Women with Gestational Diabetes may Experience Excessive Fetal Growth
Researchers looking at over 100,000 pregnancies find that gestational diabetes is one of the greatest risks for delivering a large-for-gestational age baby....
Newly Designed Primary Care Services to Optimize A1c
A cohort study of 727 African-American patients with type 2 diabetes was conducted using interventions such as point-of-care education, coaching, and medication intensification from a team of a nurse, pharmacist, and dietitian....
Clinic-based Peer Coaching Improves A1c
A1c's fall 1-3 points with coaching....
Cost of Diabetes is Rising and Set to Explode
The cost of diabetes in the United States has climbed 41% since 2007....
Risks of Vitamin D Deficiency in Adults
Researchers investigated the prevalence and predictors of vitamin D deficiency in low risk and healthy adults....
Parents of Baby Boomers Healthier than Their Kids
Today's baby boomers do not fare very well compared with….
Predictors of Diabetes Health Care Costs Identified
High costs linked to suboptimal glycemic control, impaired renal function, and proteinuria....
New First-ever Guidelines for Type 2 Kids
Step One – Start on insulin, according to the American Academy of Pediatrics which has issued guidelines for the management of type 2 diabetes in children and teenagers aged 10 to 18....
Type 1 Children Not Meeting Targets
Less than a third of youth with type 1 diabetes are meeting recommended A1c targets....
Novel Racial/Ethnic Differences Found in Diabetic Kidney Disease
Minorities more likely to have proteinuric DKD; less likely to have nonproteinuric DKD....
Does Diabetes Prevention Work for Everyone?
Weight loss and exercise can notably lower diabetes risk. But do such lifestyle changes work for everyone?...
Microalbuminuria Screening Can Cut Costs
Screening blacks for microalbuminuria helps spot CKD earlier and may be cost-effective with an incremental cost-effectiveness ratio of $35,000 if screenings were done yearly....
Being Black Doubles the Risk for Fatal Coronary Heart Disease
In an examination of the incidence of coronary heart disease in the U.S. by race and sex, black men and women had twice the rate of fatal CHD compared with white men and women....
Diabetes Before and During Pregnancy a Growing Problem
The rates of both pre-pregnancy and gestational diabetes have increased since 1980, with greater increases in pre-pregnancy diabetes among black women....
The Ethnic Gap in Diabetes
The risk of diabetes may be different for people from different racial and ethnic backgrounds....
Race-Based Differences in Retinopathy Risk and HbA1c Levels
The hemoglobin A1c (HbA1c) level that was associated with an increased prevalence of retinopathy was significantly lower in blacks than in whites....
Race, Diabetes Influence Weight Loss after Gastric Bypass
Black women experienced less weight loss than white women after gastric bypass surgery....
Sex and Race Factor into Weight Loss with Gastric Bypass
Being older, male, or black significantly raised the risk for weight-loss failure after gastric bypass in a single-center study of more than 1,200 patients....
A Common Exercise Lowers Risk for Diabetes by 29 Percent
This exercise, which just about everyone can do, can lower risk for diabetes and reduce weight gain and improve cardiovascular health....
More Than 50 Ways to Prevent Diabetes
This tip sheet helps patients at risk for...
AACE: The First Study to Show That an Ethnic Group Can Gain Benefits from a DPP-4 Compound
The dipeptidyl peptidase-4 (DPP-4) inhibitor linagliptin (Tradjenta, Boehringer Ingelheim and Lilly) is associated with significant improvements in glycated hemoglobin (HbA1c) in black patients with type 2 diabetes....
Diabetes Misdiagnosed in Asians, Native Hawaiians, and Other Pacific Islanders
Asian Americans have an almost 50% higher risk than other Americans of developing diabetes, especially type 2 diabetes....
Changes in the Eye Can Predict Heart Disease for Diabetes Patients
Arterial narrowing in retina seen as independent risk factor with type 1 diabetes....
Detecting Genotypes May Predict Adult Type 2 Diabetes in Adolescents
Identifying diabetes genotype risk scores predicted adult type 2 diabetes in white and black adolescents....
Peer Mentoring Helps Reduce A1c a Full Point
Talking with diabetic peers who've gotten their blood sugar under control helped other African-American diabetes patients bring down their own levels a full point, more than those who were offered $100 to reduce their A1c 1 point or even $200 to...
White Rice Linked to Type 2 Diabetes
Eating more white rice may up the risk of type 2 diabetes by 27%, especially for Asian populations....
Duration of Diabetes Raises Stroke Risk
The risk of ischemic stroke increased by 3% for each additional year a patient had diabetes....
Excess Mortality for Adults with Young-Onset Diabetes Persists
Excess mortality rates persist among adults with young-onset diabetes, and are mainly due to ESRD and CAD....
Three New Programs Improve Diabetes Care in Low-Income Areas
In Los Angeles and Chicago, programs designed to improve the management of diabetes in underserved populations appear to be working....
Vitamin D Not Linked to Insulin Sensitivity
Plasma 25(OH)D concentration not tied to glucose homeostasis, insulin sensitivity, beta-cell function....
Pollution Tied to Diabetes and Hypertension Risk
In a study of more than 4,000 black women in Los Angeles, those who lived in areas with higher levels of traffic-related air pollution were at increased risk of diabetes and hypertension....
Vitamin D: Too Much May Erase Heart Benefit
Low levels of vitamin D may confer a cardiovascular benefit, but too much vitamin D may have the opposite effect....
Diabetes Disaster Averted #65: Language Interpretations
I was a CDE in a small community hospital and served many women with gestational diabetes who were Hispanic. I saw a woman who I had followed during a previous pregnancy where she required insulin. She had received education about starting on...
Why African Americans on Dialysis Live Longer than Whites
In the general population, African Americans die at earlier ages than whites, but among patients on dialysis, African Americans live longer than whites....
Racial Disparities in Weight Due to Socioeconomics?
The rate of obesity and chronic diseases varies substantially across different racial and ethnic groups, but the underlying causes of those disparities remain obscure. In a new study, low socioeconomic status (SES) appears to account for...
Research Finds Obesity Negatively Impacts Income, Especially for Women
A new report uncovered an overall wage differential between those of normal weight and those who are obese, especially when it comes to women. The research, demonstrates the impact obesity may have on a person's paycheck....
Letter from the Editor: Shrink and Move Video, Telehealth
This week finishes off National Diabetes Month, and over the past few weeks I have received countless videos, emails and tweets about diabetes. I have also noticed that more and more of my patients are watching You Tube, Netflix, sports or TV on...
Lower BMI Cutpoints Predict Diabetes and Hypertension in Asians
Asians may need lower body mass index (BMI) cutpoints for overweight and obesity....
Diabetes Death 50 Percent Higher among Hispanics
According to the latest findings from a landmark San Antonio-led study, diabetes seems to be deadlier for Mexican Americans than for Anglos, and much deadlier for diabetes patients living in Mexico....
Cultural Competency Is Key to Counseling Patients with Diabetes
Eliminating health care disparities for black patients with diabetes begins with gaining cultural insight and tailoring educational efforts to individual patients....
New and Unique Strategies Proposed for Older Americans with Diabetes
The need to establish diabetes management programs that are more accessible to the elderly is gaining greater urgency amid unprecedented growth of older minority populations who are most at risk, particularly older African-Americans,...
Adapting the Diabetes Prevention Program for Native American Youth
This study (299-OR) explored ways to modify the Diabetes Prevention Program (DPP) lifestyle change program to make it culturally and age appropriate for Native American youth....
Nearly Half of African Americans Have Masked Hypertension
Data presented this week confirm the high prevalence of masked hypertension in African Americans, with investigators reporting that masked hypertension is prevalent in 45% of African Americans during any single office...
Declining Coronary Heart Disease Risk among Diabetes Patients
The estimated 10-year risk for coronary heart disease (CHD) among adults with diabetes has declined significantly in the past decade, U.S. data show....
Lowering Fat Intake Might Stave off Diabetes Even without Weight Loss
Small differences in diet -- even without weight loss -- can significantly affect risk for diabetes....
Obesity Types in Vitamin D-Deficient Children Vary with Race
Obesity types in vitamin D-deficient children vary with race, according to the results of a reported study....
Potassium Levels Possible Key to Racial Disparity in Type 2 Diabetes
Lower potassium levels in the blood may help explain why African-Americans are twice as likely to be diagnosed with Type 2 diabetes as whites....
A Healthy Waist Bigger for Black Women
The definition of a healthy waistline may have a bit more room for African-American women than for white women....
Risk of Type 2 Associated with Gene Variations
For individuals of white European descent, certain variations of the gene HMGA1 are associated with Type 2 diabetes....
Researchers Uncover New Gene for Heart Failure in Caucasians
Nearly five million Americans live with heart failure, with as many as 700,000 new cases diagnosed each year. In addition to lifestyle factors, scientists have shown that heart failure has a strong heritable component, but identifying the...
Only 7% of the 60 Million with Prediabetes Are Aware
Measuring glycated hemoglobin levels may be an appropriate means of catching patients with prediabetes....
Race/Ethnicity Plays A Role in the Efficacy of Insulin Regimens
Latino/Hispanic, Asian, and African-descent patients with Type 2 diabetes show different metabolic responses to insulin therapy, dependent in part on insulin type and regimen intensity....
Can Demographics Determine the Quality of Diabetes Care?
Patient demographics such as ethnicity and age may play a large role in determining whether or not they receive appropriate Type 2 diabetes care....
Fish Can Contribute to Increased Stroke Risk
Americans living in the southern "stroke belt" states consume more fried fish, which may contribute to the region's high stroke mortality rate....
New Study Reveals Low Sex Drive in Women with Diabetes
Almost half of women in the US who suffer from Type 1 or 2 diabetes report that it has a negative impact on their sex lives....
Poverty a Leading Cause of Type 2 Diabetes, Studies Say
New research has shown that it's not just about the lack of physical activity and a family history of diabetes that are the top risks. Earning less than $15,000 per year doubles the risk of developing Type 2 diabetes....
Vitamin Deficit Doubles Risk of Stroke in Whites, but Not in Blacks
Evidence from earlier work at Johns Hopkins has linked vitamin D deficiency to higher rates of death, heart disease and peripheral artery disease in adults....
Diabetes Rising: What Can We Do to Stop It Before It's Too Late?
By Sheri Colberg,...
Barbershops Used to Control Blood Pressure
Barbers in Texas showed that they can participate in healthcare by helping to screen and reduce blood pressure. A cadre of barbers, true to their healthcare-provider heritage, participated in a hypertension-screening outreach experiment...
Diabetes Epidemic in California
Obesity among California adolescents is more than twice as high as the national target of 5.0 percent, while the rate of diabetes among California adults is more than three times the federal goal of 2.5 percent of the...
Disparities in Cardiovascular Risk Based More on Socioeconomic Status than Race, Ethnicity
A new study suggests that disparities in cardiovascular disease risk in the US are due less to race or ethnicity than to socioeconomic status…
Why Fad Diets Work Well for Some but Not Others
According to published research, genes are interacting with diet, rather than diet alone and are the main causes of variation in metabolic traits, such as body weight....
Dialysis More Likely than Death in Blacks with ESRD
African Americans with hypertension-associated kidney disease were more likely to develop end-stage renal disease (ESRD) than to die, researchers conducting a long-term cohort study said....
Substantial Differences in the Treatment for End-Stage Kidney Disease in Older Adults
There is substantial regional variation in treatment practices for care of older adults with end-stage renal disease (ESRD), including receipt of hospice care and discontinuation of dialysis before death, according to a...
HbA1c Variation by Race Weakens Its Exclusive Diabetes Diagnostic Power
African Americans have higher levels of glycated hemoglobin (HbA1c) than whites given the same blood glucose concentrations, and the difference is greater as glucose levels go up. Findings could affect the way physicians ...
Race and Income Combine to Make Perfect Storm for Kidney Disease
African Americans with incomes below the poverty line have a significantly higher risk of chronic kidney disease (CKD) than higher-income African-Americans or whites of any socioeconomic status....
Leisure-Time Physical Activity Benefits Some More than Others
It may seem intuitive that greater amounts of exercise lead to less obesity, but an Indiana University study has found that this conventional wisdom applies primarily to white women....
Diabetes Indicator Higher in African-Americans
Racial disparities could result in life-threatening hypoglycemia and increased complications....
Women with Asian and Hispanic Partners Have Increased Risk of Gestational Diabetes
Researchers found that, among nearly 140,000 women, Asian women had the highest rate of gestational diabetes, at nearly 7 percent. They were followed by Native American women, at 5.6 percent, and Latina women, at 5...
Medicare Part D: A Boon for Industry and Insurers Alike
Issak Smith
Half of US Adults Have Diabetes, Hypertension, or Hypercholesterolemia
Nearly half of all adults in the US have one chronic condition associated with an increased risk of cardiovascular disease, according to data from the National Health and Nutrition Examination Survey (NHANES).......
Americans Losing the Diabetes Battle
Type 2 diabetes can be prevented or delayed with moderate weight loss and exercise but only about one in three Americans have taken action to reduce their risk....
Canadians Have Better Health than Americans
Canadians live longer and in better health than do their American counterparts, researchers said....
U.S. Hispanics Have High Rates of Blindness
Latinos have higher rates of developing visual impairment, blindness, diabetic eye disease, and cataracts than non-Hispanic whites, researchers found....
Death from Diabetes will Change from 5th Leading Cause of Death to __?
More than 70,000 Americans a year die from complications of diabetes, making it the country's fifth-largest medical killer. While that sounds dire, Novo Nordisk says the real picture is much worse....
IOM Recommends FDA Set New Standards for Salt in Foods
As widely expected, the US Institute of Medicine (IOM) is advising the FDA that it should set stricter federal standards for the amount of salt that food manufacturers, restaurants, and food-service companies can add to their...
Four Unhealthy Behaviors Combine to Increase Death Risk
Four unhealthy behaviors -- smoking, lack of physical activity, poor diet and alcohol consumption -- appear to be associated with a substantially increased risk of death when combined, according to a report in JAMA....
Parents' Fear of Hypos Impacts Children's Diabetes Management
Parents who live in fear of their children having hypoglycemic episodes might have a negative effect on their child's diabetes control, says a new study. Good provision of psychological support for parents and their children with diabetes...
High-Carb Diet Raises Heart Risk for Women
Women who eat a high-carbohydrate diet -- especially a lot of bread, pizza, jam, and similar products -- are at an increased risk of coronary heart disease, researchers said....
Diabetes Therapy Individualized Using Genetics
Advances in the genetics of Type 2 diabetes have provided a foundation for individual treatment strategies, which should be a continuing goal of research, according to a consensus statement from diabetes specialists....
The Relative Satiety Value of Candy Bars in American Children
Hirsch, AR, Soto, MO, Hirsch, JA,
Smell & Taste Treatment and Research Foundation
Amylin, Lilly's Byetta May Have Cancer Risk, FDA Says
Amylin Pharmaceuticals, Inc., and Eli Lilly & Co.'s long-acting Byetta may be tied to increased cancer risk, a top U.S. regulator said, raising concerns that the experimental diabetes drug may need strict warnings....
Using Genotypes to Individualize Diabetes Treatment
A panel of diabetes experts is encouraging efforts to increase understanding of the heterogeneity of Type 2 diabetes to achieve individualized treatments and improve treatment responses....
High Glycemic Foods Can Increase Risk for Heart Disease in Women
Consuming carbohydrates with high glycemic index -- an indicator of how quickly a food affects blood glucose levels -- appears to be associated with the risk of coronary heart disease in women but not men, according to a...
Diabetic Women Fall Fast Into Medicare 'Doughnut Hole'
Among elderly Americans, women and those with diabetes and dementia are most likely to find themselves in the Medicare Part D drug plan "doughnut hole"....
Parental Monitoring Crucial in Childrens Adherence to Diabetes Treatment
Preteens and teenagers with Type 1 diabetes have more trouble sticking to their treatment plan -- thus raising their risk of blindness, kidney failure and heart disease -- if their parents...
Identifying Dysglycemia in Children Could Avoid Diabetes
Fasting plasma glucose levels within the normoglycemic range in childhood can be a predictor of prediabetes and Type 2 diabetes in adulthood, according to the results of a new study....
Screening for Diabetes Cost-Effective
Screening for Type 2 diabetes is cost-effective when it's initiated between ages 30 and 45 and continued every three to five years, researchers say....
Score Card Predicts Survival after Kidney Transplant
An index developed by Canadian researchers appears to accurately predict which end-stage renal disease patients are most likely to achieve maximum survival benefit with a kidney transplant....
Women Who Breastfeed Have Lower Diabetes Risk
Mothers who do not breastfeed have a 50 percent increased risk of developing Type 2 diabetes later in life compared with childless women, Australian research has found....
No Health Benefit Seen from Small Soda Taxes
Taxes of a few percent on sugary drinks are unlikely to reduce consumption or improve children's health noticeably, researchers found....
Health Care Reform: How Does it Affect People with Diabetes?
The health care reform bill "doesn't fix everything that's wrong with our health care system, but it moves us decisively forward," President Obama said....
Study Explains How Weight-loss Surgery Reverses Type 2 Diabetes
A team of researchers, led by a University of California Davis (UC Davis) veterinary endocrinologist, has shown for the first time that a surgical procedure in rats that is similar to bariatric surgery in humans....
New Risk Score Tool More Accurately Predicts Patients' Risk for Cardiac Disease, Death
Researchers have devised a better way to determine an individual's risk for problems, such as myocardial infarction (MI) and heart failure, according to new research....
China Overtakes India as the Global Epicenter of the Diabetes Epidemic
China has overtaken India as the global epicenter of the diabetes epidemic after a study showed twice as many Chinese are afflicted with the disease as previously estimated....
No Benefit in Adding Fenofibrate to Statin for Preventing Cardiovascular Events
In the Action to Control Cardiovascular Risk in Diabetes (ACCORD)-Lipid trial, the combination of fenofibrate and simvastatin, compared with simvastatin alone, failed to reduce cardiovascular events in the majority of patients with Type 2...
Salsalate Shows Promise in Treating Type 2 Diabetes
Treatment with salsalate lowers levels of hemoglobin A1c (HbA1c) and improves markers of glycemic control and coronary risk in people with Type 2 diabetes, according to a new study.
Tight Blood Pressure Control Not Supported in Patients with Diabetes and Coronary Artery Disease
Current blood pressure (BP) guidelines for individuals with diabetes (systolic BP [SBP]
Insulin Glargine Safety in Pregnancy
Insulin glargine (Lantus) is an extended-action insulin analog with greater stability and duration of action than regular human insulin. The long duration of action and decreased incidence of hypoglycemia provide potential advantages for...
Urinary Albumin Excretion Predicts Future Cardiovascular Disease, Hypertension, and Kidney Disease
Overall, physical activity was inversely and independently associated with albuminuria. This association held for both walking and strenuous activity....
Diabetes Patients' Lives May Be Shorter if They Have Difficulty Trusting and Reaching Out to Others
Mistrust can exact a high toll. Being overly cautious or dismissive in relating to people, researchers are learning, may shorten the lives of people with diabetes.
Vitamin D Levels Have Different Effects on Atherosclerosis in Blacks and Whites
Vitamin D is quickly becoming the "go-to" remedy for treating a wide range of illnesses, from osteoporosis to atherosclerosis. However, new evidence from a Wake Forest University School of Medicine, Winston-Salem, NC, study suggests that...
Testosterone Gel Improves Diabetes in Men with Low Levels
News from the British Endocrine Society meeting
MANCHESTER, England -- Topical testosterone replacement reduced insulin resistance and glycated hemoglobin in men who were deficient in the hormone and at ...
Senate Delays Medicare Pay Cut until October 1
The Senate delayed the effective date of a 21.2% Medicare pay cut for physicians until October 1, 2010....
A1c Outperforms Fasting Glucose for Diabetes Risk Prediction
Measurements of hemoglobin A1c (HbA1c) more accurately identify persons at risk for clinical outcomes than the commonly used measurement of fasting glucose, according to a new published study.
Components of Metabolic Syndrome Linked to Plaque Progression
A new intravascular ultrasonography (IVUS) study has found that the metabolic syndrome is associated with accelerated plaque progression, but this is attributed to the individual component risk factors rather than the presence of the...
High Cholesterol, Diabetes Lead Drug Spending for the Elderly
Purchases of cholesterol and diabetes prescription drugs by elderly Medicare beneficiaries reached nearly $19 billion in 2007 -- about one-fourth of the approximately $82 billion spent for medications for the elderly, according to the...
Lunchtime Coffee Break Best for Fighting Diabetes
Drinking coffee cuts diabetes risk, new research confirms, but you may need to enjoy your java with lunch if you want to get any benefit.
Barriers to Care for At-Risk Patients with Diabetes
A new published study shows that primary care physicians believe the barriers that put patients with uncontrolled diabetes at risk for cardiovascular disease as being patient-related or system-related....
Stinky Diabetes Drug May Result in Poor Adherence
An immediate-release form of the antidiabetic agent metformin has a dead fish odor that may cause patients to stop taking the drug, clinicians warned....
Oprah's Outpouring: A Bittersweet Commentary on Responses to Her Diabetes Show
Theresa Garnero, APRN, BC-ADM, MSN,...
America's Silent Killer: Oprah and Dr. Oz Want to Save Your Life
By...
It's as Easy as 1-2-3 Injections a Day -- Or Is It?
Dave Joffe, BSPharm, ...
Why We Need to Attack the Diabetes Problem with Lifestyle Changes -- and Why We Need to Do It Now
By Sheri Colberg, Ph.D., FACSM
Five Things Every Person with Diabetes Should Know About Exercise
by
Helping Your Patient Overcome Barriers to Obtaining Good Diabetes Care
Ironically, at the very time medicine has recognized that simple measures can prevent the chronic complications of diabetes, the health care "revolution" has turned the financial incentive for caring for the chronically ill upside down. In fact,...
The 30 Day Challenge
Combination Therapy:
Oral medications during the day and Lantus at night
Seniors in 'Gap' cut back Medicines
Pharmacists are always telling me that patients don’t fill prescriptions when they hit the doughnut hole in Medicare Part D coverage. This week Yuting Zhang, Assistant Professor Of Health Economics at Pitt's Graduate School of Public Health,...
Preteens, teens doubled use of diabetes drugs
A recent article in Pediatrics, discussed how preteens and teens have doubled use of diabetes drugs in the past 4 years and that the prevalence is dramatically higher among young girls vs. boys. Why is this occurring? Why is it higher in girls?...
CDC's 2011 Numbers
This graph compares the incidence of type 1 and type 2 diabetes among children and...
