DiabetesPro Smart Brief – June 1, 2015 Newsletter

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DiabetesPro SmartBrief
News for diabetes health professionals
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Diabetes in Focus

Younger diabetes patients find it difficult to maintain A1C levels
A study in Diabetes Care found that overall average A1C levels of patients with type 1 diabetes ages 2 to 95 increased from 8.2% to 8.4% during four years of follow-up, with the worsening linked mainly to 13- to 25-year-olds. High A1C levels were most common among black participants, those who performed self-monitoring of blood glucose fewer than four times a day and those with a lower household income. Healio (free registration)/Endocrine Today (5/29)

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Study refutes link between post-adolescent acne, insulin resistance
Insulin resistance index in patients with post-adolescent acne did not differ from those without the skin condition, according to a study in the International Journal of Dermatology. Researchers also did not find a correlation between insulin resistance and acne severity. PhysiciansBriefing.com/HealthDay News (5/29)

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Nutrition & Wellness

Study: Higher risk of atrial fibrillation seen with obesity
Researchers looked at nine studies that included more than 157,000 participants and found that every five-point increase in BMI increased the risk of developing atrial fibrillation by 29%, while data from 16 studies that involved almost 5,900 people showed that each five-point increase in BMI correlated to a 13% greater risk for episodes of atrial fibrillation after surgery. The findings were published in JACC Clinical Electrophysiology. Reuters (5/29)

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Psychological distress more common among women, uninsured
A report based on the National Health Interview Survey found that women and people who were uninsured, poor or with chronic health conditions were more likely to experience serious psychological distress. People with serious psychological distress were more likely to have chronic obstructive pulmonary disease, heart disease and diabetes. “People with mental health problems have a lot of needs that aren’t being met,” said CDC epidemiologist Laura Pratt, an author of the report. HealthDay News (5/28)

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Overweight, obese men with prostate cancer have worse outcomes
Researchers looked at 1,442 patients with prostate cancer and found that men who were overweight or obese had a 3% higher rate of having a relapse and a 7% increased rate of metastasis, as well as increased rates of dying from the disease and from other causes, than men who were thinner. The findings were published in the journal Cancer. HealthDay News (5/29)

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Higher obesity risk seen with marriage before college graduation
Researchers who followed about 14,000 11- to 19-year-olds from 1995 to 2008 found that those who wed before obtaining a college degree had about a 50% increased risk of becoming obese later compared with those who got married after college graduation. The findings are in the Journal of Health and Social Behavior. HealthDay News (5/28)

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Positive messages may get children to eat healthier foods
Children are more likely to eat healthy foods if parents offer positive messages emphasizing nutritional value and health benefits instead of a negative approach that focuses on the harmfulness of junk food, nutrition experts say. Study data also show people respond better to a positive message. CBS News (5/28)

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Practice Update

AHA asks CMS to learn from stage 2 MU before finalizing stage 3 measures
The American Hospital Association has asked the CMS to first gain more experience with stage 2 meaningful use and develop a mature EHR infrastructure and standards before finalizing the measures for the final stage of MU. “While the stage 3 proposals offer promising ideas that could further health information exchange and support greater patient engagement, 2015 will be the first year at stage 2 meaningful use for most hospitals and the vast majority of physicians,” said AHA Executive Vice President Rick Pollack. BeckersHospitalReview.com (5/28)

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Hot Topics

Trends & Technology

Applying MLR rules to Medicaid plans undermines care, insurers say
Insurers say that proposed CMS rules limiting Medicaid managed care plans’ spending on overhead and administration would severely curtail benefits and hurt patients. “An arbitrary cap on health plans’ administrative costs could undermine many of the critical services — beyond medical care — that make a difference in improving health outcomes for beneficiaries, such as transportation to and from appointments, social services, and more,” AHIP interim CEO Dan Durham said in a statement. The Hill (5/28)

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ATA: 27 states, D.C., have telemedicine parity laws
The American Telemedicine Association said 27 states and the Washington, D.C., have laws requiring insurers to cover telemedicine the same as in-person visits. The ATA said some states also require telemedicine coverage in their Medicaid and state employee health care programs. Medscape (free registration) (5/28)

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ADA News

Free CME/CE opportunity: Hypoglycemia and Diabetes
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 diabetes and provide you with a better understanding of working with patients with type 2 diabetes. Content was developed based on the 2013 scientific statement on the same subject issued by the ADA and TES. Earn up to 3.75 continuing education credits. Learn more.

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SmartQuote

I can’t change the direction of the wind, but I can adjust my sails to always reach my destination.”
— Jimmy Dean,
singer, actor and businessman

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