Researchers examine effect of calcium channel blockers on blood glucose levels | Glycemic control improves with nurse-led diabetes intervention | Study: Cardiac natriuretic peptides tied to insulin sensitivity, diabetes
February 22, 2016
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Diabetes in Focus
Researchers examine effect of calcium channel blockers on blood glucose levels
Researchers evaluated data from 4,978 adults with diabetes who were enrolled in the Reasons for Geographic and Racial Differences in Stroke study between 2003 and 2007 and found a 5 mg/dL lower serum glucose in fully adjusted generalized linear models among users of calcium channel blockers than nonusers of CCB. The findings in Diabetes Research and Clinical Practice also showed users of verapamil, a CCB, had average 10 mg/dL lower serum glucose than CCB non-users, with considerably greater differences among those who used insulin. News (2/19)
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Glycemic control improves with nurse-led diabetes intervention
A study in Diabetic Medicine found that adults in Belgium with type 2 diabetes reduced their A1C levels from a baseline mean of 7% to 6.8% six months after five telephone sessions with a diabetes nurse educator, compared with no change for those who received usual care. Researchers followed 574 patients with a mean age of 64 and found those with elevated A1C levels in the intervention group had greater reductions that persisted at 18 months. Healio (free registration)/Endocrine Today (2/19)
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Study: Cardiac natriuretic peptides tied to insulin sensitivity, diabetes
Cardiac natriuretic peptides were associated with insulin sensitivity and type 2 diabetes, according to two studies in the journal Obesity. The first study, involving 50 individuals with and without obesity, showed the adipose tissue of obese participants had a significantly lower NP activation receptor expression and a higher NP clearance receptor expression than their normal-weight peers. The second study, which involved 19 diabetes patients, found an association between pioglitazone treatment and a significantly lower NP clearance receptor expression and a trend toward higher activation receptor expression in the adipose tissue. MedPage Today (free registration) (2/21)
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Nutrition & Wellness
Nutrition outreach program fights diabetes on Chicago's South Side
The South Side Diabetes Project, founded by physicians at the University of Chicago, helps reduce high rates of diabetes on the city's South Side through outreach programs at grocery stores and other food retailers. Dietetic technician Mary Lucy provides in-store nutrition education for customers and says she is seeing more fruits and vegetables in shopping carts. Medill Reports (Northwestern University) (2/17)
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Obesity increases high BP risk in youths, study shows
Children ages 3 to 11 who went from overweight to obese had more than a twofold increased likelihood of developing high blood pressure, while teens ages 12 to 17 had more than a threefold increased risk, compared to their slimmer peers. The findings in Pediatrics, based on more than 100,000 youths ages 3 to 17, also showed a more than twofold increased risk of high BP among obese youths, while those who were severely obese had more than a fourfold greater risk. HealthDay News (2/19)
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Study links breastfeeding duration to children's vitamin D levels
A study in the American Journal of Public Health showed that continued breastfeeding was tied to lower blood vitamin D levels in babies who did not take vitamin D supplements. Canadian researchers analyzed data from nearly 2,500 healthy children ages 1 to 5 and found the risk of having abnormally low vitamin D levels increased by 6% for every additional one month in breastfeeding time if the child didn't take vitamin D supplements, compared with those who took supplements. Reuters (2/18)
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Study links exercise, adequate sleep to lower stroke risk
Research that included almost 289,000 US adults found those who regularly got enough sleep and vigorous exercise had a lower risk of stroke, compared with those who did not. The study found people who slept seven to eight hours each night had a 25% reduced risk of stroke, compared with those who got more or less sleep. The study was presented at the American Stroke Association's annual meeting. HealthDay News (2/18)
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Practice Update
Study finds benefits to hospital admission after return ED visit
A study in the Journal of the American Medical Association found patients who seek emergency department care, are discharged and then subsequently admitted during a return ED visit have better outcomes compared with patients who are admitted directly from the ED on the first visit. Patients admitted to the hospital on a return ED visit had lower rates of in-hospital mortality and ICU admission, lower mean costs and longer lengths of stay. News (2/17)
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PCMH may increase office visits, reduce hospitalizations, study says
Performance quality was similar for patient-centered medical homes and physician practices that used electronic health records or paper records alone, researchers reported in the Annals of Internal Medicine. However, the analysis found fewer hospitalizations and more primary care visits in the PCMH group, compared with other groups examined, for up to three years after the model was implemented. Medscape (free registration) (2/17)
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HHS accepts most proposed changes to Medicaid expansion, Ark. governor says
HHS Secretary Sylvia Mathews Burwell has accepted "the framework" of changes to Arkansas' Medicaid expansion waiver sought by Gov. Asa Hutchinson, the governor told a state task force. Under the plan, Medicaid-eligible residents who have access to employer-sponsored insurance would be required to enroll in the workplace plan with Medicaid filling certain gaps. Some beneficiaries would be subject to cost-sharing, and unemployed beneficiaries will be referred to job training and job search programs. Kaiser Health News (2/18)
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ADA News
Education Recognition Program DSME/S Symposium with CME/CE credit
The Education Recognition Program will be hosting a full-day ERP DSME/S Recognition Symposium on Friday, March 4. This symposium is in conjunction with the 63rd Annual Advanced Postgraduate Course in San Francisco, Calif. Up to 7.25 CME/CE will be provided for current ERP providers or those interested in becoming recognized by the Association. Learn more.
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Free CME/CE Opportunity: Self-Assessment Program on Prediabetes
This self-assessment program consists of clinical problem-solving multiple choice questions and educational critiques. It is designed to objectively assess and strengthen your knowledge of prediabetes and the prevention of type 2 diabetes. Earn 4.75 continuing education credits. Learn more.
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