Diabetes patients who used secure messaging for medical advice in addition to routine visits to care providers showed better diabetes management, compared with those who did not use secure messaging, according to a study in Diabetes Care. Researchers evaluated diabetes patients enrolled in an outpatient health care organization's online portal from 2011 to 2014 and found that given visit frequency, nonusers of secure messaging had a lower likelihood of meeting an A1C target of less than 8% than those who used secure messaging.
A study in the Annals of Internal Medicine showed that type 2 diabetes patients treated with multiple daily insulin injections reduced their mean A1C levels from 8.5% at baseline to 7.5% 12 weeks after using continuous glucose monitoring, compared with dropping to 7.9% among those in the blood glucose meter testing only group. Researchers used a cohort of 158 diabetes patients and found that the median time spent in the range of 3.89 to 9.99 mmol/L was 802 minutes per day at baseline to 882 minutes per day at 24 weeks in the CGM group, compared with 794 minutes at baseline to 836 minutes per day in the control group.
Researchers used data from electronic medical records to develop a new risk-stratification tool that was able to identify a type 2 diabetes patient's 12-month risk of being hospitalized for hypoglycemia based on the following risk factors: age, chronic kidney disease stage, insulin use, number of prior episodes of hypoglycemia-related utilization, prior year emergency department use and sulfonylurea use. The findings in JAMA Internal Medicine were based on data from 206,435 diabetes patients in the Kaiser Permanente Northern California health system.
An NIH-funded study discussed at The Human Microbiome: Emerging Themes at the Horizon of the 21st Century conference will evaluate whether vaginal microbiome profiles are a factor in the disparity in spontaneous preterm births. Researchers also are looking at risk factors such as maternal nutritional patterns, smoking, and psychosocial stress and depression.
Many health care workers are not using personal protective equipment to reduce the risk of exposure to blood and other bodily fluids, according to data from the International Safety Center. Center President and Executive Director Amber Mitchell said 2015 surveillance date from participating hospitals should be "a wake-up call to the many health care institutions concerned about worker and patient safety."
ANA President Pamela Cipriano was named one of the 100 Most Influential People in Healthcare for 2017 by Modern Healthcare, her third time on the annual list. The three Republican senators who voted against a bill to repeal the Affordable Care Act were ranked at the top of this year's list.
Prolonged sitting may not increase the risk of death among middle-age and older adults who are not frail and who get recommended levels of moderate physical activity each week, according to a study in the Canadian Medical Association Journal. However, sitting time can increase mortality risks for inactive people who are vulnerable or frail, researchers found.
Integrating social determinants of health into EHR data can help in supporting care coordination with community resources, informing clinical decision-making and enabling targeted outreach efforts, according to a study in the Journal of the American Board of Family Medicine, based on an analysis of the Epic EHR system at Oregon Community Health Information Network.
Danish researchers found that whole-body SPECT/CT, NaF-PET/CT and NaF-PET/MRI yielded similar sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy in detection and diagnosis of bone metastases in patients with breast or prostate cancer after excluding equivocal readings, compared with standard planar bone scintigraphy. The findings in the Journal of Nuclear Medicine suggest that studies with a larger patient population or patients with increased bone metastases prevalence are needed to establish possible significant differences in sensitivity between hybrid modalities and pBS, researchers said.
Registered dietitians say reverse dieting, which is easing back into a more normal, sustainable eating regimen after weight loss, may be a way to help people avoid regaining pounds. RD Jim White says one drawback is that returning to a normal eating pattern assumes a diet was restrictive, so the time to plan a reverse strategy is before a diet begins.
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