Latest agn news

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Undiagnosed NIDDM: Clinical and Public Health Issues

By care.diabetesjournals.org
Published On :: 1993-04-01

Maureen I Harris
Apr 1, 1993; 16:642-652
Kelly West Lecture 1992

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Consensus Development Conference on the Diagnosis of Coronary Heart Disease in People With Diabetes: 10-11 February 1998, Miami, Florida

By care.diabetesjournals.org
Published On :: 1998-09-01

American Diabetes Association
Sep 1, 1998; 21:1551-1559
Consensus Development Conference Report

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Memo: Prior COVID-19 diagnosis 'permanently disqualifying' for U.S. military service

By www.upi.com
Published On :: Thu, 07 May 2020 13:41:36 -0400

Military Entrance Processing Stations won't process individuals who have had COVID-19 for military service, even if they've fully recovered from the virus, the Pentagon confirmed this week.

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The Pros and Cons of Diagnosing Diabetes With A1C

By care.diabetesjournals.org
Published On :: 2011-05-01

Enzo Bonora
May 1, 2011; 34:S184-S190
Diabetes

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Guideline Approach to Therapy in Patients With Newly Diagnosed Type 2 Diabetes

By care.diabetesjournals.org
Published On :: 2013-08-01

Itamar Raz
Aug 1, 2013; 36:S139-S144
Diabetes Pathophysiology

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ADA free webinar exploring radiographs, diagnostic imaging

By www.ada.org
Published On :: Thu, 09 Apr 2020 15:30:00 -0500

In a time when teledentistry is gaining more attention during the COVID-19 pandemic, the ADA will stream a free webinar in May that takes a close look at the different types of images needed for diagnosis, treatment planning and operative procedures.

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Suicide risk high in first year after brain cancer diagnosis

By www.upi.com
Published On :: Fri, 01 May 2020 13:28:09 -0400

People with brain cancer are at increased risk for suicide compared to the general population, particularly within the first year following diagnosis, a new analysis has found.

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CDC: Nearly 5,000 workers at meat processing plants diagnosed with COVID-19

By www.upi.com
Published On :: Fri, 01 May 2020 18:01:15 -0400

Nearly 5,000 workers in 115 meat processing workers across 19 states have been diagnosed with COVID-19, according to figures released Friday by the U.S. Centers for Disease Control and Prevention.

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Clinical and Public Health Implications of 2019 Endocrine Society Guidelines for Diagnosis of Diabetes in Older Adults

By care.diabetesjournals.org
Published On :: 2020-04-23T12:17:35-07:00

OBJECTIVE

Screening for diabetes is typically done using hemoglobin A_1c (HbA_1c) or fasting plasma glucose (FPG). The 2019 Endocrine Society guidelines recommend further testing using an oral glucose tolerance test (OGTT) in older adults with prediabetic HbA_1c or FPG. We evaluated the impact of this recommendation on diabetes prevalence, eligibility for glucose-lowering treatment, and estimated cost of implementation in a nationally representative sample.

RESEARCH DESIGN AND METHODS

We included 2,236 adults aged ≥65 years without known diabetes from the 2005–2016 National Health and Nutrition Examination Survey. Diabetes was defined using: 1) the Endocrine Society approach (HbA_1c ≥6.5%, FPG ≥126 mg/dL, or 2-h plasma glucose ≥200 mg/dL among those with HbA_1c 5.7–6.4% or FPG 100–125 mg/dL); and 2) a standard approach (HbA_1c ≥6.5% or FPG ≥126 mg/dL). Treatment eligibility was defined using HbA_1c cut points (≥7 to ≥9%). OGTT screening costs were estimated using Medicare fee schedules.

RESULTS

Diabetes prevalence was 15.7% (~5.0 million) using the Endocrine Society’s approach and 7.3% (~2.3 million) using the standard approach. Treatment eligibility ranged from 5.4 to 0.06% and 11.8–1.3% for diabetes cases identified through the Endocrine Society or standard approach, respectively. By definition, diabetes identified exclusively through the Endocrine Society approach had HbA1_1c <6.5% and would not be recommended for glucose-lowering treatment. Screening all older adults with prediabetic HbA_1c/FPG (~18.3 million) with OGTT could cost between $737 million and $1.7 billion.

CONCLUSIONS

Adopting the 2019 Endocrine Society guidelines would substantially increase the number of older adults classified as having diabetes, require significant financial resources, but likely offer limited benefits.

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Strict Preanalytical Oral Glucose Tolerance Test Blood Sample Handling Is Essential for Diagnosing Gestational Diabetes Mellitus

By care.diabetesjournals.org
Published On :: 2020-04-29T13:46:01-07:00

OBJECTIVE

Preanalytical processing of blood samples can affect plasma glucose measurement because on-going glycolysis by cells prior to centrifugation can lower its concentration. In June 2017, ACT Pathology changed the processing of oral glucose tolerance test (OGTT) blood samples for pregnant women from a delayed to an early centrifugation protocol. The effect of this change on the rate of gestational diabetes mellitus (GDM) diagnosis was determined.

RESEARCH DESIGN AND METHODS

All pregnant women in the Australian Capital Territory (ACT) are recommended for GDM testing with a 75-g OGTT using the World Health Organization diagnostic criteria. From January 2015 to May 2017, OGTT samples were collected into sodium fluoride (NaF) tubes and kept at room temperature until completion of the test (delayed centrifugation). From June 2017 to October 2018, OGTT samples in NaF tubes were centrifuged within 10 min (early centrifugation).

RESULTS

A total of 7,509 women were tested with the delayed centrifugation protocol and 4,808 with the early centrifugation protocol. The mean glucose concentrations for the fasting, 1-h and 2-h OGTT samples were, respectively, 0.24 mmol/L (5.4%), 0.34 mmol/L (4.9%), and 0.16 mmol/L (2.3%) higher using the early centrifugation protocol (P < 0.0001 for all), increasing the GDM diagnosis rate from 11.6% (n = 869/7,509) to 20.6% (n = 1,007/4,887).

CONCLUSIONS

The findings of this study highlight the critical importance of the preanalytical processing protocol of OGTT blood samples used for diagnosing GDM. Delay in centrifuging of blood collected into NaF tubes will result in substantially lower rates of diagnosis than if blood is centrifuged early.

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Mars' magnetic field emerged earlier and lasted longer than previously thought

By www.upi.com
Published On :: Fri, 01 May 2020 17:11:42 -0400

Mars' ancient magnetic field emerged earlier and persisted for longer than scientists previously thought, according to a new study.

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The Color of Health Care: Diagnosing Bias in Doctors

By www.washingtonpost.com
Published On :: Mon, 13 Aug 2007 00:00:00 EDT

Long before word recently broke that white referees in the National Basketball Association were calling fouls at a higher rate on black athletes than on white athletes, and long before studies found racial disparities in how black and white applicants get called for job interviews, researchers no...

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Rich pork and eggplant lasagne

By www.abc.net.au
Published On :: Tue, 29 Mar 2016 13:04:00 +1100

This recipe features on Foodie Tuesday, a weekly segment on 774 Drive with Raf Epstein, 3.30PM, courtesy of Justine Schofield. Justine's latest book is "Dinner With Justine".

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ABC Local
melbourne
Lifestyle and Leisure:Recipes:All
Australia:VIC:Melbourne 3000

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Pumpkin lasagne

By www.abc.net.au
Published On :: Tue, 21 Jun 2016 14:41:00 +0800

1.2kg butternut pumpkin, peeled, cut into 2cm pieces 2 tablespoons olive oil 1 tablespoon chopped fresh sage, plus 12 whole leaves to serve 1/4 teaspoon freshly grated nutmeg 350g ricotta 1 egg 1 cup grated parmesan, plus extra to serve 8 fresh lasagne sheets 100g unsalted butter 2 tablespoons chopped walnuts

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ABC Local
wheatbelt
Lifestyle and Leisure:Recipes:Main
Australia:WA:Geraldton 6530

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Visit-to-Visit HbA1c Variability Is Associated With Cardiovascular Disease and Microvascular Complications in Patients With Newly Diagnosed Type 2 Diabetes

By care.diabetesjournals.org
Published On :: 2020-01-20T12:00:30-08:00

OBJECTIVE

To investigate the association between visit-to-visit HbA_1c variability and cardiovascular events and microvascular complications in patients with newly diagnosed type 2 diabetes.

RESEARCH DESIGN AND METHODS

This retrospective cohort study analyzed patients from Tayside and Fife in the Scottish Care Information–Diabetes Collaboration (SCI-DC) who were observable from the diagnosis of diabetes and had at least five HbA_1c measurements before the outcomes were evaluated. We used the previously reported HbA_1c variability score (HVS), calculated as the percentage of the number of changes in HbA_1c >0.5% (5.5 mmol/mol) among all HbA_1c measurements within an individual. The association between HVS and 10 outcomes was assessed using Cox proportional hazards models.

RESULTS

We included 13,111–19,883 patients in the analyses of each outcome. The patients with HVS >60% were associated with elevated risks of all outcomes compared with the lowest quintile (for example, HVS >80 to ≤100 vs. HVS ≥0 to ≤20, hazard ratio 2.38 [95% CI 1.61–3.53] for major adverse cardiovascular events, 2.4 [1.72–3.33] for all-cause mortality, 2.4 [1.13–5.11] for atherosclerotic cardiovascular death, 2.63 [1.81–3.84] for coronary artery disease, 2.04 [1.12–3.73] for ischemic stroke, 3.23 [1.76–5.93] for heart failure, 7.4 [3.84–14.27] for diabetic retinopathy, 3.07 [2.23–4.22] for diabetic peripheral neuropathy, 5.24 [2.61–10.49] for diabetic foot ulcer, and 3.49 [2.47–4.95] for new-onset chronic kidney disease). Four sensitivity analyses, including adjustment for time-weighted average HbA_1c, confirmed the robustness of the results.

CONCLUSIONS

Our study shows that higher HbA_1c variability is associated with increased risks of all-cause mortality, cardiovascular events, and microvascular complications of diabetes independently of high HbA_1c.

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Perspectives in Gestational Diabetes Mellitus: A Review of Screening, Diagnosis, and Treatment

By clinical.diabetesjournals.org
Published On :: 2007-04-01

Jennifer M. Perkins
Apr 1, 2007; 25:57-62
Feature Articles

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How women are revolutionizing Rwanda | Agnes Binagwaho

By feedproxy.google.com
Published On :: Fri, 06 Mar 2020 15:56:47 +0000

In 1996, Agnes Binagwaho returned home to Rwanda in the aftermath of its genocide. She considered leaving amid the overwhelming devastation, but women in her community motivated her to stay and help rebuild -- and she's glad she did. In an inspiring talk, Binagwaho reflects on her work as Rwanda's former Minister of Health and discusses her new women's education initiative for the country, which strives to create one of the greatest levels of gender equality worldwide.

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Higher Education

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R.I. Education Commissioner Diagnosed with Brain Tumor

By feedproxy.google.com
Published On :: Thu, 23 Aug 2012 00:00:00 +0000

From guest blogger Kimberly Shannon Rhode Island Education Commissioner Deborah Gist has been diagnosed with a brain tumor and will undergo surgery in September, according to the Associated Press. She is expected to have a full recovery, but will be working a limited schedule until her operation. Af

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Rhode_Island

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