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September 2013 Briefing - Diabetes & Endocrinology

September 2013 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for September 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Lower National Health Spending Due to Slow Economy

MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721.full.pdf+html )

Medicare, Medicaid Will Still Run If Government Shuts Down

MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.

More Information (http://www.hhs.gov/ )

Only One-Third of Voters Think Congress Should Delay ACA

MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.

More Information (http://themorningconsult.com/topline-results-september-2013-tracking-poll/ )

Vitamin D Alone Doesn't Better Postmenopausal Bone Health

MONDAY, Sept. 30 (HealthDay News) -- Vitamin D supplementation alone does not improve bone health in postmenopausal women, but calcium alone or in combination with vitamin D does appear to reduce bone turnover, according to a study published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.abstract?rss=1 )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-2121.full.pdf+html )

DOL Clarifies Employer Health Insurance Notification Duty

MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.

More Information (http://www.dol.gov/ebsa/faqs/faq-noticeofcoverageoptions.html )

Health Worker Roles Impacted When 'Undervalued' by Patients

FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.

Abstract (http://amj.aom.org/content/56/4/1050.abstract )Full Text (subscription or payment may be required) (http://amj.aom.org/content/56/4/1050.full )

Practical Tips Offered for Medical Employee Satisfaction

FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.

Full Text (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-physicians-can-increase-employee-satisfaction-their-medical-practice?page=0,0 )

HEALTH REFORM: ACA Impact on Medicare Recipients Unclear

FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.

More Information (https://www.healthcare.gov/ )

Effect of Testosterone on CV Disease in Men Uncertain

FRIDAY, Sept. 27 (HealthDay News) -- Further research is required to determine the relationship between testosterone levels and cardiovascular disease in men and to explore the risk-benefit of testosterone therapy, according to a review published online Sept. 24 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-1970.abstract )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/09/23/jc.2013-1970.full.pdf+html )

Obesity Gene Testing Offers Psychological Benefit

FRIDAY, Sept. 27 (HealthDay News) -- Results from genetic testing for weight gain-related genes may offer psychological benefits beyond their limited clinical utility, according to a study published in the July issue of the Journal of Genetic Counseling.

Abstract (http://link.springer.com/article/10.1007/s10897-013-9628-9 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007/s10897-013-9628-9 )

Bariatric Surgery in T1DM Teens Doesn't Aid Glycemic Control

THURSDAY, Sept. 26 (HealthDay News) -- Despite significant weight loss, improvements in cardiovascular risk factors, and quality of life, bariatric surgery does not necessarily lead to improved glycemic control in adolescents with type 1 diabetes mellitus (T1DM), according to a case report published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2012-3640.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2012-3640.full.pdf+html )

CDC: Flu Shot Coverage of Health Care Personnel Increasing

THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6238a2.htm?s_cid=mm6238a2_w )

HEALTH REFORM: Medicaid Expansion Will Up Coverage

THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.

More Information (https://www.healthcare.gov/ )

HEALTH REFORM: Exchanges Offer Options for the Uninsured

WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.

More Information (https://www.healthcare.gov/ )

More Options, Lower Premiums With Insurance Exchanges

WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/09/20130925a.html )

Long-Term Metabolic Effects Seen With Bariatric Surgery

WEDNESDAY, Sept. 25 (HealthDay News) -- In obese patients, bariatric surgery can aid in achieving sustainable remission and improvement of type 2 diabetes mellitus (T2DM), according to a study published in the October issue of the Annals of Surgery.

Abstract (http://journals.lww.com/annalsofsurgery/Abstract/2013/10000/Can_Diabetes_Be_Surgically_Cured__Long_Term.14.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/annalsofsurgery/Abstract/2013/10000/Can_Diabetes_Be_Surgically_Cured__Long_Term.14.aspx )

ACP Provides Overview of Health Insurance Marketplaces

WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1741855 )

Sensor-Augmented Insulin Pump Cuts Hypoglycemia in T1DM

TUESDAY, Sept. 24 (HealthDay News) -- For patients with type 1 diabetes, a sensor-augmented pump with insulin suspension reduces the rate of moderate and severe hypoglycemic events compared with a standard insulin pump, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741822#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741822 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741800 )

HEALTH REFORM: Health Care Reform a Mixed Bag for Workers

TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.

More Information (https://www.healthcare.gov/ )

FDA Gives Final Guidance on Mobile Medical App Oversight

TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369431.htm )

HEALTH REFORM: Young People Likely to Be Key to Success

MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.

More Information (https://www.healthcare.gov/ )

FDA Issues Final Rule for Device Identification System

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369276.htm )

HEALTH REFORM: Health Care Exchanges Going Into Effect

MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.

More Information (https://www.healthcare.gov/ )

Majority of U.S. Consumers Want Full Access to EMR

MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.

More Information (http://newsroom.accenture.com/news/more-than-40-percent-of-us-consumers-willing-to-switch-physicians-to-gain-online-access-to-electronic-medical-records-according-to-accenture-survey.htm?c=hls_fy13prtwt_10000108&n=smc_0713#sf17115649g )

Alefacept May Be Useful in Preserving β-Cell Function

MONDAY, Sept. 23 (HealthDay News) -- For patients with type 1 diabetes, alefacept improves four-hour C-peptide area under the curve (AUC), and lowers insulin use and hypoglycemic events, according to a study published online Sept. 23 in The Lancet Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70111-6/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70111-6/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70123-2/fulltext )

Metformin May Increase Risk of Cognitive Impairment

FRIDAY, Sept. 20 (HealthDay News) -- Metformin may increase the risk of cognitive impairment in patients with diabetes; however, calcium supplementation may attenuate this risk, according to research published online Sept. 5 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-0229.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-0229.full.pdf+html )

Cost and Perceived Need Barriers to Diabetes Eye Care

FRIDAY, Sept. 20 (HealthDay News) -- Cost, lack of insurance, and no need are the most commonly cited reasons why adults with diabetes do not seek annual eye care, according to a study published online Sept. 5 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-1507.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/29/dc13-1507.full.pdf+html )

Little Correlation Between Care Quality, Patient Experience

FRIDAY, Sept. 20 (HealthDay News) -- There is little correlation between quality of care assessed by clinical measures versus by patient experience, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/467.abstract?sid=de84fee1-68b9-4629-9da0-445437383dab )Full Text (http://www.annfammed.org/content/11/5/467.full )

New Medicaid Enrollees Under ACA May Be Healthier

THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/406.full )Full Text (http://www.annfammed.org/content/11/5/406.full )Editorial 1 (http://www.annfammed.org/content/11/5/402.full )Editorial 2 (http://www.annfammed.org/content/11/5/400.full )

CDC: Evocative Campaign Motivates Smokers to Quit

THURSDAY, Sept. 19 (HealthDay News) -- The Tips from Former Smokers (Tips) television campaign, which features true stories of former smokers living with the unfortunate consequences of their past habit, appears to motivate smokers to seek information through quitlines and the Internet, according to a report published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6237a3.htm?s_cid=mm6237a3_w )

Increased QRS Duration on ECG Tied to Cardiovascular Mortality

THURSDAY, Sept. 19 (HealthDay News) -- Increased QRS duration on electrocardiogram (ECG) is an independent predictor of cardiovascular mortality, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(13)01057-6/abstract )Full Text (subscription or payment may be required) (http://www.ajconline.org/article/S0002-9149(13)01057-6/fulltext )

Millions Are Harmed by Unsafe Medical Care Each Year

THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.

Abstract (http://qualitysafety.bmj.com/content/22/10/809.abstract )Full Text (http://qualitysafety.bmj.com/content/22/10/809.full )Editorial (http://qualitysafety.bmj.com/content/22/10/798.full )

Pros and Cons of Shortening Medical School Discussed

THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text - Abramson (http://www.nejm.org/doi/full/10.1056/NEJMp1304681 )Full Text - Goldfarb and Morrison (http://www.nejm.org/doi/full/10.1056/NEJMp1306457 )

Vitamin B Supplements May Reduce the Risk of Stroke

WEDNESDAY, Sept. 18 (HealthDay News) -- Vitamin B supplements may help reduce the risk of stroke, according to a meta-analysis published online Sept. 18 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/09/18/WNL.0b013e3182a823cc.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/09/18/WNL.0b013e3182a823cc.full.pdf+html )

Gender Differences in Coronary Syndrome Presentation Studied

WEDNESDAY, Sept. 18 (HealthDay News) -- Chest pain is the most predominant symptom of acute coronary syndrome (ACS) in both middle-aged men and women, although women have a higher likelihood of presenting without chest pain, according to a study published online Sept. 16 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1738716#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738716 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738712 )

Enhanced Care Program Set Up at Six Mayo Clinic Hospitals

WEDNESDAY, Sept. 18 (HealthDay News) -- A new program has been developed and implemented at six Mayo Clinic Health System hospitals to improve care and shorten hospital stays using remote monitoring, according to a press release issued by the Mayo Clinic.

More Information (http://www.mayoclinic.org/news2013-rst/7666.html )

Payment for Routine Office Visits Varies Substantially

WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1583.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1583.full )

EHR Systems Meeting Meaningful Use Criteria Beneficial

WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

More Information (http://www.cdc.gov/nchs/data/databriefs/db129.htm )

Patient-Centered Diabetes Care Best in Those With High HbA1c

WEDNESDAY, Sept. 18 (HealthDay News) -- Patient-centered diabetes care is most effective when targeted to patients with HbA1c >8.5 percent, according to a study published online Aug. 15 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/12/dc12-1865.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/12/dc12-1865.full.pdf+html )

High LDL Cholesterol Remains Common Among U.S. Adults

TUESDAY, Sept. 17 (HealthDay News) -- High low-density lipoprotein (LDL) cholesterol remains common among U.S. adults, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(13)01058-8/abstract )Full Text (subscription or payment may be required) (http://www.ajconline.org/article/S0002-9149(13)01058-8/fulltext )

More Than 1.6 Million Americans Expected to Get Cancer in 2013

TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.

More Information (http://cancerprogressreport.org/2013/pages/toc.aspx )

Office Employees 'Too Tired' to Exercise

TUESDAY, Sept. 17 (HealthDay News) -- Barriers and enablers for good nutrition and physical activity influence employee health behaviors, according to research published online Sept. 12 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/13_0029.htm )

Detection Bias May Explain Raised Bladder CA Risk in T2DM

TUESDAY, Sept. 17 (HealthDay News) -- Early detection bias may explain the pattern of increased bladder cancer risk previously reported in patients with type 2 diabetes, according to a study published online Aug. 29 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-0045.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-0045.full.pdf+html )

Americans Living Longer, Healthier Lives

MONDAY, Sept. 16 (HealthDay News) -- Health surveys show that quality-adjusted life expectancy has increased by about two years in U.S. adults over the past 20 years, according to research published online Sept. 12 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )

U.S. Teens Have Improved Health Behaviors, but BMI Up

MONDAY, Sept. 16 (HealthDay News) -- Improvements were observed in obesity-related behaviors of U.S. adolescents between 2001 and 2009, but further research is needed to explain the increase seen in body mass index (BMI) during the same time period, according to research published online Sept. 16 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-1488.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/11/peds.2013-1488.full.pdf+html )

Hypoglycemia Unawareness Takes Toll on Families

MONDAY, Sept. 16 (HealthDay News) -- Family members of patients with type 1 diabetes and hypoglycemia unawareness often need support, according to a study published online Aug. 29 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-1154.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-1154.full.pdf+html )

Cinnamon Cuts Blood Glucose Levels in Diabetes Patients

MONDAY, Sept. 16 (HealthDay News) -- Consumption of cinnamon is associated with favorable reductions in plasma glucose and lipid levels, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/452.abstract )Full Text (subscription or payment may be required) (http://www.annfammed.org/content/11/5/452.full )

Advanced Glycation Products in Diet Tied to Insulin Resistance

FRIDAY, Sept. 13 (HealthDay News) -- Reducing advanced glycation endproducts (AGEs) through altered cooking methods during a four-week intervention lowers markers of insulin resistance in overweight women, according to a study published online Aug. 19 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-0842.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-0842.full.pdf+html )

Score Predicts Diabetes Remission After Gastric Bypass

FRIDAY, Sept. 13 (HealthDay News) -- A novel score based on four preoperative variables can predict the likelihood of type 2 diabetes remission following Roux-en-Y gastric bypass (RYGB) surgery, according to a study published online Sept. 13 in The Lancet Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70070-6/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70070-6/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70108-6/fulltext )

Farmers' Market Coupons Up Produce Purchases for Poor

FRIDAY, Sept. 13 (HealthDay News) -- Health Bucks, a farmers' market incentive coupon program, increases access to produce in low-income communities, according to research published online Aug. 29 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/12_0285.htm )

Mediterranean Diet Tied to Less Age-Related Cognitive Decline

THURSDAY, Sept. 12 (HealthDay News) -- Greater adherence to a Mediterranean diet is associated with slower cognitive decline in older adults, according to a review published in the July issue of Epidemiology.

Abstract (http://journals.lww.com/epidem/Abstract/2013/07000/Mediterranean_Diet,_Cognitive_Function,_and.1.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/epidem/Abstract/2013/07000/Mediterranean_Diet,_Cognitive_Function,_and.1.aspx )

Mindfulness Training Beneficial for Clinicians, Patients

THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.

Abstract - Fortney (http://www.annfammed.org/content/11/5/412.abstract )Full Text (http://www.annfammed.org/content/11/5/412.full )Abstract - Beach (http://www.annfammed.org/content/11/5/421.abstract )Full Text (http://www.annfammed.org/content/11/5/421.full )

Insulin Status Impacts Weight-Loss-Associated Vascular Gains

THURSDAY, Sept. 12 (HealthDay News) -- The positive vascular effects of weight reduction in obese patients are partially determined by insulin status, according to a study published online Sept. 4 in the Journal of the American College of Cardiology.

Full Text (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1734978 )Editorial (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1734982 )

Whole-Body MRI Helps Predict CVD Burden in Diabetes Patients

THURSDAY, Sept. 12 (HealthDay News) -- Whole-body magnetic resonance imaging (MRI) predicts cardiac and cerebrovascular disease burden in patients with diabetes mellitus (DM), according to a study published online Sept. 10 in Radiology.

Abstract (http://radiology.rsna.org/content/early/2013/08/28/radiol.13130371.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/early/2013/08/28/radiol.13130371.full )

Women May Benefit More From Interval Training

WEDNESDAY, Sept. 11 (HealthDay News) -- For running, women may benefit more from high intensity interval training (HIIT), according to a study published in the September issue of the Journal of Strength and Conditioning Research.

Abstract (http://journals.lww.com/nsca-jscr/Abstract/publishahead/Sex_specific_responses_to_self_paced,.97714.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/nsca-jscr/Abstract/publishahead/Sex_specific_responses_to_self_paced,.97714.aspx )

Inclusion of ABI May Better Identify Vascular Disease

WEDNESDAY, Sept. 11 (HealthDay News) -- Inclusion of the ankle/brachial index (ABI) may better identify vascular disease in patients with non-valvular atrial fibrillation (NVAF), according to a study published online Aug. 14 in the Journal of the American College of Cardiology.

Full Text (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1729171 )

Some Low-T Symptoms May Be Due to Low Estradiol in Men

WEDNESDAY, Sept. 11 (HealthDay News) -- Declines in testosterone levels as well as deficiencies in estradiol account for the clinical manifestations of testosterone deficiency in men, according to a study published in the Sept. 12 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1206168?query=featured_home )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1305307?query=featured_home )

Autonomic Dysfunction Predicts Cardiovascular Events in T2DM

WEDNESDAY, Sept. 11 (HealthDay News) -- Autonomic dysfunction predicts cardiovascular events for patients with type 2 diabetes; and, the presence of cardiovascular autonomic neuropathy (CAN) predicts severe hypoglycemia (SH) in type 2 diabetes, according to two studies published online Aug. 19 in Diabetes Care.

Abstract - Karjalaine (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1072.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1072.full.pdf+html )Abstract - Yun (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1164.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1164.full.pdf+html )

Poorer Outcomes After Non-Cardiac Surgery in DM

WEDNESDAY, Sept. 11 (HealthDay News) -- For patients undergoing non-cardiac surgery, diabetes is associated with adverse perioperative complications and mortality, according to a study published online Aug. 29 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-0770.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/20/dc13-0770.full.pdf+html )

Almost 17 Percent of Women Obese Nine Months Post-Delivery

WEDNESDAY, Sept. 11 (HealthDay News) -- Obesity occurs among about 17 percent of women nine months following delivery, and is associated with increasing parity in socioeconomically disadvantaged women, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

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Performance-for-Pay Incentives Improve Cardiovascular Care

TUESDAY, Sept. 10 (HealthDay News) -- Performance-for-pay (P4P) incentives correlate with improvements in cardiovascular health care quality in electronic health record (EHR)-enabled small primary care clinics; and, EHR use is associated with less health care utilization among patients with diabetes, according to two studies published in the Sept. 11 issue of the Journal of the American Medical Association.

Abstract - Bardach (http://jama.jamanetwork.com/article.aspx?articleid=1737044#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1737044 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1737026 )Abstract - Reed (http://jama.jamanetwork.com/article.aspx?articleid=1737043#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1737043 )

Individual Physician-Level Incentives Improve BP Control

TUESDAY, Sept. 10 (HealthDay News) -- Individual physician-level financial incentives are associated with greater blood pressure control or appropriate response to uncontrolled blood pressure, but neither physician-level nor practice-level incentives result in greater use of guideline-recommended medications, according to a study published in the Sept. 11 issue of the Journal of the American Medical Association.

Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1737042 )

Intervention in Home Routines May Improve Child Health

TUESDAY, Sept. 10 (HealthDay News) -- A home-based intervention to encourage healthy habits, such as family meals, adequate sleep, and limited television time, may offer an approach to preventing child obesity in low-income families, according to research published online Sept. 9 in JAMA Pediatrics.

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Prevalence of Hospitalization Due to Hypertensive Disease Up

TUESDAY, Sept. 10 (HealthDay News) -- From 1980 to 2007, the prevalence of hospitalization attributable to hypertensive disease increased for U.S. adults, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

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Measures of Glucose and its Variability Are Inter-Related

TUESDAY, Sept. 10 (HealthDay News) -- Hemoglobin A1c (HbA1c) and glycated albumin (GA) are inter-related and correlate with retinopathy and nephropathy, while only HbA1c correlates with cardiovascular disease, according to a study published online Aug. 29 in Diabetes.

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Treatment in Critical Care Often Perceived As Futile

TUESDAY, Sept. 10 (HealthDay News) -- Intensive care unit (ICU) treatment is frequently perceived as futile by critical care specialists, and entails considerable costs, according to a study published online Sept. 9 in JAMA Internal Medicine.

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About Half of Health Care Providers Are 'Digital Omnivores'

TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.

More Information (http://www.epocrates.com/oldsite/statistics/2013%20Epocrates%20Mobile%20Trends%20Report_FINAL.pdf )

AHA Defines 'Severely Obese' As New Risk Category for Youth

MONDAY, Sept. 9 (HealthDay News) -- Severely obese is a newly defined class of risk which characterizes about 5 percent of U.S. children and teens, according to an American Heart Association (AHA) scientific statement published online Sept. 9 in Circulation.

Abstract (http://circ.ahajournals.org/content/early/2013/09/09/CIR.0b013e3182a5cfb3.abstract )Full Text (http://circ.ahajournals.org/content/early/2013/09/09/CIR.0b013e3182a5cfb3.full.pdf+html )

'Meaningful Use' Achievement Not Uniform Across Hospitals

MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.

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High Cholesterol Ups MI Risk More in Men Than Women

MONDAY, Sept. 9 (HealthDay News) -- Dyslipidemia seems to be more dangerous for men than women with regard to acute myocardial infarction (AMI) risk, according to a study published in the September issue of Epidemiology.

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Obese Teens Can Also Develop Eating Disorders

MONDAY, Sept. 9 (HealthDay News) -- Obese adolescents are at risk of eating disorders, which can go unrecognized due to their higher weight status, according to a case report published online Sept. 9 in Pediatrics.

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E-Cigarettes Modestly Effective for Helping Smokers Quit

MONDAY, Sept. 9 (HealthDay News) -- Electronic cigarettes (e-cigarettes) are modestly effective for helping smokers quit; and, a three-month television antismoking campaign is effective for increasing quit attempts, according to two studies published online Sept. 9 in The Lancet.

Abstract - Bullen (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61842-5/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61842-5/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61534-2/fulltext )Abstract - McAfee (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61686-4/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61686-4/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61839-5/fulltext )

Most Physicians Report Being Satisfied With Career Choice

MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.

More Information (http://www.physicianspractice.com )

Telephone-Based Care Ups Pediatric Diabetes Management

FRIDAY, Sept. 6 (HealthDay News) -- Telephone-based care for pediatric diabetes management is a cost-effective approach to reducing care disparities, according to research published online Aug. 19 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1041.abstract?sid=d6be7a06-c8f9-40fb-ad57-24977bc2fcb9 )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1041.full.pdf+html )

Gestational Diabetes Tied to Increased Sleep Apnea Risk

FRIDAY, Sept. 6 (HealthDay News) -- There is a strong association between gestational diabetes mellitus (GDM) and obstructive sleep apnea (OSA), according to a study published online Aug. 21 in the Journal of Clinical Endocrinology & Metabolism.

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Novel Metabolic Regulator May Benefit Obesity and Diabetes

THURSDAY, Sept. 5 (HealthDay News) -- Treatment of patients with obesity and type 2 diabetes with a variant of a recently identified metabolic regulator has favorable effects on body weight, fasting insulin, and lipid profile, but only somewhat lowers blood glucose levels, according to a study published in the Sept. 3 issue of Cell Metabolism.

Full Text (http://www.cell.com/cell-metabolism/fulltext/S1550-4131(13)00330-6 )

Animal Model of Graves' Orbitopathy Developed

THURSDAY, Sept. 5 (HealthDay News) -- A mouse model of Graves' orbitopathy, a complication of Graves' disease, has been developed that closely resembles the human condition, according to a study published in the Sept. 1 issue of Endocrinology.

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Glucagon-Induced Satiety Preserved in T1DM, Not Obesity

THURSDAY, Sept. 5 (HealthDay News) -- Glucagon increases satiety index in lean individuals and in individuals with type 1 diabetes mellitus (T1DM), but not in those with obesity, according to a study published online Aug. 21 in the Journal of Clinical Endocrinology & Metabolism.

Abstract (http://jcem.endojournals.org/content/early/2013/08/20/jc.2013-1635.abstract )Full Text (http://jcem.endojournals.org/content/early/2013/08/20/jc.2013-1635.full.pdf+html )

Only Half of Hypertensive Adults Aware of Diagnosis

WEDNESDAY, Sept. 4 (HealthDay News) -- Among adults in 17 countries of varying incomes, only about half with hypertension are aware of the diagnosis, and among those treated, only about a third achieve blood pressure control, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

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Even Short Bouts of Higher-Intensity Activity Are Beneficial

WEDNESDAY, Sept. 4 (HealthDay News) -- Even short bouts of higher-intensity physical activity (PA) of less than 10 minutes are beneficial for prevention of weight gain, according to a study published online Sept. 1 in the American Journal of Health Promotion.

Abstract (http://www.ajhpcontents.com/doi/abs/10.4278/ajhp.120606-QUAL-286?journalCode=hepr )Full Text (subscription or payment may be required) (http://www.ajhpcontents.com/doi/pdf/10.4278/ajhp.120606-QUAL-286 )

Excess HRT-Tied Breast Cancer Risk Varies With Race, BMI

WEDNESDAY, Sept. 4 (HealthDay News) -- The increased risk of breast cancer among users of hormone replacement therapy (HRT) varies by race/ethnicity, body mass index (BMI), and breast density, according to a study published online Sept. 3 in the Journal of the National Cancer Institute.

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Male-Female Physician Earnings Gap Has Persisted for 20 Years

TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.

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Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy

TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1731967#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731967 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731959 )

No Link Found Between Various Insulins and Breast Cancer

TUESDAY, Sept. 3 (HealthDay News) -- Various types of insulins are not associated with breast cancer risk, according to a study published online Aug. 15 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/12/dc13-0695.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/12/dc13-0695.full.pdf+html )

Employer-Based Health Insurance Premiums Rose Modestly in 2013

MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644.full )

Workaholics Have Poorer Physical and Mental Health

MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.

Press Release (http://www.k-state.edu/media/newsreleases/aug13/workaholics82213.html )