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May 2019 Briefing – Diabetes & Endocrinology

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Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for May 2019. This roundup includes...
Decreases in nontraumatic lower-extremity amputation have plateaued in recent years among adults with end-stage renal disease and diabetes

Decline in Nontraumatic Lower-Extremity Amputation Slowing

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Decline in NLEA among patients with end-stage renal disease with diabetes stabilized since 2013
Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

ACP Issues Position on Response to Physician Impairment

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Rehabilitated doctors should be reintegrated into practice as long as patient safety not compromised
Exercise and/or behavioral treatment interventions may provide clinically meaningful improvements in depression outcomes in adults with type 2 diabetes and major depressive disorder

Exercise, Therapy May Improve Depression, Diabetes Outcomes

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Exercise and cognitive behavioral therapy can improve depression outcomes in adults with type 2 diabetes
High costs are associated with physician turnover and reduced clinical hours attributed to burnout

High Costs Associated With Physician Burnout in U.S.

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Nationally, about $4.6 billion in costs are related to physician turnover, reduced clinical hours
More steps taken per day are associated with lower mortality rates among older women

More Steps Tied to Lower Death Risk in Older Women

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Association between steps, mortality leveled off at approximately 7,500 steps/day
Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients

Reading Visit Notes May Improve Medication Management

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Patients say note reading helps them understand why meds are prescribed, makes them feel in control
For patients with type 2 diabetes

Hip Fracture Linked to Increased Risk for Death in T2DM Patients

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Correlation not affected by adjustment for cardiovascular disease, end-stage renal disease
The prevalence of diagnosed diabetes has plateaued during the last eight years

Recent Plateauing Seen in Prevalence of Diagnosed Diabetes

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Following increase from 1990 to 2007, incidence rates significantly decreased since 2007
Suboptimal blood pressure and fasting glucose levels are associated with atrioventricular block

Suboptimal BP, Fasting Glucose Tied to Atrioventricular Block

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Two modifiable variables potentially explain more than half of all atrioventricular blocks