A new genetic risk score known as T1DGRS2 appears twice as efficient in predicting risk of developing type 1 diabetes compared with current methods, according to a study in Diabetes Care, and it could be used to predict risk in babies. Researchers analyzed gene interactions and genetic variation in more than 6,500 patients with type 1 diabetes and found that the new test was more accurate and was able to help distinguish between type 1 and type 2 diabetes.
German researchers conducted a 104-week double-blind study involving 621 adults with type 2 diabetes inadequately controlled on metformin and found that those who received ertugliflozin experienced reduced fasting plasma glucose, systolic blood pressure and body weight, compared with those on placebo and glimepiride. The findings in Diabetes, Obesity and Metabolism also showed a lower incidence of symptomatic hypoglycemia among those in the ertugliflozin group than the placebo/glimepiride group.
A study in the Journal of Diabetes Investigation revealed that interdependent tendencies may negatively affect diabetes self-care among type 2 diabetes patients. Japanese researchers surveyed 161 adult diabetes patients, mean age of 65.1, and found that age and emotional support were positively associated with diabetes self-care among men who were younger than 68 years old, while interdependent tendency was negatively correlated with diabetes self-care among women in the same age group.
A study in the journal Metabolism found the transition from metabolically healthy obesity to metabolically unhealthy obesity raises cardiovascular risk in adults when compared with people who are metabolically healthy and at normal weight. Researchers said primary prevention strategies and vigilance are needed for people with metabolically healthy obesity to prevent the progression to metabolic syndrome and a higher cardiovascular disease risk.
Experts at the nonprofit group EAT called for a "Great Food Transformation" by 2050, moving the world toward a plant-based diet that is healthier and more environmentally sustainable, according to a report in The Lancet. The report recommends people eat fewer eggs and less meat and dairy, limit added sugars and refined grains, and consume more whole grains, fruits, vegetables and beans.
An analysis of data from over 4,200 US hospitals found that 1 in 4 hospitals cut staff between 2015 and 2017 to ease budget pressures as a result of rising drug spending. Hospital drug spending climbed by 18.5% during the period, with costs driven mainly by high list prices and shortages of critical drugs such as saline and generic injectables.
Health care organizations use three types of approaches to health information exchange -- data exchange between physicians who "use the same EHR," those who "use an EHR that participates in an EHR vendor alliance" and physicians who "are part of the same integrated system" -- putting smaller facilities that use less popular IT systems at a disadvantage, according to a study in The American Journal of Managed Care. Researchers also found that 33% of Medicare patient transitions could be completed by using one of the three HIE approaches, while 45% of patients still require open data exchange methods.
Apple is reported to be looking at partnerships with various private Medicare plans as a way to subsidize Apple Watch. Such relationships would take advantage of Series 4 features that are particularly valuable for seniors, including heart monitoring and fall detection.
The latest federal data showed the number of people enrolled in Medicare Advantage plans reached 22.4 million as of January 2019, up by 6.8% from January 2018. Enrollment increased at a slower rate compared with 2016 and 2017, but many insurers saw significant enrollment growth.