Top stories in health and medicine, June 17, 2014From MedPage Today:

  1. Victoza Lowers Glucose in Genetic Form of Diabetes. Liraglutide (Victoza) works roughly as well as standard sulfonylurea treatment for an inherited type of diabetes but with less hypoglycemia.
  2. Canola Oil Cuts Heart Risk in Diabetes. Adding canola oil to the diet improved glycemic control and reduced cardiovascular risk in ...

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Top stories in health and medicine, June 12, 2014From MedPage Today:

  1. Men: Want to Be Healthy for the Rest of Your Life? Marriage is good for a man's health. And it's actually having a marriage license that matters -- not just living with a partner, according to data from the 2011-2012 National Health Interview Survey.
  2. Diabetes: Out-of-Pocket Costs Soar in ...

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Top stories in health and medicine, June 9, 2014From MedPage Today:

  1. Surgeons Not Very Involved in ACOs, Survey Says. Accountable Care Organizations have given little attention to surgery in the early years of the Medicare program, choosing to focus instead on managing chronic conditions and reducing hospital readmissions.
  2. Early Allergen Exposure Cuts Wheeze Risk. A new study confirmed that when ...

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Whether you are a veteran of not, the recent report of waiting lists, and possibly preventable deaths of veterans, has implications for all citizens. There is no large health system which functions perfectly. But I would say that the efficiency of any given system is inversely related to its size. If this is true, then the VA health system is, and has always been, a bureaucratic and wasteful mess. Like ...

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From MedPage Today:

  1. Vaccines and Biologics: Questions Remain. Vaccinations for patients with autoimmune diseases -- specifically patients being treated with biologics -- bring with them a variety of issues, including disease-specific, medication-related, and vaccine-associated factors.
  2. Wider Look at Lung Cancer Genes Found Helpful. Testing for a range of genetic drivers of lung cancer broader than the current standard pointed to actionable treatment targets for ...

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From MedPage Today:

  1. Imaging May Aid in Predicting MS Progression. A measurement obtained through MR spectroscopy appeared to predict disability progression in multiple sclerosis (MS) patients.
  2. Invokana Monotherapy Promising for T2D Control. The SGLT2 inhibitor canagliflozin (Invokana) may be effective as monotherapy in type 2 diabetes patients who fail to control their disease with diet and exercise.
  3. Less Cardiac Screening May Suffice ...

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Nobody stands up to argue against quality and value in health care. You might as well argue against motherhood, or puppies. Yet many physicians are inherently skeptical of definitions of “quality” that are imposed from above, whether by outside evaluators like The Joint Commission, or (worse) by the government. There’s good reason for skepticism. Some of the “evidence” behind “evidence-based medicine” has turned out to be flawed, tainted by financial conflict ...

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The road to improving health care over the past several years has most certainly had a focus on implementing upgrade technologies such as EMRs and tablets, but also creating new technologies like 3-D printers and Watson-like doctors. However, in my opinion as both a practicing doctor and technology entrepreneur, the focus is all wrong. EMRs, 3-D printers, and Watson-like brains are not fixing the real problems that plague the broken health ...

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The danger of diabetes is not only the immediate risk of very high blood sugar. Diabetes also has many dreaded long-term complications. (In this post I am referring to both type 1 and type 2 diabetes mellitus.) Diabetes greatly increases the risk of stroke, heart attack, and amputation. In the US it is the leading cause of kidney failure and of blindness in adults. A study performed by researchers at the ...

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From MedPage Today:

  1. Two HCV Drugs Stronger Than One. A combination of the two newest drugs approved for hepatitis C virus (HCV) suggests that a strength of one overcomes a weakness of the other.
  2. % of Type 2 Diabetes Left Undiagnosed Declines. A lower percentage of type 2 diabetes cases is going undiagnosed than was the case in the past couple of decades.

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