Endocrinology

VA Finds Diets Allowing More Fat Might Reduce Diabetes, Other Ailments

VA Finds Diets Allowing More Fat Might Reduce Diabetes, Other Ailments

For 30 years, Americans have focused on reducing fat to lower their risk of diabetes and other chronic diseases.

Telemedicine Allows Army, Indian Health Service to Expand Range of Diabetes Care

Telemedicine Allows Army, Indian Health Service to Expand Range of Diabetes Care

To reach the growing number of individuals in their care who have diabetes, both the Army and the Indian Health Service have aggressively adopted telemedicine

Diabetes Overtreatment Continues for Older VA Patients

Diabetes Overtreatment Continues for Older VA Patients

Some Clinicians Worry More About Malpractice Than Hypoglycemia By Brenda L. Mooney ANN ARBOR, MI — Despite a VA campaign to raise awareness of hypoglycemia and recommendations from the national Choosing Wisely campaign to less aggressively treat older patients with… Read More

'Yuck Factor' Notwithstanding, Maggots Highly Effective for Diabetic Foot Wounds at VA

‘Yuck Factor’ Notwithstanding, Maggots Highly Effective for Diabetic Foot Wounds at VA

The VA is proving that “everything old is new again” with an unusual medical device — medicinal maggots.

A Personalized Approach Works Best in Prevention of Diabetes Development

A Personalized Approach Works Best in Prevention of Diabetes Development

For years, researchers have promoted the wonders of medical treatment customized to a patient’s specific genetic profile, but the reality in the exam room continues to be more “one size fits all.”

New Veteran Study Further Complicates Testosterone Replacement Issue

New Veteran Study Further Complicates Testosterone Replacement Issue

VA Researchers Find Normalizing ‘T’ Levels Lowers Heart Risks By Brenda L. Mooney KANSAS CITY, MO — The question over how testosterone replacement therapy (TRT) affects cardiovascular health became even more contentious with a new U.S. veterans study finding that… Read More

Moderate A1c Reduction Lowers Heart Risks for Veterans With Diabetes

Moderate A1c Reduction Lowers Heart Risks for Veterans With Diabetes

VA Researchers Warn About Too ‘Tight’ Blood-Sugar Control By Brenda L. Mooney ANN ARBOR, MI — The VA’s balanced approach to glycemic control — keeping blood sugar levels low but not too low — appears to be the best course… Read More

VA Educates Patients about Who Really Needs Testosterone Therapy

VA Educates Patients about Who Really Needs Testosterone Therapy

COLUMBIA, MO – Often spurred by advertising touting the benefits of testosterone supplementation for “low T,” veterans treated by the VA increasingly are requesting the replacement therapy.

Native Americans, Alaskans More Likely to Have Higher HbA1c Levels

OAKLAND, CA – American Indians and Alaska Natives (AI/AN) are more than twice as likely to have diabetes as non-Hispanic Caucasians, and the prevalence of diabetes in the AI/AN populations has increased by more than 68% since 1994. A study… Read More

‘Precision Medicine’ Approach Helps Predict Who Will Develop Diabetes

ANN ARBOR, MI – A new “precision medicine” approach to diabetes prevention uses existing information such as blood sugar levels and waist-to-hip ratios, rather than a genetic test, to determine who has the highest risk of developing the disease. The… Read More

Black Women Working the Night Shift More Likely to Develop Diabetes

BEDFORD, MA – African-American women who work night shifts are significantly more likely to develop diabetes, and their risk increases the longer they work that schedule. That’s according to a new study published in Diabetolgia, which notes that the increased… Read More

Veteran Study Shows Significant Survival Benefit From Bariatric Surgery

Veteran Study Shows Significant Survival Benefit From Bariatric Surgery

DURHAM, NC – While evidence is growing that bariatric surgery can improve survival among the severely obese, past research hasn’t been as useful for some of the patients who would benefit most from weight loss.

VA Tackles Obesity Paradox:

VA Tackles Obesity Paradox:

Why Do Overweight Patients Live Longer with Heart Failure?
Now the leading cause of hospital admissions in the VA Health Care System, heart failure is associated with high mortality rates and poor quality of life.

New VA Initiative Battles Excesses of ‘Tight Glucose Control’ Trend

New VA Initiative Battles Excesses of ‘Tight Glucose Control’ Trend

Effort Seeks to Reduce Hypoglycemia in Older Veterans
WASHINGTON – At the beginning of the 21st century, tight glucose control for patients with type 2 diabetes was all the rage.

Test Strip Overuse Common with Dual Benefits

PITTSBURGH – Veterans who double dip benefits, receiving glucose test strips through both the VA and Medicare, use more strips and are more likely to potentially overuse the measurement devices, according to a new study. “These results illustrate the profound… Read More

Insomnia Doubles Risk of Chronic Diseases in Servicemembers

BETHESDA, MD – Chronic insomnia doubles the risk of developing hypertension and type 2 diabetes in servicemembers compared to military personnel who have not been diagnosed with that sleep problem. That’s according to a report in Medical Surveillance Monthly Report… Read More

Mindfulness Training Helps Vets with Diabetes

PITTSBURGH – Veterans who participated in mindfulness training lowered their diabetes-related distress and glucose levels while improving their self-management of the disease, according to a new study. The training included focused breathing and awareness training, according to the research presented… Read More

With More Women in Military, the ‘Great Imitator’ Often Challenges Health Providers

With More Women in Military, the ‘Great Imitator’ Often Challenges Health Providers

Lupus Diagnoses Have Risen Significantly
BETHESDA, MD – As the fictional team of physicians attempted to identify mysterious conditions season after season, TV’s Dr. Gregory House often assured them, “It’s not lupus — It’s never lupus.” But in recent years, many DoD physicians have found that it is lupus — it’s increasingly lupus.

November 2014 Direct

NOVEMBER ISSUE Forward this newsletter to a colleague U.S. MEDICINE NEWS UPDATE VA Secretary Defends Actions to Hold Individuals Accountable WASHINGTON – VA is moving as “aggressively and expeditiously as possible by the law” in holding individuals accountable in the… Read More

New Weight Management Treatment Approved

PLAINSBORO, NJ – The Food and Drug Administration has approved a new treatment option for chronic weight management in addition to a reduced-calorie diet and physical activity. Saxenda (liraglutide [rDNA origin] injection) is approved for use in adults with a… Read More

Healthcare Providers Should Consider Ethnicity in Weight-Loss Counseling

Healthcare Providers Should Consider Ethnicity in Weight-Loss Counseling

Studies Show Unique Needs of Hispanic, Veteran Populations By Annette M. Boyle NEW YORK – Since 2003, the proportion of new military recruits who identified as Hispanic has increased by more than 50% and the number of Hispanic veterans has… Read More

Air Force Program Helps Prediabetic Patients Battle the Bulge

Air Force Program Helps Prediabetic Patients Battle the Bulge

SAN ANTONIO – For many veterans, leaving the service marks the beginning of a new battle — the constant fight against obesity. Sudden weight gain often accompanies the transition to civilian life, with more than 70% of veterans ending up overweight and at elevated risk of developing diabetes and a complex cascade of related health issues.