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Patient-centered care is emphasized in updated clinical practice recommendations from the American Diabetes Association 2019 Standards of Care

ADA 2019 Standards of Care Emphasize Patient-Centered Care

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Updates include use of SGLT-2 inhibitors and GLP-1 receptor agonists for T2DM, CVD; endorsed by ACC
Legacy prescribing of certain drugs

Failure of Timely Stop to Certain Prescription Drugs Is Common

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So-called legacy prescribing can contribute to overmedication and adverse drug events
Cognitive behavioral therapy delivered by respiratory nurses is associated with reduced anxiety symptoms and is cost-effective for patients with chronic obstructive pulmonary disease

Cognitive Therapy Helps Reduce Anxiety in COPD Patients

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CBT delivered by nurses also lowers hospital admission and attendance at emergency departments
Several comorbidities are associated with an increased risk for early readmission after hip fracture surgery

Several Factors Tied to Early Readmission After Hip Fracture Sx

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Parkinson's, osteoarthritis, rheumatic disease, heavy alcoholism linked to increased risk for readmission
Postmenopausal women with edentulism are at an increased risk for developing hypertension

Edentulism Tied to Greater Risk for High BP After Menopause

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Strongest associations seen in women younger than 60, those with systolic blood pressure below 120
Modifying diagnostic criteria to require impairment on at least two memory tests for mild cognitive impairment diagnosis can improve prediction of medial temporal atrophy and conversion to Alzheimer's disease

Modifying Criteria for Amnestic MCI Dx Increases Prognostic Accuracy

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Requiring impairment on two memory tests improves prediction of brain atrophy and progression to AD
A considerable proportion of cardiovascular disease deaths in Shandong Province

High Sodium May Contribute to CVD Deaths in Shandong, China

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16,100 CVD deaths attributable to higher sodium intake among those aged 25 to 69 in 2011
The labels of prescription opioid painkillers should advise doctors to consider simultaneously prescribing the opioid overdose antidote naloxone

FDA Advisory Panels: Prescribe Naloxone With Opioid Painkillers

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Federal government urged to make naloxone more widely available, easier to obtain, and cheaper
An analysis of electronic health record data reveals considerable differences in hypertension control across health systems

EHR Data ID Differences in HTN Control Across Health Systems

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Proportion of patients with uncontrolled blood pressure varies by health system and clinical site
Routine use of vitamin and mineral supplements to prevent chronic disease is not recommended

Routine Supplements to Prevent Chronic Disease Not Advised

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Micronutrient supplements may be warranted for specific nutritional needs or deficiencies