Danish researchers found type 2 diabetes patients who achieved A1C levels of less than 6.5% after six months of metformin initiation had the lowest risk for cardiovascular events or death, while those who had an A1C of at least 8% had the highest risk. The findings in Diabetes Care, based on 24,752 adults with a mean age of 62.5, showed that large A1C reductions among those with a baseline A1C of more than 9% were associated with the greatest outcome risk reductions.
Type 1 diabetes patients who had an average glycated hemoglobin level of 6% and mild retinopathy should be screened once every three years, while those with severe or moderate retinopathy should be screened every three to six months, respectively, according to a study in The New England Journal of Medicine. Researchers used a cohort of 1,441 patients ages 13 to 39 and found those who had an average glycated hemoglobin level of 6% and no signs of retinopathy could undergo one eye exam every four years, while those with glycated hemoglobin levels of up to 10% should undergo screening more often.
The use of apomorphine subcutaneous infusion may reduce periods of unpredictable fluctuations in motor function or "Off" time in Parkinson's disease patients, according to a placebo-controlled study to be presented at the American Academy of Neurology's annual meeting. APO infusion is not approved for this patient group in the US but is used in Europe.
Boston University School of Medicine researchers found that adults who drank one artificially sweetened soda daily were nearly three times as likely to develop dementia and ischemic stroke over 10 years, compared with those who didn't drink diet soda. The findings in the journal Stroke, based on data involving 4,372 adults ages 45 and older, also showed a 2.6 times increased odds of stroke but not dementia among those who drank six or fewer diet sodas a week.
Registered dietitian Joan Salge Blake says up to 15 million people have food allergies and for them, ordering from a restaurant menu can be daunting. Blake says some tips for safe dining include calling a restaurant in advance or checking its website menu, talking with wait staff before ordering, downloading apps that list allergy-safe restaurants, and looking for chain restaurants that have standardized menus and food preparation.
Weight-loss surgery leads to physiologic changes that make diet an important part of recovery, especially for patients with kidney disease, University of Washington registered dietitian Debra Clancy told a National Kidney Foundation conference. Clancy said patients should start changing their diet before surgery because pre-surgery weight loss of at least 5% of total body weight is associated with fewer complications after the procedure.
Research shows people tend to eat and drink more if food is served on larger plates and bowls and beverages are poured into shorter but wider glasses, said registered dietitian Lisa Grudzielanek. Contrasting the color of dishes with the color of foods also can affect portion perception, Grudzielanek said.
Adding pure oats without gluten contamination to a gluten-free diet does not appear to affect symptoms or biologic measures in celiac disease patients, researchers reported in the journal Gastroenterology. The review of 28 studies showed one year of pure oat consumption, in adults or children, did not affect histologic readings, intraepithelial lymphocyte counts or serologic tests.
The January homeless count in San Diego County, Calif., showed a 5% increase over last year and a 14% rise in those with no type of shelter. Homelessness among military veterans, the subject of a targeted local government effort, declined 21%.
Heartly House, a Frederick, Md., agency that helps victims of domestic violence and sexual assault, has hired a licensed social worker and human trafficking outreach specialist. Heather Moreno noted the need for outreach to be persistent without being aggressive, as "the main barrier is just gaining that initial trust."
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