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Diabetes and Endocrinology

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ADA: Closed-Loop Insulin Improves Glycemic Control

Better glycemic control than conventional subcutaneous insulin therapy in patients with T2DM
The American Medical Association recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

AMA Adopts Ethical Guidance on Medical Tourism

Guidelines include helping patients understand risks and benefits, responding compassionately
The risk of autism spectrum disorder in offspring is increased in association with type 1 diabetes

ADA: T1D, T2D, GDM Before 26 Weeks Tied to Higher ASD Risk

Increased risks of autism spectrum disorder in association with types 1, 2, gestational diabetes
For Japanese patients with type 2 diabetes

Aspirin Use Doesn’t Cut Cancer Incidence in Older T2DM Patients

In subgroup analyses, reduced incidence of cancer seen in participants aged younger than 65 years
At the annual meeting of the American Medical Association

AMA: Docs Declare Drug Shortages Public Health Emergency

AMA calls for greater manufacturer transparency in order to prepare for disasters, mitigate shortages
From 1988-1994 to 2009-2014 there was an increase in the prevalence of overweight and obesity among U.S. adolescents and a decrease in the percentage who tried to lose weight

Percentage of Teens Trying to Lose Weight Decreasing

From 1988-1994 to 2009-2014 increase in prevalence of overweight/obesity, decrease in weight loss efforts
Stigma is common in teens with type 1 diabetes and is associated with poor glycemic control

Most Teens, Young Adults With Type 1 Diabetes Report Stigma

Stigma is associated with two-fold higher odds of poor glycemic control after adjustment for confounders
Some individuals self-report that electronic cigarettes help them quit smoking conventional cigarettes

E-Cigarettes May Help Some Quit Tobacco Smoking

Interviews show some quitters deliberately switch to e-cigs, while some use both
More patients are paying for health care services with cash

More Cash-Pay Patients Means Docs Need Billing Strategies

Trend is requiring providers to proactively develop comprehensive policies
The Bacillus Calmette Guérin vaccine is associated with a reduction in hyperglycemia among patients with type 1 diabetes with long-term disease

BCG Vaccine Tied to Reduced Hyperglycemia in Type 1 Diabetes

Systemic shift in glucose metabolism from oxidative phosphorylation to aerobic glycolysis