n The Association Between Poor Glycemic Control and Health Care Costs in People With Diabetes: A Population-Based Study By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE To analyze the differences in health care costs according to glycemic control in people with type 2 diabetes. RESEARCH DESIGN AND METHODS Data on health care resource utilization from 100,391 people with type 2 diabetes were extracted from the electronic database used at the Catalan Health Institute. Multivariate regression models were carried out to test the impact of glycemic control (HbA1c) on total health care, hospital admission, and medication costs; model 1 adjusted for a variety of covariates, and model 2 also included micro- and macrovascular complications. Glycemic control was classified as good for HbA1c <7%, fair for ≥7% to <8%, poor for ≥8% to <10%, and very poor for ≥10%. RESULTS Mean per patient annual direct medical costs were 3,039 ± SD 6,581. Worse glycemic control was associated with higher total health care costs: compared with good glycemic control, health care costs increased by 18% (509.82) and 23% (661.35) in patients with very poor and poor glycemic control, respectively, when unadjusted and by 428.3 and 395.1, respectively, in model 2. Medication costs increased by 12% in patients with fair control and by 28% in those with very poor control (model 2). Patients with poor control had a higher probability of hospitalization than those with good control (5% in model 2) and a greater average cost when hospitalization occurred (811). CONCLUSIONS Poor glycemic control was directly related to higher total health care, hospitalization, and medication costs. Preventive strategies and good glycemic control in people with type 2 diabetes could reduce the economic impact associated with this disease. Full Article
n Impact of a Telephonic Intervention to Improve Diabetes Control on Health Care Utilization and Cost for Adults in South Bronx, New York By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE Self-management education and support are essential for improved diabetes control. A 1-year randomized telephonic diabetes self-management intervention (Bronx A1C) among a predominantly Latino and African American population in New York City was found effective in improving blood glucose control. To further those findings, this current study assessed the intervention’s impact in reducing health care utilization and costs over 4 years. RESEARCH DESIGN AND METHODS We measured inpatient (n = 816) health care utilization for Bronx A1C participants using an administrative data set containing all hospital discharges for New York State from 2006 to 2014. Multilevel mixed modeling was used to assess changes in health care utilization and costs between the telephonic diabetes intervention (Tele/Pr) arm and print-only (PrO) control arm. RESULTS During follow-up, excess relative reductions in all-cause hospitalizations for the Tele/Pr arm compared with PrO arm were statistically significant for odds of hospital use (odds ratio [OR] 0.89; 95% CI 0.82, 0.97; P < 0.01), number of hospital stays (rate ratio [RR] 0.90; 95% CI 0.81, 0.99; P = 0.04), and hospital costs (RR 0.90; 95% CI 0.84, 0.98; P = 0.01). Reductions in hospital use and costs were even stronger for diabetes-related hospitalizations. These outcomes were not significantly related to changes observed in hemoglobin A1c during individuals’ participation in the 1-year intervention. CONCLUSIONS These results indicate that the impact of the Bronx A1C intervention was not just on short-term improvements in glycemic control but also on long-term health care utilization. This finding is important because it suggests the benefits of the intervention were long-lasting with the potential to not only reduce hospitalizations but also to lower hospital-associated costs. Full Article
n Diabetic Neuropathy Is a Substantial Burden in People With Type 1 Diabetes and Is Strongly Associated With Socioeconomic Disadvantage: A Population-Representative Study From Scotland By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE To assess the contemporaneous prevalence of diabetic peripheral neuropathy (DPN) in people with type 1 diabetes (T1D) in Scotland and study its cross-sectional association with risk factors and other diabetic complications. RESEARCH DESIGN AND METHODS We analyzed data from a large representative sample of adults with T1D (N = 5,558). We assessed the presence of symptomatic neuropathy using the dichotomized (≥4) Michigan Neuropathy Screening Instrument Patient Questionnaire score. Logistic regression models were used to investigate associations between DPN and risk factors, as well as with other complications. RESULTS The burden of DPN is substantial with 13% prevalence overall. Adjusting for attained age, diabetes duration, and sex, the odds of DPN increased mainly with waist-to-hip ratio, lipids, poor glycemic control (odds ratio 1.51 [95% CI 1.21–1.89] for levels of 75 vs. 53 mmol/mol), ever versus never smoking (1.67 [1.37–2.03]), and worse renal function (1.96 [1.03–3.74] for estimated glomerular filtration rate levels <30 vs. ≥90 mL/min/1.73 m2). The odds significantly decreased with higher HDL cholesterol (0.77 [0.66–0.89] per mmol/L). Living in more deprived areas was associated with DPN (2.17 [1.78–2.65]) for more versus less deprived areas adjusted for other risk factors. Finally, individuals with prevalent DPN were much more likely than others to have other diabetes complications. CONCLUSIONS Diabetic neuropathy remains substantial, particularly affecting those in the most socioeconomically deprived groups. Those with clinically manifest neuropathy also have a higher burden of other complications and elevated levels of modifiable risk factors. These data suggest that there is considerable scope to reduce neuropathy rates and narrow the socioeconomic differential by better risk factor control. Full Article
n Man wins nearly $800,000 from lottery ticket bought by mistake By www.upi.com Published On :: Tue, 05 May 2020 15:33:18 -0400 An Australian man who scored a lottery jackpot of nearly $800,000 said he bought his ticket by mistake while attempting to play a different drawing. Full Article
n Watch: Driver accidentally reverses onto two parked cars outside Florida bank By www.upi.com Published On :: Wed, 06 May 2020 10:31:58 -0400 A Florida sheriff's office said a driver reversing out of a bank parking lot accidentally ended up backing up onto two other cars. Full Article
n Watch: Escaped bull goes wandering on Massachusetts highway By www.upi.com Published On :: Wed, 06 May 2020 10:47:28 -0400 A young bull went wandering on a Massachusetts highway after escaping from a trailer and was captured without causing any incidents, police said. Full Article
n Escaped emu found playing in sprinkler one day later By www.upi.com Published On :: Wed, 06 May 2020 13:12:30 -0400 A Michigan family said their 6-foot-tall emu was found playing in another resident's sprinkler about a mile from home one day after escaping. Full Article
n Watch: Large flock of migrating birds shows up on Florida weather radar By www.upi.com Published On :: Wed, 06 May 2020 13:36:16 -0400 A Florida TV station's weather radar detected a large mass between the state and Cuba that turned out to be something other than an unseasonable storm -- it was a flock of migrating birds. Full Article
n Watch: Girl, 14, accepted into eight California universities By www.upi.com Published On :: Wed, 06 May 2020 13:49:35 -0400 A California 14-year-old who graduated high school at the age of 13 said she has now been accepted into the music programs at eight California universities. Full Article
n Peacock protecting duck nest in patio area of Oregon bar By www.upi.com Published On :: Wed, 06 May 2020 15:00:37 -0400 Employees at an Oregon restaurant said a peacock has taken on the role of protector for a mother duck and the eggs she laid in the closed patio area. Full Article
n Former pet snake mistakenly released into the wild in Ontario By www.upi.com Published On :: Wed, 06 May 2020 15:51:17 -0400 Conservation officials in Ontario are asking members of the public to be on the lookout for a former pet snake that was mistakenly released into the wild near a conservation area. Full Article
n Lottery winner's prankster past made wife skeptical of $250,000 jackpot By www.upi.com Published On :: Wed, 06 May 2020 16:07:33 -0400 A South Carolina man had extra trouble convincing his wife that his $250,000 lottery win was legitimate due to her memories of a past prank. Full Article
n Wallaby found wandering British countryside after zoo escape By www.upi.com Published On :: Thu, 07 May 2020 10:56:23 -0400 Police in Britain said a surprised jogger tipped officers off to the location of a wallaby that escaped from a zoo and went hopping through the countryside. Full Article
n Watch: Monkey enters bank kiosk in India, removes front panel of ATM By www.upi.com Published On :: Thu, 07 May 2020 11:18:09 -0400 Police in India said officers suspecting thieves were behind the damage to an ATM in a bank kiosk reviewed security camera footage and discovered the machine had been partially disassembled by a curious monkey. Full Article
n Watch: Rapper attempting to freestyle for more than 33 consecutive hours By www.upi.com Published On :: Thu, 07 May 2020 12:07:53 -0400 A San Francisco rapper is attempting to break a Guinness World Record with a live-streamed performance featuring 33 hours, 30 minutes and 30 seconds of freestyle rapping. Full Article
n Iowa man receives postcard mailed 33 years earlier By www.upi.com Published On :: Thu, 07 May 2020 13:35:11 -0400 An Iowa man who received a postcard from his sister said he was surprised to note the card had been mailed in 1987. Full Article
n Arizona firefighters rescue puppy from deep hole at construction site By www.upi.com Published On :: Thu, 07 May 2020 14:09:49 -0400 Firefighters in Arizona came to the rescue of a puppy that plunged into a 15-foot-deep hole at a construction site. Full Article
n Watch: Utah man reunited with class ring 38 years after it was lost in Germany By www.upi.com Published On :: Thu, 07 May 2020 15:42:56 -0400 A Utah man who lost his high school class ring in Germany in 1982 was reunited with the ring thanks to a man who found it on a beach in the United States. Full Article
n Fortune cookie numbers earn $2 million lottery jackpot after 5 years By www.upi.com Published On :: Thu, 07 May 2020 15:48:47 -0400 A North Carolina man said the lottery numbers he took from a fortune cookie earned him a $2 million jackpot after five years of using them to play Mega Millions. Full Article
n Look: Police investigating loose camel report find escaped emu instead By www.upi.com Published On :: Fri, 08 May 2020 11:11:01 -0400 Police in the Netherlands said officers responding to reports of a loose camel ended up capturing an emu running wild through the city of Rotterdam. Full Article
n Men take Guinness record for ping pong ball catches in shaving cream By www.upi.com Published On :: Fri, 08 May 2020 11:21:28 -0400 A pair of Idaho men tackled an unusual Guinness World Record by most table tennis balls caught in shaving foam on the head in 30 seconds (team of 2). Full Article
n Watch: Bear makes late-night visit to Minnesota mall By www.upi.com Published On :: Fri, 08 May 2020 12:31:34 -0400 A security guard at a Minnesota mall that's currently closed to the COVID-19 pandemic captured photos and video of his encounter with a bear that went window-shopping for pasta. Full Article
n Boom heard in Washington state likely an exploding meteor By www.upi.com Published On :: Fri, 08 May 2020 13:06:22 -0400 A loud booming sound reported by multiple witnesses in Washington state was likely a meteor exploding over the area, experts said. Full Article
n Police, public works employees rescue deer from soccer net By www.upi.com Published On :: Fri, 08 May 2020 14:24:42 -0400 Police and public works employees in Wisconsin came to the rescue of a deer that found itself struggling to escape a soccer net. Full Article
n Look: Dangling raccoon rescued from under California highway on-ramp By www.upi.com Published On :: Fri, 08 May 2020 15:08:05 -0400 Animal rescuers in California said they reached over the side of a freeway on-ramp to rescue a raccoon seen dangling from a metal beam under the ramp. Full Article
n Look: Fox rescued from between walls of home, garage By www.upi.com Published On :: Fri, 08 May 2020 15:12:34 -0400 Animal rescuers in Britain said a fox was rescued from the narrow gap between the external walls of a house and its garage. Full Article
n Man waiting to cash in $1,000 lottery ticket wins another $177,777 By www.upi.com Published On :: Fri, 08 May 2020 15:40:51 -0400 A Virginia man waiting to cash in his $1,000 winning lottery ticket ended up winning an additional $177,777 before collecting his prize. Full Article
n Despite Flurry of Actions, Trump Administration Faces Constraints in Achieving Its Immigration Agenda By www.migrationpolicy.org Published On :: Wed, 24 Apr 2019 10:39:18 -0400 Though it has achieved success in some areas, the Trump administration’s many efforts to stiffen immigration enforcement in the U.S. interior and at the Southwest border are being consistently stymied by court injunctions, existing laws and settlements, state and local resistance, congressional pushback, and migration pressures that are beyond the government’s ability to swiftly address, as this article explores. Full Article
n After Deportation, Some Congolese Returnees Face Detention and Extortion By www.migrationpolicy.org Published On :: Wed, 22 May 2019 17:22:03 -0400 This article explores post-deportation dynamics and challenges returnees face in the Democratic Republic of the Congo (DRC). Even as European countries focus on increasing returns of migrants deemed not to have a right to stay, little attention has been given to conditions at return—even to a country such as the DRC where allegations of serious human-rights violations against returned migrants have been reported for years. Full Article
n 16th Annual Immigration Law and Policy Conference By www.migrationpolicy.org Published On :: Tue, 28 May 2019 12:18:53 -0400 The 16th annual conference features thoughtful policy and legal analysis and discussion of the most important immigration topics from leading government officials, attorneys, researchers, advocates, and others. Full Article
n Migration, Development, and Global Governance: From Crisis toward Consolidation By www.migrationpolicy.org Published On :: Tue, 25 Jun 2019 18:12:58 -0400 Migration and development policy discussions have edged closer to each other on the international stage. The adoption of the Global Compact for Migration in December 2018 marks an important milestone. As all eyes turn toward the compact’s implementation, this brief examines some of the key topics states have pledged to work more closely on—from labor migration and migrants’ rights, to returns and reintegration. Full Article
n Democrats Under Pressure: Political Calendar Exposes Ideological Differences on Immigration By www.migrationpolicy.org Published On :: Wed, 24 Jul 2019 17:39:12 -0400 Ideological differences in the Democratic Party over immigration that were once masked by unity against President Trump’s border wall and immigration agenda are now being exposed as Democratic presidential candidates seek to stand out in a crowded field and amid controversy over an emergency border spending bill. As the 2020 electoral calendar accelerates, how the party navigates the gulf between its most liberal and conservative wings will become a greater challenge for its leaders. Full Article
n From Control to Crisis: Changing Trends and Policies Reshaping U.S.-Mexico Border Enforcement By www.migrationpolicy.org Published On :: Fri, 02 Aug 2019 12:09:41 -0400 How did the U.S. border enforcement picture go in the span of two years from the lowest levels of illegal immigration since 1971 to a spiraling border security and humanitarian crisis? This report draws on enforcement and other data as well as analysis of changing migration trends and policies to tell this story. The authors outline key elements for a new strategy that can succeed over the long term. Full Article
n Crisis in the Courts: Is the Backlogged U.S. Immigration Court System at Its Breaking Point? By www.migrationpolicy.org Published On :: Tue, 01 Oct 2019 12:31:23 -0400 With a backlog of more than 1 million removal cases, the U.S. immigration court system is in crisis. Pressure from external forces, internal challenges, and lagging resources for the courts at a time of massive increases in spending on immigration enforcement have contributed to the backlog. This article explores how the system got to the breaking point, and what opportunities for reform exist. Full Article
n Panthers' Derrick Brown to become first 2020 Round 1 pick to sign rookie deal By www.upi.com Published On :: Fri, 08 May 2020 20:02:40 -0400 Former Auburn defensive tackle Derrick Brown agreed to his rookie contract with the Carolina Panthers on Friday. Full Article
n Colts QB Philip Rivers to coach at Alabama high school once NFL career ends By www.upi.com Published On :: Fri, 08 May 2020 21:04:31 -0400 Indianapolis Colts quarterback Philip Rivers will become the head football coach at St. Michael Catholic High School, the school announced Friday. Full Article
n 'Shoeless' Joe Jackson baseball card from 1910 sells for $492K at auction By www.upi.com Published On :: Fri, 08 May 2020 22:57:58 -0400 A "Shoeless" Joe Jackson baseball card from 1910 sold at auction for $492,000 this week. Full Article
n Drug may curb dangerous urges in pedophiles, study says By www.upi.com Published On :: Sat, 09 May 2020 01:31:06 -0400 A testosterone-lowering drug can reduce male pedophiles' risk of sexually abusing children, according to a new Swedish study. Full Article
n Planet already seeing temps beyond human tolerability By www.upi.com Published On :: Sat, 09 May 2020 04:42:06 -0400 Researchers have predicted that if climate change goes unabated, the planet will experience intolerable heat in several decades. But a new study has found that in certain global hot spots, it's already happening. Full Article
n Metabolic Effects of Dietary Sucrose in Type II Diabetic Subjects By care.diabetesjournals.org Published On :: 1993-09-01 John P BantleSep 1, 1993; 16:1301-1305Short Report Full Article
n Evidence-Informed Clinical Practice Recommendations for Treatment of Type 1 Diabetes Complicated by Problematic Hypoglycemia By care.diabetesjournals.org Published On :: 2015-06-01 Pratik ChoudharyJun 1, 2015; 38:1016-1029Type 1 Diabetes at a Crossroads Full Article
n Endothelial Dysfunction in Diabetes: The role of reparatory mechanisms By care.diabetesjournals.org Published On :: 2011-05-01 Angelo AvogaroMay 1, 2011; 34:S285-S290Hypertension Full Article
n Loss of Incretin Effect Is a Specific, Important, and Early Characteristic of Type 2 Diabetes By care.diabetesjournals.org Published On :: 2011-05-01 Jens J. HolstMay 1, 2011; 34:S251-S257Diabetes Treatments Full Article
n Lipid and Inflammatory Cardiovascular Risk Worsens Over 3 Years in Youth With Type 2 Diabetes: The TODAY clinical trial By care.diabetesjournals.org Published On :: 2013-06-01 TODAY Study GroupJun 1, 2013; 36:1758-1764TODAY Study Full Article
n The Reality of Type 2 Diabetes Prevention By care.diabetesjournals.org Published On :: 2014-04-01 Richard KahnApr 1, 2014; 37:943-949Current Concepts of Type 2 Diabetes Prevention Full Article
n Kidney Disease and Related Findings in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Study By care.diabetesjournals.org Published On :: 2014-01-01 Ian H. de BoerJan 1, 2014; 37:24-30DCCT/EDIC 30th Anniversary Summary Findings Full Article
n Trends in Drug Utilization, Glycemic Control, and Rates of Severe Hypoglycemia, 2006-2013 By care.diabetesjournals.org Published On :: 2017-04-01 Kasia J. LipskaApr 1, 2017; 40:468-475Emerging Science and Concepts for Management of Diabetes and Aging Full Article
n New Insulin Glargine 300 Units/mL Versus Glargine 100 Units/mL in People With Type 2 Diabetes Using Oral Agents and Basal Insulin: Glucose Control and Hypoglycemia in a 6-Month Randomized Controlled Trial (EDITION 2) By care.diabetesjournals.org Published On :: 2014-12-01 Hannele Yki-JärvinenDec 1, 2014; 37:3235-3243Emerging Technologies and Therapeutics Full Article
n Day and Night Home Closed-Loop Insulin Delivery in Adults With Type 1 Diabetes: Three-Center Randomized Crossover Study By care.diabetesjournals.org Published On :: 2014-07-01 Lalantha LeelarathnaJul 1, 2014; 37:1931-1937Emerging Technologies and Therapeutics Full Article
n Long-term Benefits of Intensive Glucose Control for Preventing End-Stage Kidney Disease: ADVANCE-ON By care.diabetesjournals.org Published On :: 2016-05-01 Muh Geot WongMay 1, 2016; 39:694-700Cardiovascular Disease and Diabetes Full Article