Effects of Weight Loss, Weight Cycling, and Weight Loss Maintenance on Diabetes Incidence and Change in Cardiometabolic Traits in the Diabetes Prevention Program

Diabetes Care: July 14, 2014

OBJECTIVE This study examined specific measures of weight loss in relation to incident diabetes and improvement in cardiometabolic risk factors.

New Beginnings: A Discussion Guide for Living Well with Diabetes

CDC: 7/11/14

New Beginnings: A Discussion Guide for Living Well with Diabetes is an on-line resource that uses stories about African Americans with diabetes to help group leaders lead discussions about the emotional side of living with diabetes, and help people with diabetes identify family and social support needs and develop goal setting, positive coping and problem solving skills. New Beginnings can be used to supplement diabetes self-management education sessions and in diabetes support groups.

New Beginnings resources include: Read More

National Trends in US Hospital Admissions for Hyperglycemia and Hypoglycemia Among Medicare Beneficiaries, 1999 to 2011

JAMA: July 2014

Importance  The increasing intensity of diabetes mellitus management over the past decade may have resulted in lower rates of hyperglycemic emergencies but higher rates of hospital admissions for hypoglycemia among older adults. Trends in these hospitalizations and subsequent outcomes are not known.

Objective  To characterize changes in hyperglycemia and hypoglycemia hospitalization rates and subsequent mortality and readmission rates among older adults in the United States over a 12-year period, and to compare these results according to age, sex, and race.

Design, Setting, and Patients  Retrospective observational study using data from 33 952 331 Medicare fee-for-service beneficiaries 65 years or older from 1999 to 2011.

Main Outcomes and Measures  Hospitalization rates for hyperglycemia and hypoglycemia, 30-day and 1-year mortality rates, and 30-day readmission rates.  Read More

Depression and Adherence to Lifestyle Changes in Type 2 Diabetes A Systematic Review

The Diabetes Educator” June 17, 2014

Abstract

Higher potency statins and the risk of new diabetes: multicentre, observational study of administrative databases

BMJ: d 29 May 2014

Abstract

Objective To evaluate the incremental increase in new onset diabetes from higher potency statins compared with lower potency statins when used for secondary prevention.

Design Eight population based cohort studies and a meta-analysis.

Setting Six Canadian provinces and two international databases from the UK and US.

Participants 136 966 patients aged ≥40 years newly treated with statins between 1 January 1997 and 31 March 2011.

Methods Within each cohort of patients newly prescribed a statin after hospitalisation for a major cardiovascular event or procedure, we performed as-treated, nested case-control analyses to compare diabetes incidence in users of higher potency statins with incidence in users of lower potency statins. Rate ratios of new diabetes events were estimated using conditional logistic regression on different lengths of exposure to higher potency versus lower potency statins; adjustment for confounding was achieved using high dimensional propensity scores. Meta-analytic methods were used to estimate overall effects across sites. Read more

American Indian/Alaska Native Programs

ADA:  7/8/14

At nearly 16 percent, American Indians and Alaska Natives have the highest age-adjusted prevalence of diabetes among all U.S. racial and ethnic groups.  Read More

Diabetes-Related Distress, Insulin Dose, and Age Contribute to Insulin-Associated Weight Gain in Patients With Type 2 Diabetes Mellitus: Results of a Prospective Study

Diabetes Care July 10, 2014