January 25, 2022
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Diabetes in Focus
Children who previously had COVID-19 were up to 2.5 times more likely to be diagnosed with diabetes, according to an analysis of more than 2 million US children published in Morbidity and Mortality Weekly. "Nearly half had diabetic ketoacidosis at time of diabetes diagnosis, a serious diabetes complication, at a much higher rate than previously reported," said researcher Sharon Saydah.
Full Story: Healio (free registration)/Endocrine Today (1/21) 
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Patients who had heart failure with preserved ejection fraction and prediabetes had greater risk for primary composite outcomes, heart failure hospitalization and cardiovascular death, compared with those with normal A1C, according to a study in the European Journal of Heart Failure. Patients with both HFpEF and prediabetes were also more likely to be obese, have a history of myocardial infarction and more clinical evidence of congestion.
Full Story: Medical Dialogues (1/20) 
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A study in The Journal of Clinical Endocrinology & Metabolism found that there was no significant difference in incidence rates of type 2 diabetes for cisgender adults and transgender adults receiving hormone therapy. Greater body mass index at hormone therapy initiation -- but not smoking and alcohol use -- was associated with increased rates of developing diabetes.
Full Story: Healio (free registration)/Endocrine Today (1/24) 
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Nutrition & Wellness
Required nutrition label information was uniformly displayed for online food items about 36% of the time, according to a study of nine major online grocery retailers published in Public Health Nutrition. Researchers found about 11% of products included potential allergens, and nutrition facts and ingredients were displayed about 50% of the time.
Full Story: Healthline (1/19) 
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Restricting calories intermittently was associated with lower memory T call subsets in patients with multiple sclerosis, according to a study, which evaluated three diets, published at medRxiv.org. This is the first study to show a connection between dietary changes and underlying mechanisms for immune changes that may benefit people with MS and other inflammatory and neurodegenerative diseases.
Full Story: Medscape (free registration) (1/20) 
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Children who begin immunotherapy as toddlers may be able to overcome their peanut allergies, research published in The Lancet suggests. In the study, toddlers were given gradually stepped-up doses of peanut protein flour to help acclimate their immune systems, and about 20% of the children eventually were able to eat peanuts without an allergic response, even after therapy had concluded.
Full Story: HealthDay News (1/21) 
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Practice Update
A survey of more than 13,000 US physicians from 29 areas of specialty indicated that many are dealing with high levels of stress and feelings of burnout. Overall, 47% of physicians said they were affected by burnout over the last year compared to 42% a year ago, with 51% of family medicine physicians saying they had experienced it.
Full Story: Medscape (free registration) (1/21) 
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A study conducted by Cigna found patients using virtual care can save an average of $93 per visit on nonurgent care, an average of $120 on specialist care and up to $141 per visit on urgent care. The analysis, based on data from Cigna's telehealth unit MDLive, found use of virtual care was associated with 19% fewer emergency department or urgent care visits, while virtual urgent care visits lowered the duplication of care 16% compared with visits to other virtual care providers.
Full Story: Becker's Payer Issues (1/21),  FierceHealthcare (1/21) 
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Trends & Technology
Fauci: Omicron surge could be peaking
Fauci. (Pool/Getty Images)
COVID-19 case numbers appear to be heading in the right direction, according to Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, who said he expects Omicron variant cases to have peaked in most states by mid-February. Nationwide, COVID-19 cases for the past seven days are down 12% from the previous week, but average COVID-19-related deaths have reached 2,200 per day, up 11% from the prior week and the highest in 11 months.
Full Story: ABC News (1/23),  Reuters (1/24) 
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Senators: Medicare should cover home COVID-19 tests
A coalition of 19 Senate Democrats wrote a letter to CMS and HHS leaders calling for Medicare to cover the cost of home COVID-19 tests for older people and those with disabilities, just as commercial health insurers are doing for their members. The lawmakers argued that those "enrolled in Medicare are at the highest risk of severe illness from COVID-19," and "the current policy leaves them on the hook for potentially significant out-of-pocket costs."
Full Story: FierceHealthcare (1/24) 
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ADA News
Upcoming ADA webinar -- Delivering Diabetes Care and Improving Quality in a Resource-Poor Setting
Jan. 31 at 3:00 p.m. ET -- Join the ADA's Health Care Delivery & Quality Improvement Interest Group as they welcome Dr. Michelle Magee and Dr. Sylvia Kehlenbrink Oh to discuss models and approaches that have been successful in delivery diabetes care in resource-poor settings. The speakers will have time to answer questions during a question and answer segment. Register today.
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How to Thrive: A Guide for Your Journey with Diabetes (25/Package)
This easy-to-understand 44-page brochure is ADA's answer to many of the questions people living with diabetes have about their treatment and care. It explains what diabetes is, how to manage it, what factors affect blood glucose, what to do in special situations (such as during hypoglycemia or sick days) how to prevent or delay complications, and tips for meal planning. It also provides an overview of all the resources ADA has to offer people affected by diabetes. Purchase today.
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