An Illinois law to keep children who are at risk of entering the welfare system with their families will become effective in February 2019. The law provides for the Illinois Department of Children and Family Services to provide child care for children younger than 5 years old while also helping caregivers find jobs and housing.
A study in Diabetes Care showed an association between good early control of type 2 diabetes and a 20% reduced risk of complications over 10 years, such as amputations, advanced eye and kidney disease, heart disease, heart failure, stroke and vascular disease. Researchers used a cohort of 34,737 patients with newly diagnosed type 2 diabetes and found that good diabetes control also resulted in a 30% reduced mortality risk in the first year after diagnosis.
Researchers analyzed 297,713 individuals and found that patients with obstructive sleep apnea had a 2.06 hazard ratio for diabetes, compared with those without OSA, with the risk remaining statistically significant after adjusting for body mass index and waist circumference. The findings in Diabetes Care also revealed that diabetes patients had a higher OSA risk than those without diabetes, especially among those using insulin, where the link was particularly strong for women.
Factors associated with gestational weight loss of at least 75% shortly after birth for women with recent gestational diabetes included older age, not using insulin during pregnancy and gaining less weight during pregnancy, according to a study in The Journal of Maternal-Fetal & Neonatal Medicine. Almost half of the women in the study had gained more weight during pregnancy than recommended by Institute of Medicine guidelines.
Researchers recruited 60 adults with diabetes and found that after 90 days of using an iGlucose Cellular Diabetes Care blood glucose meter, with blood glucose data remotely monitored via the iGlucose Population Management secure web portal, there was a 44% increase in blood glucose testing frequency and all patients shared all of their blood glucose testing data with their health care providers. The findings, presented at the American Association of Diabetes Educators annual meeting, showed that patients were more engaged, felt less isolation in their disease management and were more confident in talking with their providers and family members about diabetes.
Revisions to US guidelines for the management of adult congenital heart disease have been released by the American Heart Association and the American College of Cardiology in the Journal of the American College of Cardiology and the journal Circulation. A classification system maintains three previous anatomic categories of complexity from the 2008 guidelines and adds four physiologic classifications.
Boston Medical Center investigators conducted expanded testing for hepatitis C in the emergency department, increasing the hospital's screening rate by more than 6,000%, according to a study in the journal Academic Emergency Medicine. "Our findings indicate that if we had only tested the high risk birth cohort, there would have been 268 missed cases and 155 missed active infections," lead author Elissa Perkins said.
A scientific statement from the American Heart Association in the journal Circulation says that early detection and monitoring of patients with Chagas' disease could help improve treatment of cardiac complications later in life. "Early detection of Chagas disease is critical, allowing prompt introduction of therapy," the statement says.
An analysis of data for 31,930 people with HIV found that viral suppression rates almost tripled in the US, rising from 32% in 1997 to 86% in 2015 as treatments improved. However, disparities remained in viral suppression rates among younger patients and black patients.
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