Study looks at insulin requirements post-surgery | Sun Pharma releases first FDA-approved liquid metformin | Study: Metformin lowers side effects of glucocorticoid
February 27, 2020
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Diabetes in Focus
More insulin may be required for patients with type 2 diabetes who just had a surgery procedure, especially if they experience elevations in C-reactive protein or A1C level, suggests a study in the Journal of Diabetes Investigation. The findings, based on data from 49 adults with type 2 diabetes, showed that insulin requirements rose by a mean of 3.11 U per day after surgery.
Full Story: Healio (free registration)/Endocrine Today (2/26) 
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Sun Pharmaceutical has released Riomet ER in the US as an adjunct to diet and exercise to improve glycemic control in patients 10 years and older with type 2 diabetes. The drug is the only FDA-approved liquid formulation of extended-release metformin.
Full Story: Healio (free registration)/Endocrine Today (2/26) 
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A study published in The Lancet Diabetes & Endocrinology showed that metformin improves the clinical status of patients using glucocorticoid, a steroid used to treat chronic inflammatory diseases, by reducing its unwanted side effects such as loss of bone and muscle mass and higher blood glucose levels. Based on data from 53 patients without diabetes but with CID, the findings also showed that those treated with metformin had a 30% reduction in the rate of infections and lower hospital admissions, compared to those treated with placebo.
Full Story: The Islander (Kangaroo Island, Australia)/Australian Associated Press (2/26) 
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Nutrition & Wellness
Taking longer to fall asleep was associated with higher calorie intake and increased food consumption by weight, which could increase the risk for obesity and heart disease, according to a study in the Journal of the American Heart Association that included almost 500 women. Poorer sleep quality was associated with greater consumption of added sugars, the study found.
Full Story: HealthDay News (2/25) 
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Consuming one-quarter to one-third cup of milk daily may increase the risk of breast cancer by 30%, while drinking two to three cups could increase the risk by 70% to 80%, researchers reported in the International Journal of Epidemiology. The study, which followed almost 53,000 North American women for eight years, compared higher milk intakes to lower or no consumption and found little variation in results using full-fat, reduced-fat or nonfat milk.
Full Story: NewKerala (India)/Asian News International (2/25) 
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The CDC reported that as of Feb. 18, there were 68 confirmed deaths in 29 states caused by e-cigarette or vaping product use-associated lung injury, up from 64 on Feb. 4 and bringing the total number of cases to 2,807 nationwide. Georgia and Indiana had the highest number of reported deaths with six cases each, followed by five deaths in Illinois and Massachusetts and four deaths each in California and Utah.
Full Story: United Press International (2/25) 
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Practice Update
The CMS outlined a new strategy for standards of care aimed at reducing physician burnout at its annual Quality Conference. The strategy includes creating clear and reasonable quality expectations, increased oversight and enforcement of standards to ensure accountability, promoting transparency, competition and consumer choice, and using advances in technology and data to modernize quality improvement efforts.
Full Story: Medscape (free registration) (2/25) 
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Staff Care's 2019 survey of more than 200 health care executives and managers found 72% were looking for locum tenens clinicians, compared with 47% in 2017 and 39% in 2012, and 85% of facilities had used locum tenens physicians in the past 12 months, compared with 94% in 2016. The highest locum tenens demand was for primary care physicians, and 30% of facility managers had recruited PCP locums, down from 43.6% in 2016.
Full Story: Medscape (free registration) (2/26) 
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Trends & Technology
The Medicare for All plan supported by Sen. Bernie Sanders, I-Vt., came under fire Tuesday night during a debate among candidates seeking the Democratic Party's nomination to run for president in 2020. Sanders said the plan would cost an estimated $30 trillion over 10 years and reduce health care costs by $450 billion a year, but Sen. Amy Klobuchar, D-Minn., said the math does not add up.
Full Story: The Hill (2/25) 
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States have passed laws to help ensure competition in the health care marketplace and to cap health costs, according to a study from the Catalyst for Payment Reform and University of California at Hastings. The most common way states try to maintain competition is to use antitrust statutes to block mergers and acquisitions; 20 states have mandatory all-payer claims databases; another 20 have banned "most favored nation" contracting clauses; and seven have commissions that work to increase competition and keep costs down.
Full Story: HealthLeaders Media (2/25) 
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Highlights from Diabetes
ADA News
Submit your Late Breaking Research to the 80th Scientific Sessions!
ADA's program allows for inclusion of later submissions of newly completed research and clinical trials. The abstract should describe a noteworthy and timely research advance that has not been previously published or submitted. Submissions will be accepted until Monday, March 16, 5:00 p.m. ET. View the submission guidelines.
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