Endocrinology

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.

Danger of Pneumonia Increases with Veterans’ Worsened Health Status

Danger of Pneumonia Increases with Veterans’ Worsened Health Status

Higher Pneumonia Vaccine Rates Urged By Brenda L. Mooney PROVIDENCE, RI – With influenza season each year comes an even greater challenge for VA hospitals — a spate of pneumonia cases in older veterans. Recent research suggests the problem will… Read More

Researcher Who Transformed Spinal Cord Injury Care Gets Coveted Award

Researcher Who Transformed Spinal Cord Injury Care Gets Coveted Award

BRONX, NY – Spinal cord injuries have far more effect than limiting movement, and the vision of William A. Bauman, MD, has transformed the lives of countless patients who have the devastating condition.

First Metformin, SGLT2 Combination Approved by FDA

RARITAN, NJ – The Food and Drug Administration has approved the first fixed-dose combination of a sodium glucose cotransporter 2 (SGLT2) inhibitor and metformin for use in the United States. The drug, Invokamet, is marketed by Janssen Pharmaceuticals Inc. and… Read More

Evolution of Pioneer DCVAMC Clinic Tracks AIDS/HIV Treatment Through the Years

Evolution of Pioneer DCVAMC Clinic Tracks AIDS/HIV Treatment Through the Years

By Stephen Spotswood WASHINGTON – When the first Infectious Disease Clinic took place at the Washington, DC, VAMC in 1985, only a handful of HIV-infected patients took advantage. In fact, the disease hadn’t even been named “human immunodeficiency virus;” that… Read More