The FDA on Wednesday gave Medtronic approval for its MiniMed 670G, an artificial pancreas that features a glucose sensor and an insulin pump, allowing the device to monitor blood glucose every five minutes and infuse insulin as needed. The device, which is expected to be available next spring, is indicated for patients with type 1 diabetes ages 14 years and older.
Researchers found that the use of dipeptidyl peptidase-4 inhibitors, insulin and metformin among type 2 diabetes patients increased from 2006 to 2013, while the use of thiazolidinediones and sulfonylureas decreased. The findings in Diabetes Care, based on claims data from 1.66 million patients with type 2 diabetes, also showed that the proportion of patients with A1C of greater than or equal to 9% rose and the proportion of those with A1C of less than 7% dropped.
Heart failure patients with both type 2 diabetes and ischemic heart disease had the highest mortality risk, with a greater risk seen among those who didn't undergo revascularization, according to a study in the Journal of the American College of Cardiology. Swedish researchers evaluated 35,163 heart failure patients with and without diabetes and found that type 2 diabetes predicted mortality, regardless of the presence of IHD.
The California Public Employees' Retirement System's spending on specialty drugs, which account for less than 1% of total prescriptions, surged by 30% last year to $587 million and accounted for more than one-quarter of pharmacy spending. The increase was largely fueled by costly hepatitis C medications and the anti-inflammatory biotech drugs Humira and Enbrel.
A survey of nearly 2,000 heterosexual couples between the ages of 50 and 94 found that those with a happy spouse reported better health, regardless of whether the individual responding to the survey was happy. Happy spouses may be more likely than unhappy spouses to provide strong social support and encourage healthy habits, lead investigator William Chopik said.
More hospitals are considering risks and comorbidities before patients undergo elective surgery to help prevent complications and readmissions and to lower costs. Some are using "pre-habilitation" programs to address mental health issues, nutritional deficiencies, sleep problems and chronic conditions that could interfere with surgery or recovery.
Researchers surveyed 82 general hospitals performing nuclear medicine scans on youths and found that 57% were aware of the 2010 North American radiopharmaceutical dose guidelines for children created by SNMMI and a pediatric radiology association. The findings in the Journal of Nuclear Medicine also showed 55% changed their imaging protocols to adhere to the 2010 North American imaging standards and about 60% were within 20% of recommended radiation levels for five pediatric nuclear imaging procedures.
Employers have increased participation in their workplace wellness plans by offering prized parking spots, cash and charitable donations. Successful incentives include group-based rewards, nonfinancial perks and personalized rewards and should be applied to overall well-being achievements, writes Optum's chief health officer Seth Serxner.
Apples and pumpkins may be the most well-known autumn fruits and vegetables, but they are far from the only ones, writes registered dietitian nutritionist Marisa Moore. Brussels sprouts, delicata squash, parsnips, turnips and persimmons are delicious, nutritious and worth a try, she writes.
Some substance abusers develop poor eating habits and may be malnourished, and as they recover, some continue those poor eating habits or substitute unhealthy foods for the substance they are giving up, writes registered dietitian Mary-Jo Sawyer. Good nutrition bolsters physical and mental health, and Sawyer suggests ways to eat healthfully and avoid potential pitfalls during recovery.
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