Adults with type 2 diabetes treated with metformin who received once-daily sitagliptin 100 mg for 24 weeks had a mean change in baseline A1C and reduction in fasting plasma glucose similar to those who received once-weekly omarigliptin 25 mg, according to a study in Diabetes, Obesity and Metabolism. Researchers used a cohort of 642 diabetes patients and found that the rate of participants who achieved an A1C of less than 7% and less than 6.5%, as well as those who received rescue therapy at or before 24 weeks, were also similar between the two groups.
Researchers found that type 1 diabetes patients had a distinct and different combination of gut bacteria and significantly more inflammation in the gut's mucous membrane, compared with patients with celiac disease or healthy individuals. The findings in The Journal of Clinical Endocrinology & Metabolism were based on 54 individuals in Italy who underwent biopsies and endoscopies of the duodenum between 2009 and 2015.
President Donald Trump's plans for health care include converting Medicaid funding to block grants, giving states more flexibility for administering their programs, Trump adviser Kellyanne Conway said Sunday. Some governors have expressed concerns that the switch would ultimately mean less money and force a reduction in services.
A study published in the journal Psychiatric Services found that Medicaid payments for treatment of substance abuse rose nearly 8% from 2011-2013 to 2014, as more people with mental illness and substance use disorders gained coverage under the program's expansion. However, the authors said there was little progress on the "under-treatment gap," suggesting additional steps beyond ensuring coverage are necessary to get people the care they need.
A breakthrough molecular imaging technique similar to PET called Hyper-Spectral Phasor analysis, developed by researchers from the University of Southern California, uses fluorescent imaging to simultaneously look at many different molecule types in complex living systems. The approach, described in the journal Nature Methods, was significantly less time-consuming and more cost-efficient than technology from NASA's Jet Propulsion Laboratory, and it may enable clinicians to determine the cancer risk of skin lesions through cellphone images, said researchers Francesco Cutrale and Scott Fraser.
Employees of Dodge County, Wis., have created their own wellness plan without the use of taxpayer dollars. Workers created an Employee Health and Wellness Committee, set up a workout room in an administration building, created walking routes around county buildings, started fitness challenges and worked with the county's health insurer to offer incentives.
Companies are encouraging employees to mix business and pleasure by taking extra time during business trips for leisure. These "workcations" can help keep employees happy, but David Rapps at iFly luggage cautions they also can lead to burnout if people struggle to find a balance between work and leisure.
Traditional gyms still account for 73% of the money people spend on working out, data show, but the percentage of payments to on-demand services increased from 4.8% to 7.7% over two years. Digital fitness subscriptions can offer hundreds of live or on-demand workouts to choose from, at less cost than a traditional gym, and are convenient for busy professionals.
CDC researchers reported two more children died from flu-related complications during the week of Jan. 8, bringing the total to five so far this season. The findings in the agency's FluView also showed that flu prevalence is widespread in 28 states, especially in New Jersey, New York, Missouri, South Carolina, Oklahoma and Tennessee, and influenza H3N2 is the dominant strain.
Non-obese children with asthma had a 51% higher likelihood of developing obesity at about 10 years' follow-up than those without asthma, while those with a history of wheezing had a 42% increased obesity risk compared with those who without, according to a study in the American Journal of Respiratory and Critical Care Medicine. The findings also showed a 43% lower odds of obesity among children with asthma who used inhalers during asthma attacks.
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