Gestational diabetes: Tips for a healthy mom and baby - Amsterdam News

Amsterdam News
Gestational diabetes: Tips for a healthy mom and baby
Amsterdam News
Of all the medical tests expectant mothers undergo in the months before childbirth, perhaps one of the most important evaluates for gestational diabetes. This pregnancy-related condition—in which hormonal changes cause blood sugar levels to rise ...
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Semaglutide outperforms dulaglutide on HbA1c, weight-loss reduction in type 2 diabetes

Adults with type 2 diabetes assigned the once-weekly GLP-1 receptor agonist semaglutide in addition to metformin therapy experienced a greater reduction in HbA1c and body weight after 40 weeks compared with those assigned once-weekly dulaglutide and metformin, Novo Nordisk announced in a press release.Results from the SUSTAIN 7 trial demonstrated that patients assigned 0.5 mg weekly semaglutide (Novo Nordisk) saw an HbA1c reduction of 1.5% over 40 weeks vs. a 1.1% reduction for those assigned 0.75 mg weekly dulaglutide (Trulicity, Eli Lilly), from a mean baseline HbA1c of 8.2%. Patients assigned 1 mg semaglutide saw a 1.8% HbA1c reduction vs. a 1.4% reduction for those assigned 1.5 mg dulaglutide. Additionally, more patients achieved at least 5% body-weight loss at 40 weeks when assigned 0.5 mg semaglutide vs. 0.75 dulaglutide (44% vs. 23%), with a greater difference for those assigned 1 mg semaglutide vs. 1.5 mg dulaglutide (63% vs. 30%).Original Article

 

Commentary: Love of food, lack of activity leave Singaporeans vulnerable to diabetes - Channel NewsAsia

Channel NewsAsia
Commentary: Love of food, lack of activity leave Singaporeans vulnerable to diabetes
Channel NewsAsia
People in Singapore are developing Type 2 diabetes at a younger age. Even pregnant women are not spared. Our nation has among the highest rates of gestational diabetes globally, a condition that predisposes mothers and their offspring to greater risk ...
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Survey suggests partisanship doomed health care reform, public split on many ACA components

A greater Republican division on the issue of health care reform than originally thought in addition to the Democrats’ determination to not repeal the Affordable Care Act, led to the failure of health care reform efforts thus far, according to a special report recently published in The New England Journal of Medicine. “Fundamental divisions among Republicans point to an underlying reason why Republicans in Congress had such difficulty agreeing on a single repeal and replace plan. These divisions were not helped by the fact that President Donald Trump’s role in the debate was seen so poorly by the general public,” Robert J. Blendon, ScD, and John M. Benson, MA, of the Harvard T.H. Chan School of Public Health, wrote.Original Article

 

State access standards did not improve accessibility to specialists

The implementation of specialty access standards by state Medicaid agencies did not result in widespread, meaningful improvements in access to specialist physicians for Medicaid enrollees, and researchers suggest that additional interventions may be needed to expand access, according to a study published in JAMA Internal Medicine. “Medicaid recipients have consistently reported less timely access to physicians than patients with other forms of coverage,” Chima D. Ndumele, PhD, from the department of health policy and management at Yale School of Public Health, and colleagues wrote. “By 2018, state Medicaid agencies will be required by the [CMS] to enact time and distance standards for managed care organizations to ensure an adequate supply of specialist physicians for enrollees; however, there have been no published studies of whether these policies have significant effects on access to specialty care.”Original Article