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January 2020 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for January 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Risk for Obesity in Child Higher With GDM Plus Preeclampsia

THURSDAY, Jan. 30, 2020 (HealthDay News) -- Exposure to gestational diabetes mellitus (GDM) and preeclampsia is associated with an upward trajectory in childhood body mass index (BMI), according to a study published in the Jan. 21 issue of the Archives of Gynecology and Obstetrics.

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2017 to 2018 Saw Increase in Life Expectancy in the United States

THURSDAY, Jan. 30, 2020 (HealthDay News) -- From 2017 to 2018, there was an increase in life expectancy in the United States and a decrease in age-adjusted death rates, according to a January data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Comorbidities Tied to Higher Rates of All-Cause Admissions in MS Patients

THURSDAY, Jan. 30, 2020 (HealthDay News) -- Comorbidities increase the rate of all-cause, but not multiple sclerosis (MS)-specific, hospital admissions among patients with MS, according to a study published online Jan. 21 in Multiple Sclerosis and Related Disorders.

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U.S. Spends More on Health Care, but Has Worse Life Expectancy

THURSDAY, Jan. 30, 2020 (HealthDay News) -- The United States spends substantially more than any other wealthy nation on health care, yet it has a lower life expectancy and a higher suicide rate than other wealthy nations, according to a January data brief released by the Commonwealth Fund.

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Fatty Liver Disease Common Among Young Adults in the U.K.

WEDNESDAY, Jan. 29, 2020 (HealthDay News) -- One in five young adults in the United Kingdom has steatosis and one in 40 has fibrosis around the age of 24 years, according to a study published online Jan. 15 in The Lancet Gastroenterology & Hepatology.

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Survey: Most Americans Think of Themselves as Healthy

TUESDAY, Jan. 28, 2020 (HealthDay News) -- Seven out of 10 Americans rate their health-related behaviors and attitudes as good or excellent, according to a survey released Jan. 27 by the American Osteopathic Association.

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Gender Gap Persists in Starting Salary for Physicians

TUESDAY, Jan. 28, 2020 (HealthDay News) -- The gender gap in starting salary for physicians persists, although it is unclear which factors account for this gap, according to a report published online Jan. 22 in Health Affairs.

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Health-Related Quality of Life Lower for Women With PCOS

TUESDAY, Jan. 28, 2020 (HealthDay News) -- Women with polycystic ovary syndrome (PCOS) report low health-related quality of life (HRQoL) beyond the reproductive years, according to a study published online Jan. 23 in the Journal of Clinical Endocrinology & Metabolism.

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Community-Based Diabetes Screening Feasible in Barbershops

MONDAY, Jan. 27, 2020 (HealthDay News) -- Community-based diabetes screening in barbershops owned by black individuals is feasible and can identify undiagnosed diabetes, according to a research letter published online Jan. 27 in JAMA Internal Medicine.

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Wealthy Pay Most to Finance U.S. Health Care

MONDAY, Jan. 27, 2020 (HealthDay News) -- Health care payments in the United States are more regressive than previously thought, according to a study published online Jan. 27 in Health Services Research.

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Effects of Vit D Correction on CV Health Studied in Obese Children

MONDAY, Jan. 27, 2020 (HealthDay News) -- For vitamin D-deficient overweight and obese children, high-dose supplementation with vitamin D does not improve measures of arterial endothelial function or stiffness, but it does result in reductions in blood pressure (BP) and fasting glucose concentration, according to a study published online Jan. 17 in The American Journal of Clinical Nutrition.

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Nearly Half of U.S. Smokers Not Advised by Doctors to Quit

FRIDAY, Jan. 24, 2020 (HealthDay News) -- Too few American smokers are advised by their doctors to quit, according to a report released Thursday by U.S. Surgeon General Jerome Adams, M.D.

The New York Times Article
Office of the Surgeon General

Major Insurers Offer $55 Million to Lower Generic Drug Costs

THURSDAY, Jan. 23, 2020 (HealthDay News) -- A nonprofit that develops and sells cheaper drugs will receive a $55 million investment from the Blue Cross Blue Shield Association and associated organizations to create cheaper versions of expensive generic drugs.

The New York Times Article

JumpstartMD Commercial Program Seems Effective for Weight Loss

THURSDAY, Jan. 23, 2020 (HealthDay News) -- The commercial low-calorie, low-carbohydrate JumpstartMD program is effective for weight loss, according to a study published online Jan. 21 in the Journal of Obesity.

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Teprotumumab Bests Placebo for Active Thyroid Eye Disease

THURSDAY, Jan. 23, 2020 (HealthDay News) -- Teprotumumab is associated with better outcomes than placebo among patients with active thyroid eye disease, according to a study published in the Jan. 23 issue of the New England Journal of Medicine.

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Fewer Than Half of Clinical Trials Comply With Reporting Laws

THURSDAY, Jan. 23, 2020 (HealthDay News) -- Compliance with the U.S. Food and Drug Administration Amendments Act of 2007 is low, with only 40.9 percent of trials reporting results within one year, according to a study published online Jan. 17 in The Lancet.

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Teen Transgender Access to Pubertal Suppression Lowers Suicidality

THURSDAY, Jan. 23, 2020 (HealthDay News) -- Access to pubertal suppression during adolescence is associated with lower odds of lifetime suicidal ideation among transgender young adults, according to a study published online Jan. 23 in Pediatrics.

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Fast-Track Review of ACA Lawsuit Rejected by U.S. Supreme Court

WEDNESDAY, Jan. 22, 2020 (HealthDay News) -- A fast-track review of a lawsuit that threatens the Affordable Care Act was rejected Tuesday by the U.S. Supreme Court.

AP News Article

Anti-Müllerian Hormone Predicts Time to Final Menstrual Period

WEDNESDAY, Jan. 22, 2020 (HealthDay News) -- Measurement of anti-Müllerian hormone (AMH) levels in blood can help predict the time to final menstrual period (FMP), according to a study published online Jan. 22 in the Journal of Clinical Endocrinology & Metabolism.

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Low-Carb, Low-Fat Diets Not Tied to Mortality Overall

WEDNESDAY, Jan. 22, 2020 (HealthDay News) -- Overall, low-carbohydrate diet and low-fat diet scores are not associated with total mortality, according to a study published online Jan. 21 in JAMA Internal Medicine.

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ACP: Medicare for All Needed to Fix 'Ill' U.S. Health Care System

TUESDAY, Jan. 21, 2020 (HealthDay News) -- The American College of Physicians (ACP) says the U.S. health care system "is ill and needs a bold new prescription" that includes coverage for all Americans and lower costs.

AP News Article
American College of Physicians

Cognitive Behavioral Program Benefits Patients With Diabetes

TUESDAY, Jan. 21, 2020 (HealthDay News) -- A peer-delivered cognitive behavioral therapy (CBT)-based intervention may improve quality of life (QOL) among patients with diabetes and chronic pain, according to a study published in the January/February issue of the Annals of Family Medicine.

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New Guidance Issued for Care of Children With Williams Syndrome

TUESDAY, Jan. 21, 2020 (HealthDay News) -- In an American Academy of Pediatrics clinical report, published online Jan. 21 in Pediatrics, recommendations are presented for the management of patients with Williams syndrome (WS).

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Americans Lack Knowledge About Eye Health

FRIDAY, Jan. 17, 2020 (HealthDay News) -- Americans' lack of knowledge about eye health may put their vision at risk, according to a survey released by the American Academy of Ophthalmology.

Press Release

Decline in Mortality Seen in Diabetes Patients in Hong Kong

FRIDAY, Jan. 17, 2020 (HealthDay News) -- From 2001 to 2016, mortality declined among people with diabetes in Hong Kong, according to a study published online Jan. 16 in Diabetologia.

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Quickly Reducing High Potassium Levels Improves Outcomes

FRIDAY, Jan. 17, 2020 (HealthDay News) -- Rapid correction of elevated serum potassium levels (K+) is associated with reduced mortality in emergency department patients, according to a study recently published in the American Journal of Emergency Medicine.

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Single-Payer System Would Likely Save Money

THURSDAY, Jan. 16, 2020 (HealthDay News) -- There is near consensus across 30 years of economic analysis of single-payer plans that a single-payer system would reduce health expenditures in the United States, according to a review published online Jan. 15 in PLOS Medicine.

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CDC: Many Americans Are Inactive, With Southerners Faring Worse

THURSDAY, Jan. 16, 2020 (HealthDay News) -- More than 15 percent of American adults are physically inactive, according to a new U.S. Centers for Disease Control and Prevention study.

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Popular Diets May Impact Testosterone Levels in Men

THURSDAY, Jan. 16, 2020 (HealthDay News) -- Men adhering to low-fat diets have lower serum testosterone levels even when adjusting for comorbidities, age, body mass index, and activity levels, according to a study published in the February issue of The Journal of Urology.

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Cesarean Rates No Higher for Diabetes Patients Induced in 38th Week

THURSDAY, Jan. 16, 2020 (HealthDay News) -- In women with prepregnancy type 1 and 2 diabetes mellitus (PDM), induction of labor (IOL) is not associated with increased cesarean section rates compared with expectant management beyond 39 weeks, but it is associated with certain neonatal adverse outcomes, according to a study published online Dec. 30 in BMJ Open Diabetes Research & Care.

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Ageism Predicts Significantly Worse Health Outcomes

THURSDAY, Jan. 16, 2020 (HealthDay News) -- Ageism predicts significantly worse health outcomes, according to a review published online Jan. 15 in PLOS ONE.

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History of Falls Predicts Future Fractures in Postmenopausal Women

THURSDAY, Jan. 16, 2020 (HealthDay News) -- A history of falls, especially injurious falls, predicts subsequent fractures in postmenopausal women, according to a study recently published in Osteoporosis International.

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ACA Tied to Narrowing of Disparities in Access to Care

THURSDAY, Jan. 16, 2020 (HealthDay News) -- The Affordable Care Act has reduced disparities in access to health care among black, Hispanic, and white adults, according to a January data brief released by the Commonwealth Fund.

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FDA: Weight Control Drug Lorcaserin May Raise Cancer Risk

WEDNESDAY, Jan. 15, 2020 (HealthDay News) -- The prescription weight control medicine lorcaserin (Belviq, Belviq XR) may increase the risk for cancer, according to the results of a clinical trial assessing the safety of the drug, the U.S. Food and Drug Administration says.

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Evolution of Approval, Regulation Processes for Drugs Explored

WEDNESDAY, Jan. 15, 2020 (HealthDay News) -- The U.S. approval and regulation processes for pharmaceutical agents have evolved during the last four decades, according to a study published in the Jan. 14 issue of the Journal of the American Medical Association.

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Nonalcoholic Steatohepatitis Will Pose Clinical, Economic Burden

TUESDAY, Jan. 14, 2020 (HealthDay News) -- Nonalcoholic steatohepatitis (NASH) is expected to pose a significant clinical and economic burden during the next 20 years for U.S. patients with type 2 diabetes mellitus (T2DM), according to a study published online Jan. 6 in Diabetes Care.

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Doctor Replacement Ratios Higher in Largest, Hospital-Owned Practices

TUESDAY, Jan. 14, 2020 (HealthDay News) -- From 2009 to 2016, more physicians entering the Medicare program worked at large group or hospital-owned practices than small group or independent practices, according to a research letter published online Jan. 14 in the Annals of Internal Medicine.

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Cancer Incidence Up in World Trade Center Responder Cohort

TUESDAY, Jan. 14, 2020 (HealthDay News) -- Cancer incidence is increased in the World Trade Center (WTC) Health Program General Cohort, according to a study published in the February issue of JNCI Cancer Spectrum.

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2001 to 2016 Saw Drop, Stall in IQ Losses From Chemicals

TUESDAY, Jan. 14, 2020 (HealthDay News) -- From 2001 to 2016, there was a decrease or stagnation in IQ losses from exposure to polybrominated diphenyl ethers (PBDEs), methylmercury, and lead, according to a study published online Jan. 14 in Molecular and Cellular Endocrinology.

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Physicians Spend >16 Minutes Per Encounter on EHR Use

MONDAY, Jan. 13, 2020 (HealthDay News) -- Physicians spend a considerable amount of time using electronic health records (EHRs) to support care delivery, with wide variation seen in the distribution of time within specialty, according to a study published online Jan. 14 in the Annals of Internal Medicine.

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Gout Incidence Down With SGLT2 Inhibitors in Type 2 Diabetes

MONDAY, Jan. 13, 2020 (HealthDay News) -- Adults with type 2 diabetes newly prescribed a sodium-glucose cotransporter-2 (SGLT2) inhibitor have a lower incidence of gout than those prescribed a glucagon-like peptide-1 (GLP-1) receptor agonist, according to a study published online Jan. 14 in the Annals of Internal Medicine.

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Burnout in Med Students Tied to Perceived Stress, Phone Behavior

MONDAY, Jan. 13, 2020 (HealthDay News) -- Higher levels of perceived stress, poorer sleep quality, and smartphone addiction contribute to burnout in osteopathic medical students, according to a study published in the January issue of the Journal of the American Osteopathic Association.

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Telemedicine Visits Comparable for Glycemic Control in T1DM

MONDAY, Jan. 13, 2020 (HealthDay News) -- Among patients with type 1 diabetes and suboptimal glycemic control, replacement of an intermediate face-to-face visit with a telemedicine session did not affect outcomes, according to a study published online Jan. 6 in Diabetes Care.

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California May Start Producing Its Own Medicines

FRIDAY, Jan. 10, 2020 (HealthDay News) -- A proposal for California to contract generic drug companies to make medications would make the state the first in the country to produce its own medications.

AP News Article

Bariatric Surgery May Aid T2DM-Related Outcomes at Five Years

FRIDAY, Jan. 10, 2020 (HealthDay News) -- Bariatric surgery is associated with weight loss and remission of type 2 diabetes mellitus (T2DM) and dyslipidemia at five years postsurgery, according to a study published online Jan. 7 in Diabetes, Metabolism Research and Reviews.

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Recruitment Satisfactory for Foreign-Educated Health Providers

FRIDAY, Jan. 10, 2020 (HealthDay News) -- Foreign-educated health professionals (FEHPs) in the United States are overall satisfied with their recruitment experience, according to a study published in the January issue of the American Journal of Nursing.

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Neighborhood Disadvantage Impacts Hospital Quality Ratings

FRIDAY, Jan. 10, 2020 (HealthDay News) -- Hospitals caring for neighborhoods with high levels of disadvantage may have lower hospital ratings due to social risk factors (SRFs) in the community, according to a study published online Dec. 30 in Medical Care.

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Metabolic Syndrome May Up Risk for VTE Recurrence After DVT

THURSDAY, Jan. 9, 2020 (HealthDay News) -- For patients with deep vein thrombosis (DVT), the presence of any component of metabolic syndrome (MetS) is independently associated with an increased risk for venous thromboembolism (VTE) recurrence, according to a study published online Jan. 9 in Blood Advances.

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Cooking Programs May Influence Children's Food Selection

THURSDAY, Jan. 9, 2020 (HealthDay News) -- Cooking programs can positively affect healthy food consumption among child viewers, according to a study published in the January issue of the Journal of Nutrition Education and Behavior.

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Life Expectancy Free of Chronic Disease Up With Healthy Lifestyle

THURSDAY, Jan. 9, 2020 (HealthDay News) -- Adherence to a healthy lifestyle at midlife is associated with increased life expectancy free of major chronic diseases, according to a study published online Jan. 8 in The BMJ.

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Perceived Risks of E-Cigarettes Vary With Demographics

THURSDAY, Jan. 9, 2020 (HealthDay News) -- For youth, the perceived risks of electronic cigarette products vary with demographics, sexual orientation, and socioeconomic status, according to a study published online Jan. 7 in Health Promotion Practice.

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Large Gap Found in Health Administrative Spending for U.S., Canada

WEDNESDAY, Jan. 8, 2020 (HealthDay News) -- There is a large and widening gap in health administrative spending between the United States and Canada, according to a study published online Jan. 7 in the Annals of Internal Medicine.

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In-Hospital Cardiac Arrest Outcomes Similar for Dialysis, Nondialysis Patients

TUESDAY, Jan. 7, 2020 (HealthDay News) -- For patients with in-hospital cardiac arrest (IHCA), survival outcomes are similar for those on maintenance dialysis and nondialysis patients, according to a study published online Jan. 7 in the Clinical Journal of the American Society of Nephrology.

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Guideline Issued for Testosterone Therapy in Adult Men

MONDAY, Jan. 6, 2020 (HealthDay News) -- In a new evidence-based clinical practice guideline, published online Jan. 7 in the Annals of Internal Medicine, recommendations are presented for testosterone treatment in men with age-related low testosterone.

Evidence Review (subscription or payment may be required)
Clinical Guideline
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Price Hikes for Hundreds of Medications

MONDAY, Jan. 6, 2020 (HealthDay News) -- U.S. drug companies have started the new year by raising the prices of hundreds of medications.

CBS News Article

Poll: Older Adults Frequently Use Online Physician Ratings

MONDAY, Jan. 6, 2020 (HealthDay News) -- Older adults commonly use online ratings to choose a doctor, according to a report published online Jan. 6 based on the results of the University of Michigan National Poll on Healthy Aging.

National Poll on Healthy Aging

Study Explores Factors Affecting Glycemic Control in T1DM

MONDAY, Jan. 6, 2020 (HealthDay News) -- Patients with type 1 diabetes with optimal and suboptimal glycemic control differ with respect to clinical and health care utilization factors, according to a study published online Dec. 2 in Diabetes, Obesity and Metabolism.

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Severe Hypoglycemia in Seniors With T1DM May Worsen Cognition

FRIDAY, Jan. 3, 2020 (HealthDay News) -- Both recent severe hypoglycemia (SH) and lifetime SH are associated with worse cognition among older adults with type 1 diabetes, according to a study published online Dec. 27 in Diabetes Care.

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Treating Oral Disease Could Yield T2DM-Related Cost Savings

FRIDAY, Jan. 3, 2020 (HealthDay News) -- Providing nonsurgical periodontal treatment to patients with type 2 diabetes (T2D) and periodontitis may significantly reduce tooth loss and diabetes-related microvascular diseases via improved glycemic control, according to a study published online Dec. 27 in Diabetes Care.

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Ambient Air Pollution Linked to Lower Bone Mineral Content

FRIDAY, Jan. 3, 2020 (HealthDay News) -- Exposure to ambient particulate matter air pollution with an aerodynamic diameter <2.5 µm (PM2.5) and black carbon (BC) is associated with lower bone mineral content (BMC) in adults, according to a study published online Jan. 3 in JAMA Network Open.

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Coffee Consumption Does Not Affect Insulin Sensitivity

FRIDAY, Jan. 3, 2020 (HealthDay News) -- Consumption of four cups of coffee daily does not impact insulin sensitivity, according to a study published online Dec. 31 in the American Journal of Clinical Nutrition.

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New Continuous Glucose Monitor May Cut Hypoglycemia in T1DM

FRIDAY, Jan. 3, 2020 (HealthDay News) -- Intermittently scanned continuous glucose monitoring (isCGM) results in higher treatment satisfaction among adults with type 1 diabetes, according to a study published online Dec. 24 in Diabetes Care.

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APO(a)-LRX Found to Reduce Lipoprotein(a) Levels

THURSDAY, Jan. 2, 2020 (HealthDay News) -- For patients with elevated lipoprotein(a) levels and established cardiovascular disease, hepatocyte-directed antisense oligonucleotide AKCEA-APO(a)-LRX (APO(a)-LRX) reduces lipoprotein(a) levels, according to a study published online Jan. 1 in the New England Journal of Medicine.

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Diabetes Mellitus May Increase Risk for Developing Heart Failure

THURSDAY, Jan. 2, 2020 (HealthDay News) -- Patients with diabetes mellitus have an increased risk for heart failure, even in the absence of diastolic dysfunction, according to a study published in the January issue of the Mayo Clinic Proceedings.

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Patient Experiences Modestly Worse After Hospital Acquisition

THURSDAY, Jan. 2, 2020 (HealthDay News) -- Modestly worse patient experiences are seen following hospital acquisition by another hospital, according to a study published in the Jan. 2 issue of the New England Journal of Medicine.

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