)
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Trends & Technology
CMS issues rules for home- and community-based care
Patients receiving home- and community-based services from long-term care providers should be able to define goals and set a course for achieving them, according to new CMS rules. Nursing facilities are excluded from the definition of an eligible home or community setting under the rule. Eligible settings will be integrated in and offer full access to the community and will be selected by the beneficiary, this article says. McKnight's Long-Term Care News (1/13)
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ADA News
Clinical Practice Recommendations with companion slides now available!
The 2014 Clinical Practice Recommendations, along with a comprehensive slide set, are now available! The slides capture all of the key recommendations in ADA's Standards of Medical Care. The recommendations, these slides and other resources can be found on the Clinical Practice Recommendations page on DiabetesPro. Learn more.
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