Diabetes

VA Study Finds Mortality Greater with Some Diabetes Drugs

SEATTLE — How do oral hypoglycemic medications for type 2 diabetes affect overall mortality? Concerned that few studies had been done on the drugs’ comparative safety, researchers from the VA Puget Sound Health Care System in Seattle sought to answer… Read More

Arthroplasty for Younger Diabetics Predicted to Increase

DENVER — A new VA study raises the specter of growing demand for joint arthroplasty by younger patients with diabetes. The report, based on research conducted at the VA Eastern Colorado Health Care System in Denver and the VA Medical… Read More

Newly Available Drugs Promote Weight Loss, Reduce Progression to Diabetes

Newly Available Drugs Promote Weight Loss, Reduce Progression to Diabetes

BIRMINGHAM, AL — Two recently available drugs for long-term treatment of obesity helped patients lose 5% or more of their body weight over the course of a year, according to their VA criteria for use statements. The medications, a phentermine and topiramate extended-release combination (P/T) and lorcaserin, are the first new weight loss drugs to be launched in 13 years.

Emphasizing Tradition to Reduce Diabetes in American Indians/Alaska Natives

By Annette M. Boyle Judy Goforth Parker, PhD, RN TAHLEQUAH, OK – Fifty years ago, the Cherokee had no word for diabetes. Today, American Indians and Alaska Native (AI/AN) adults have 2.3 times the risk of developing diabetes, and AI/AN… Read More

Hypoglycemia Poses Risk for All Blood Glucose Levels in Diabetes

By Annette M. Boyle Candis Morello, PharmD SAN DIEGO — For the more than one million veterans with diabetes, recent research raises new concerns about the risks of severe low blood glucose levels or hypoglycemia. In clinical trials, hypoglycemia occurs… Read More

VA’s MOVE! Program Touted as Model for Combating Diabetes, Obesity

By Stephen Spotswood ATLANTA – Can lifestyle changes be achieved in a large-scale healthcare setting, with patients maintaining improvement over several years? An Emory University study of VA’s Managing Obesity and Overweight Veterans Everywhere! (MOVE!) program suggests that they can.… Read More

Concentrated Insulin Effective Alternative for Some Diabetic Veterans

TAMPA, FL – Because U-500 concentrated regular insulin is five times more concentrated (500 units/1 mL) than the more commonly prescribed U-100 insulin (100 units/1 mL), fewer injections are required, which may result in improved adherence and patient satisfaction. Researchers… Read More

VA’s E-Consultation Equals In-Person Endocrinologist Care

HOUSTON — To improve specialty care accessibility, the Michael E. DeBakey VAMC (MEDVAMC) in Houston began the Diabetes Mellitis Electronic Consultation Service (DMECS) to provide specialty recommendations about diabetes care to primary care physicians (PCPs). The E-consultation, which is done… Read More

Reasons for Poor Diabetes Control in Patients Receiving VA Care

ATLANTA — Poor diabetes control with HbA1c levels exceeding 9% is a common problem, even at the VA where 20% of all patients with diabetes fall into that category despite established care. Noting that “most poorly controlled patients improve on… Read More

VA Tailors Weight-Loss Programs to Help Young Veterans Maintain Physical Fitness

WASHINGTON – For veterans, one of the riskiest times for weight gain is immediately following discharge. The transition from the active military lifestyle to a relatively sedentary one can be a struggle for former servicemembers who are trying to maintain… Read More

Mobile Application to Help Families Manage Healthcare Wins Federal Challenge

By Stephen Spotswood SAN CARLOS, CA — A mobile health application that helps families manage their healthcare is the grand-prizewinner of the HHS Healthfinder.gov Mobile App Challenge. The San Carlos-based mobile technology development company, Lyfechannel, was awarded $50,000 in May… Read More

Low Vitamin D Levels Tied to Diabetes in Troops

SAN DIEGO – Low levels of vitamin D are associated with a higher risk of developing “insulin-requiring” diabetes, according to a study of active-duty servicemembers. The nested case-control study led by Edward D. Gorham, PhD, MPH, a research epidemiologist from… Read More

Intensive Weight Loss Program Increases Diabetes Remission Rates

ATLANTA – An intensive weight loss program involving dieting, counseling and physical activity offers the promise of diabetes remission, especially in patients who are recently-diagnosed, not on insulin and have lower hemoglobin A levels. The study, partly funded by the… Read More

Surgery May Trump Angioplasty for Diabetes Patients with CAD

INDIANAPOLIS, IN – A new study from the Roudebush VAMC in Indianapolis suggests survival rates are better when diabetes patients with multivessel coronary artery disease receive coronary artery bypass graft (CABG) surgery as opposed to angioplasty, even when the most… Read More

Higher Rates of Chronic Diseases in Males Veterans with MS

HINES, IL – Male veterans with multiple sclerosis (MS) have a higher prevalence of diabetes, hypertension, hypercholesterolemia, coronary heart disease and stroke than the general population. That’s according to a study from the Center for Management of Complex Chronic Care… Read More

Despite Formulary, High-Cost Diabetes Drug Use Varies Widely Across VA Facilities

By Brenda L. Mooney PITTSBURGH — Despite a tightly managed national formulary, the use of high-cost drugs to treat diabetes shows “substantial” variation across the VA healthcare system, according to a new research letter. The VA-funded report, published online by… Read More

Soldiers with Diabetes in Theater Increase Clinicians’ Disease Management Challenges

By Annette M. Boyle BETHESDA, MD — The Army is retaining an increasing number of personnel with diabetes, and, despite directives to the contrary, these soldiers may be deployed to active war zones where typically recommended methods for managing the… Read More

Peer Support Significantly Improves Compliance in Veterans with Diabetes

By Annette M. Boyle WASHINGTON — For the more than one million VHA patients who have diabetes, peer support and shared medical appointments offer an efficient, surprisingly effective, way to deliver care and improve disease management. The shared medical appointment… Read More

Bariatric Surgery Increasing at VA, Questions Continue on Long Term Benefits

By Stephen Spotswood CHARLESTON, SC — With bariatric surgery becoming more common and reliable, VA medical centers are employing the treatment more often in patients previously unable to lose weight and reverse co-morbidities associated with obesity. Questions remain, however, about… Read More

Exercise Improves Survival Rates for Diabetics with LVH

Achieving a certain level of physical fitness can improve survival rates of patients with diabetes who also have left ventricle hypertrophy (LVH), according to a new study.1 The research, presented at The Endocrine Society’s 94th Annual Meeting in Houston this… Read More