adults Somtex Memory Foam Mattress Promises Sleep Therapy For Tired Adults By www.24-7pressrelease.com Published On :: Wed, 08 Feb 2017 07:00:00 GMT 16-22% of US adults suffer from sleep disorders, based on American Sleep Association figures. Now, the next generation of memory foam mattress from Somtex is providing in-house sleep therapy for all those looking to wake up feeling rejuvenated. Full Article
adults Creative Health Solutions Launches Transition to Independence: A Life-Skills Program for Young Adults with Special Needs By www.24-7pressrelease.com Published On :: Thu, 07 Mar 2019 07:00:00 GMT Creative Health Solutions LLC is pleased to announce the launch of a brand-new program called Transition to Independence: Unlocking Special Abilities. Full Article
adults Survey show adults text and drive more than teens By www.24-7pressrelease.com Published On :: Fri, 12 Apr 2013 07:00:00 GMT A survey released in March 2013 by AT&T revealed that adult drivers are worse about texting and driving than teenagers are. Full Article
adults Hundreds Expected at First New York City Rally for Age Justice and Economic Security for Older Adults ─ Thursday May 23, 4:30 PM, Union Square Park North Side By www.24-7pressrelease.com Published On :: Mon, 20 May 2019 07:00:00 GMT New York City Council Member Margaret S. Chin, Chair, Aging Committee Featured Speaker...Organized By The Radical Age Movement and 32 Sponsors and Partners Full Article
adults Healthy Smiles for Adults By www.health.nsw.gov.au Published On :: Wed, 06 May 2020 02:24:13 GMT Full Article
adults For older adults, more physical activity could mean longer, healthier lives By newsroom.heart.org Published On :: Thu, 05 Mar 2020 18:15:00 GMT Full Article
adults Health Problems Precede Traumatic Brain Injury in Older Adults By feedproxy.google.com Published On :: Tue, 24 Sep 2019 12:54:56 EDT Traumatic brain injury (TBI) is a leading cause of death and disability. Older adults are more likely than younger individuals to sustain TBIs and less likely to survive them. TBI has been called the “silent epidemic,” and older adults are the “silent population” within this epidemic. This study evaluates whether indicators of preinjury health and functioning are associated with risk of incident traumatic brain injury (TBI) with loss of consciousness (LOC) and to evaluate health‐related factors associated with mortality in individuals with incident TBI. Full Article
adults Video Games May Ease Depression In Adults, Say UConn Researchers By www.wshu.org Published On :: Mon, 26 Aug 2019 16:17:17 +0000 Video games often get a bad rap for isolating young people. However, they might be an effective treatment for older adults with depression. Scientists from several universities, including the University of Connecticut, are investigating. Full Article
adults Washington young adults are getting slammed financially by coronavirus crisis, new survey shows By www.seattletimes.com Published On :: Wed, 15 Apr 2020 06:00:59 -0700 Among those 18 to 29 years old, more than one out of three say that they have, or someone in their household has, lost a job or been laid off because of the coronavirus outbreak. And nearly half have taken a pay cut or had their hours reduced. Full Article Data
adults Students say adults have not learnt childhood lessons in sharing Murray-Darling water By www.abc.net.au Published On :: Sat, 28 Sep 2019 11:30:00 +1000 South Australian school students are urging adults and national leaders to share the water better in the Murray-Darling River system. Full Article ABC Radio Adelaide adelaide riverland Education:Subjects:Environment Environment:Rivers:All Environment:Water:All Environment:Water Management:All Environment:Water Supply:All Rural:All:All Rural:Irrigation:All Australia:SA:Kingston-On-Murray 5331 Australia:SA:Milang 5256 Australia:SA:Renmark 5341
adults Central Coast stabbing leaves shopkeeper fighting for his life, four adults remain on the run By www.abc.net.au Published On :: Tue, 02 Apr 2019 16:49:00 +1100 A man in his 40s is in a critical condition, and four people are on the run, after a "horrific" stabbing in a convenience store on the NSW Central Coast. Full Article ABC Radio Central Coast centralcoast Community and Society:All:All Community and Society:Drugs and Substance Abuse:All Community and Society:Work:All Law Crime and Justice:Crime:All Law Crime and Justice:Crime:Armed Robbery Law Crime and Justice:Crime:Murder and Manslaughter Law Crime and Justice:Police:All Australia:NSW:Wyong 2259
adults 73 Percent of U.S. Adults Say China Bears Responsibility for American Coronavirus Deaths By feedproxy.google.com Published On :: Sat, 09 May 2020 16:33:35 +0000 Nearly three-fourths of U.S. adults say China bears responsibility for American coronavirus deaths, a Morning Consult tracker poll released Friday revealed. Full Article Asia Health Politics China coronavirus Donald Trump Morning Consult poll
adults Tech Pals provides free support to older adults so they can stay connected during pandemic By www.denverpost.com Published On :: Sat, 02 May 2020 12:00:51 +0000 Tech Pals is pairing volunteers with seniors who want to learn more about technology, giving them someone to talk to and a chance to learn something new. Full Article Business Latest News Technology coronavirus education hospital hospitals library More Business News retirement senior citizens seniors tech firms technology video volunteering
adults Learn To Row Programme For Adults & Juniors By bernews.com Published On :: Thu, 16 Jun 2016 13:20:47 +0000 Starting on June 27, the Bermuda Rowing Club will launch their annual Learn to Row [LTR] courses for adults and juniors under internationally qualified coach Nigel Gallaher of “Community Rowing” in Boston. The adult sessions will be held from June 27 to July 22 and the junior sessions will be held from July 4 to […](Click to read the full article) Full Article All Sports #GoodNews #Rowing
adults A review of respite / short break provision for adult carers of adults in the Highland Partnership area By feeds.iriss.org.uk Published On :: Friday, April 15, 2016 - 10:35 As part of the implementation of the Equal Partners in Care (EPiC) Highland Carer’s Strategy 2014-2017 it was agreed to undertake a review of respite for Adult Carers of Adults (aged 16+). Independent consultants were commissioned by NHS Highland through Connecting Carers to undertake this work. There are four groups of people – totalling an estimated 200 people - with whom conversations have taken place during the review: Carers and staff from carer support organisations – more than 75 carers have given their views; Health and social care workforce – we have met with just over 50 people who have given their views and shared our initial findings with more than 60 others; Respite providers – we have met with staff from 15 organisations that are providers of respite Those staff responsible for overseeing the commissioning, planning and administration of respite. Full Article
adults Number of vulnerable adults reported by police in Dundee soars - The Courier By feeds.iriss.org.uk Published On :: Mon, 29 Aug 2016 09:24:03 PDT The number of vulnerable adults reported to protection agencies in Dundee by police doubled to more than 2,300 in just two years.See it on Scoop.it, via Social services news Full Article
adults Protests in Indianapolis after police kill 3 young adults and unborn child in separate incidents By www.nydailynews.com Published On :: Fri, 08 May 2020 01:36:25 +0000 Officers killed three civilians in three separate incidents within hours of each other. Full Article
adults Coronavirus is prompting young adults to move home with mom and dad. But should they? By www.latimes.com Published On :: Sat, 11 Apr 2020 09:00:21 -0400 As the coronavirus pandemic become grimmer, young people are considering moving home with their parents and extended family. But that presents risks. Full Article
adults Protests in Indianapolis after police kill 3 young adults and unborn child in separate incidents By www.nydailynews.com Published On :: Fri, 08 May 2020 01:36:25 +0000 Officers killed three civilians in three separate incidents within hours of each other. Full Article
adults 'If they stare, fine.' Adults use kiddie pools as quarantine meets L.A. heat By www.latimes.com Published On :: Wed, 6 May 2020 18:19:56 -0400 Sidewalk splash pools have long been a summertime staple, particularly for families with young kids. But the virus pandemic has boosted their appeal. Full Article
adults Type 2 Diabetes, Cognition, and Dementia in Older Adults: Toward a Precision Health Approach By spectrum.diabetesjournals.org Published On :: 2016-11-01 Brenna CholertonNov 1, 2016; 29:210-219From Research to Practice Full Article
adults Management of Type 1 Diabetes in Older Adults By spectrum.diabetesjournals.org Published On :: 2014-02-01 Ruban DhaliwalFeb 1, 2014; 27:9-20Research to Practice Full Article
adults Recognizing and Appropriately Treating Latent Autoimmune Diabetes in Adults By spectrum.diabetesjournals.org Published On :: 2016-11-01 Katherine S. O’NealNov 1, 2016; 29:249-252Pharmacy and Therapeutics Full Article
adults Study shows need for new focus in anti-vaping efforts for older teens and young adults By www.eurekalert.org Published On :: Mon, 04 May 2020 00:00:00 EDT (Michigan Medicine - University of Michigan) They know it's addictive. They know it's linked to dangerous lung diseases. And they know it delivers more nicotine than the cigarettes it's supposed to replace. But the social aspects of vaping drives young people to use Juul and other e-cigarettes, according to nearly two-thirds of teens and young adults in a new study. Less than 5% say the availability of fruity flavors drives use of e-cigarettes by members of their generation, and only 10% say addiction does. Full Article
adults Germline genomic profiles of children, young adults with solid tumors to inform managementand treatment By www.eurekalert.org Published On :: Tue, 05 May 2020 00:00:00 EDT (Cleveland Clinic) A new Cleveland Clinic study demonstrates the importance of genetics evaluation and genetic testing for children, adolescents and young adults with solid tumor cancers. The study was published today in Nature Communications. Full Article
adults A High Level of Patient Activation Is Observed But Unrelated to Glycemic Control Among Adults With Type 2 Diabetes By spectrum.diabetesjournals.org Published On :: 2010-07-01 Robert MayberryJul 1, 2010; 23:171-176Feature Articles Full Article
adults Management of Type 1 Diabetes in Older Adults By spectrum.diabetesjournals.org Published On :: 2014-02-01 Ruban DhaliwalFeb 1, 2014; 27:9-20Research to Practice Full Article
adults Diabetes Self-Management Education for Older Adults: General Principles and Practical Application By spectrum.diabetesjournals.org Published On :: 2006-10-01 Emmy SuhlOct 1, 2006; 19:234-240Articles Full Article
adults Pancreas Pathology of Latent Autoimmune Diabetes in Adults (LADA) in Patients and in a LADA Rat Model Compared With Type 1 Diabetes By diabetes.diabetesjournals.org Published On :: 2020-04-01 Anne JörnsApr 1, 2020; 69:624-633Islet Studies Full Article
adults Latent Autoimmune Diabetes in Adults: Definition, Prevalence, {beta}-Cell Function, and Treatment By diabetes.diabetesjournals.org Published On :: 2005-12-01 Gunnar StenströmDec 1, 2005; 54:S68-S72Section II: Type 1-Related Forms of Diabetes Full Article
adults US adults are more likely to have poor health than those in 10 similar countries, survey finds By feeds.bmj.com Published On :: Wednesday, November 16, 2016 - 22:00 Full Article
adults Diabetes Core Update: COVID-19 – Older Adults with Diabetes and Covid-19 April 2019 By diabetescoreupdate.libsyn.com Published On :: Sun, 26 Apr 2020 18:00:00 +0000 This special issue focuses on Older Adults with Diabetes and Covid-19. Recorded April 20, 2020. This podcast will cover: Risk of COVID-19 in Older Adults What are the recommendations for glucose control during the pandemic Telemedicine Challenges to home care Long-term care settings Intended for practicing physicians and health care professionals, Diabetes Core Update discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Presented by: Irl Hirsch, MD University of Washington Elbert Huang, MD, MPH, FACP University of Chicago Stacie Levine, MD University of Chicago Full Article
adults Pancreas Pathology of Latent Autoimmune Diabetes in Adults (LADA) in Patients and in a LADA Rat Model Compared With Type 1 Diabetes By diabetes.diabetesjournals.org Published On :: 2020-03-20T11:50:28-07:00 Approximately 10% of patients with type 2 diabetes suffer from latent autoimmune diabetes in adults (LADA). This study provides a systematic assessment of the pathology of the endocrine pancreas of patients with LADA and for comparison in a first rat model mimicking the characteristics of patients with LADA. Islets in human and rat pancreases were analyzed by immunohistochemistry for immune cell infiltrate composition, by in situ RT-PCR and quantitative real-time PCR of laser microdissected islets for gene expression of proinflammatory cytokines, the proliferation marker proliferating cell nuclear antigen (PCNA), the anti-inflammatory cytokine interleukin (IL) 10, and the apoptosis markers caspase 3 and TUNEL as well as insulin. Human and rat LADA pancreases showed differences in areas of the pancreas with respect to immune cell infiltration and a changed ratio between the number of macrophages and CD8 T cells toward macrophages in the islet infiltrate. Gene expression analyses revealed a changed ratio due to an increase of IL-1β and a decrease of tumor necrosis factor-α. IL-10, PCNA, and insulin expression were increased in the LADA situation, whereas caspase 3 gene expression was reduced. The analyses into the underlying pathology in human as well as rat LADA pancreases provided identical results, allowing the conclusion that LADA is a milder form of autoimmune diabetes in patients of an advanced age. Full Article
adults Impaired Metabolic Flexibility to High-Fat Overfeeding Predicts Future Weight Gain in Healthy Adults By diabetes.diabetesjournals.org Published On :: 2020-01-20T12:00:26-08:00 The ability to switch fuels for oxidation in response to changes in macronutrient composition of diet (metabolic flexibility) may be informative of individuals’ susceptibility to weight gain. Seventy-nine healthy, weight-stable participants underwent 24-h assessments of energy expenditure and respiratory quotient (RQ) in a whole-room calorimeter during energy balance (EBL) (50% carbohydrate, 30% fat) and then during 24-h fasting and three 200% overfeeding diets in a crossover design. Metabolic flexibility was defined as the change in 24-h RQ from EBL during fasting and standard overfeeding (STOF) (50% carbohydrate, 30% fat), high-fat overfeeding (HFOF) (60% fat, 20% carbohydrate), and high-carbohydrate overfeeding (HCOF) (75% carbohydrate, 5% fat) diets. Free-living weight change was assessed after 6 and 12 months. Compared with EBL, RQ decreased on average by 9% during fasting and by 4% during HFOF but increased by 4% during STOF and by 8% during HCOF. A smaller decrease in RQ, reflecting a smaller increase in lipid oxidation rate, during HFOF but not during the other diets predicted greater weight gain at both 6 and 12 months. An impaired metabolic flexibility to acute HFOF can identify individuals prone to weight gain, indicating that an individual’s capacity to oxidize dietary fat is a metabolic determinant of weight change. Full Article
adults Comparison of dietary macronutrient patterns of 14 popular named dietary programmes for weight and cardiovascular risk factor reduction in adults: systematic review and network meta-analysis of randomised trials By feeds.bmj.com Published On :: Wednesday, April 1, 2020 - 22:31 Full Article
adults Association between tax on sugar sweetened beverages and soft drink consumption in adults in Mexico: open cohort longitudinal analysis of Health Workers Cohort Study By feeds.bmj.com Published On :: Wednesday, May 6, 2020 - 22:30 Full Article
adults Immigrants and WIOA Services: Comparison of Sociodemographic Characteristics of Native- and Foreign-Born Adults in the United States By www.migrationpolicy.org Published On :: Wed, 16 Dec 2015 11:31:10 -0500 As federal and state governments ramp up efforts to implement the Workforce Innovation and Opportunity Act, these fact sheets compare key characteristics of the foreign born and the U.S. born that are relevant to understanding needs for adult education and workforce training services. The fact sheets cover the United States, the 20 states and 25 counties with the largest immigrant populations, and New York City. Full Article
adults Suicide Risk Assessment in Youth and Young Adults With Type 1 Diabetes By care.diabetesjournals.org Published On :: 2020-01-20T12:00:30-08:00 OBJECTIVE To describe sociodemographic and clinical characteristics of youth and young adults with type 1 diabetes who endorsed suicidal ideations as part of routine depression screening and the results of their suicide risk assessments. RESEARCH DESIGN AND METHODS The Patient Health Questionnaire–9 was used to assess depressive symptoms and suicide/death ideation in 550 youth and young adults with type 1 diabetes ages 10–24 years. Only individuals who endorsed suicidal/death ideations (n = 49) completed a standardized suicide risk assessment protocol and safety planning. RESULTS Nine percent of individuals endorsed suicidal/death ideation and of those, 83.4% reported clinically elevated depressive symptoms; 16% made a previous suicide attempt. No youth (n = 39) or young adults (n = 11) disclosed current plans or preparations for suicide, but five who expressed suicidal ideation acknowledged the lethality of insulin for an attempt. Three previously used insulin to attempt suicide. The overwhelming majority of individuals were classified as being low risk for future suicide attempt/completion. None were hospitalized as a part of the suicide risk assessment, and no suicide completions have occurred. CONCLUSIONS The findings of this study provide initial insight into the behaviors and cognitions of youth and young adults with type 1 diabetes who experience suicidal and death ideations. Comprehensive suicide risk assessment and safety planning are feasible during routine type 1 diabetes clinic appointments. Full Article
adults Type 2 Diabetes in Children and Young Adults: A "New Epidemic" By clinical.diabetesjournals.org Published On :: 2002-10-01 Francine Ratner KaufmanOct 1, 2002; 20:President's Pen Full Article
adults Mortality Implications of Prediabetes and Diabetes in Older Adults By care.diabetesjournals.org Published On :: 2020-01-20T12:00:30-08:00 OBJECTIVE Diabetes in older age is heterogeneous, and the treatment approach varies by patient characteristics. We characterized the short-term all-cause and cardiovascular mortality risk associated with hyperglycemia in older age. RESEARCH DESIGN AND METHODS We included 5,791 older adults in the Atherosclerosis Risk in Communities Study who attended visit 5 (2011–2013; ages 66–90 years). We compared prediabetes (HbA1c 5.7% to <6.5%), newly diagnosed diabetes (HbA1c ≥6.5%, prior diagnosis <1 year, or taking antihyperglycemic medications <1 year), short-duration diabetes (duration ≥1 year but <10 years [median]), and long-standing diabetes (duration ≥10 years). Outcomes were all-cause and cardiovascular mortality (median follow-up of 5.6 years). RESULTS Participants were 58% female, and 24% had prevalent cardiovascular disease. All-cause mortality rates, per 1,000 person-years, were 21.2 (95% CI 18.7, 24.1) among those without diabetes, 23.7 (95% CI 20.8, 27.1) for those with prediabetes, 33.8 (95% CI 25.2, 45.5) among those with recently diagnosed diabetes, 29.6 (95% CI 25.0, 35.1) for those with diabetes of short duration, and 48.6 (95% CI 42.4, 55.7) for those with long-standing diabetes. Cardiovascular mortality rates, per 1,000 person-years, were 5.8 (95% CI 4.6, 7.4) among those without diabetes, 6.6 (95% CI 5.2, 8.5) for those with prediabetes, 11.5 (95% CI 7.0, 19.1) among those with recently diagnosed diabetes, 8.2 (95% CI 5.9, 11.3) for those with diabetes of short duration, and 17.3 (95% CI 13.8, 21.7) for those with long-standing diabetes. After adjustment for other cardiovascular risk factors, prediabetes and newly diagnosed diabetes were not significantly associated with a higher risk of all-cause mortality (hazard ratio [HR] 1.03 [95% CI 0.85, 1.23] and HR 1.31 [95% CI 0.94, 1.82], respectively) or cardiovascular mortality (HR 1.00 [95% CI 0.70, 1.43] and HR 1.35 [95% CI 0.74, 2.49], respectively). Excess mortality risk was primarily concentrated among those with long-standing diabetes (all-cause: HR 1.71 [95% CI 1.40, 2.10]; cardiovascular: HR 1.72 [95% CI 1.18, 2.51]). CONCLUSIONS In older adults, long-standing diabetes has a substantial and independent effect on short-term mortality. Older individuals with prediabetes remained at low mortality risk over a median 5.6 years of follow-up. Full Article
adults Health Care Expenditures Among Adults With Diabetes After Oregons Medicaid Expansion By care.diabetesjournals.org Published On :: 2020-02-20T11:55:30-08:00 OBJECTIVE To compare trends in Medicaid expenditures among adults with diabetes who were newly eligible due to the Affordable Care Act (ACA) Medicaid expansion to trends among those previously eligible. RESEARCH DESIGN AND METHODS Using Oregon Medicaid administrative data from 1 January 2014 to 30 September 2016, a retrospective cohort study was conducted with propensity score–matched Medicaid eligibility groups (newly and previously eligible). Outcome measures included total per-member per-month (PMPM) Medicaid expenditures and PMPM expenditures in the following 12 categories: inpatient visits, emergency department visits, primary care physician visits, specialist visits, prescription drugs, transportation services, tests, imaging and echography, procedures, durable medical equipment, evaluation and management, and other or unknown services. RESULTS Total PMPM Medicaid expenditures for newly eligible enrollees with diabetes were initially considerably lower compared with PMPM expenditures for matched previously eligible enrollees during the first postexpansion quarter (mean values $561 vs. $793 PMPM, P = 0.018). Within the first three postexpansion quarters, PMPM expenditures of the newly eligible increased to a similar but slightly lower level. Afterward, PMPM expenditures of both groups continued to increase steadily. Most of the overall PMPM expenditure increase among the newly eligible was due to rapidly increasing prescription drug expenditures. CONCLUSIONS Newly eligible Medicaid enrollees with diabetes had slightly lower PMPM expenditures than previously eligible Medicaid enrollees. The increase in PMPM prescription drug expenditures suggests greater access to treatment over time. Full Article
adults Severe Hypoglycemia and Cognitive Function in Older Adults With Type 1 Diabetes: The Study of Longevity in Diabetes (SOLID) By care.diabetesjournals.org Published On :: 2020-02-20T11:55:29-08:00 OBJECTIVE In children with type 1 diabetes (T1D), severe hypoglycemia (SH) is associated with poorer cognition, but the association of SH with cognitive function in late life is unknown. Given the increasing life expectancy in people with T1D, understanding the role of SH in brain health is crucial. RESEARCH DESIGN AND METHODS We examined the association between SH and cognitive function in 718 older adults with T1D from the Study of Longevity in Diabetes (SOLID). Subjects self-reported recent SH (previous 12 months) and lifetime history of SH resulting in inpatient/emergency department utilization. Global and domain-specific cognition (language, executive function, episodic memory, and simple attention) were assessed. The associations of SH with cognitive function and impaired cognition were evaluated via linear and logistic regression models, respectively. RESULTS Thirty-two percent of participants (mean age 67.2 years) reported recent SH and 50% reported lifetime SH. Compared with those with no SH, subjects with a recent SH history had significantly lower global cognition scores. Domain-specific analyses revealed significantly lower scores on language, executive function, and episodic memory with recent SH exposure and significantly lower executive function with lifetime SH exposure. Recent SH was associated with impaired global cognition (odds ratio [OR] 3.22, 95% CI 1.30, 7.94) and cognitive impairment on the language domain (OR 3.15, 95% CI 1.19, 8.29). CONCLUSIONS Among older adults with T1D, recent SH and lifetime SH were associated with worse cognition. Recent SH was associated with impaired global cognition. These findings suggest a deleterious role of SH on the brain health of older patients with T1D and highlight the importance of SH prevention. Full Article
adults Dietary Nonheme, Heme, and Total Iron Intake and the Risk of Diabetes in Adults: Results From the China Health and Nutrition Survey By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE Excessive iron intake has been linked to diabetes risk. However, the evidence is inconsistent. This study examined the association between dietary heme and nonheme iron intake and diabetes risk in the Chinese population. RESEARCH DESIGN AND METHODS We included 17,026 adults (8,346 men and 8,680 women) who were part of the China Health and Nutrition Survey (1991–2015) prospective cohort. Dietary intake was measured by three consecutive 24-h dietary recalls combined with a household food inventory. Diabetes cases were identified through a questionnaire. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% CIs. RESULTS A total of 547 men and 577 women developed diabetes during 202,138 person-years of follow-up. For men, the adjusted HRs (95% CIs) for quintiles of nonheme iron intake were 1.00, 0.77 (0.58–1.02), 0.72 (0.54–0.97), 0.63 (0.46–0.85), and 0.87 (0.64–1.19) (P-nonlinearity = 0.0015). The corresponding HRs (95% CIs) for women were 1.00, 0.63 (0.48–0.84), 0.57 (0.43–0.76), 0.58 (0.43–0.77), and 0.67 (0.49–0.91) (P-nonlinearity < 0.0001). The dose-response curves for the association between nonheme iron and total iron intake and diabetes followed a reverse J shape in men and an L shape in women. No significant associations were observed between heme iron intake and diabetes risk. CONCLUSIONS Total iron and nonheme iron intake was associated with diabetes risk, following a reverse J-shaped curve in men and an L-shaped curve in women. Sufficient intake of nonheme or total iron might be protective against diabetes, while excessive iron intake might increase the risk of diabetes among men. Full Article
adults The Longitudinal Influence of Social Determinants of Health on Glycemic Control in Elderly Adults With Diabetes By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE This study aimed to understand the longitudinal relationship between financial, psychosocial, and neighborhood social determinants and glycemic control (HbA1c) in older adults with diabetes. RESEARCH DESIGN AND METHODS Data from 2,662 individuals with self-reported diabetes who participated in the Health and Retirement Study (HRS) were used. Participants were followed from 2006 through 2014. Financial hardship, psychosocial, and neighborhood-level social determinant factors were based on validated surveys from the biennial core interview and RAND data sets. All social determinant factors and measurements of HbA1c from the time period were used and treated as time varying in analyses. SAS PROC GLIMMIX was used to fit a series of hierarchical linear mixed models. Models controlled for nonindependence among the repeated observations using a random intercept and treating each individual participant as a random factor. Survey methods were used to apply HRS weighting. RESULTS Before adjustment for demographics, difficulty paying bills (β = 0.18 [95% CI 0.02, 0.24]) and medication cost nonadherence (0.15 [0.01, 0.29]) were independently associated with increasing HbA1c over time, and social cohesion (–0.05 [–0.10, –0.001]) was independently associated with decreasing HbA1c over time. After adjusting for both demographics and comorbidity count, difficulty paying bills (0.13 [0.03, 0.24]) and religiosity (0.04 [0.001, 0.08]) were independently associated with increasing HbA1c over time. CONCLUSIONS Using a longitudinal cohort of older adults with diabetes, this study found that financial hardship factors, such as difficulty paying bills, were more consistently associated with worsening glycemic control over time than psychosocial and neighborhood factors. Full Article
adults Impact of a Telephonic Intervention to Improve Diabetes Control on Health Care Utilization and Cost for Adults in South Bronx, New York By care.diabetesjournals.org Published On :: 2020-03-20T11:50:34-07:00 OBJECTIVE Self-management education and support are essential for improved diabetes control. A 1-year randomized telephonic diabetes self-management intervention (Bronx A1C) among a predominantly Latino and African American population in New York City was found effective in improving blood glucose control. To further those findings, this current study assessed the intervention’s impact in reducing health care utilization and costs over 4 years. RESEARCH DESIGN AND METHODS We measured inpatient (n = 816) health care utilization for Bronx A1C participants using an administrative data set containing all hospital discharges for New York State from 2006 to 2014. Multilevel mixed modeling was used to assess changes in health care utilization and costs between the telephonic diabetes intervention (Tele/Pr) arm and print-only (PrO) control arm. RESULTS During follow-up, excess relative reductions in all-cause hospitalizations for the Tele/Pr arm compared with PrO arm were statistically significant for odds of hospital use (odds ratio [OR] 0.89; 95% CI 0.82, 0.97; P < 0.01), number of hospital stays (rate ratio [RR] 0.90; 95% CI 0.81, 0.99; P = 0.04), and hospital costs (RR 0.90; 95% CI 0.84, 0.98; P = 0.01). Reductions in hospital use and costs were even stronger for diabetes-related hospitalizations. These outcomes were not significantly related to changes observed in hemoglobin A1c during individuals’ participation in the 1-year intervention. CONCLUSIONS These results indicate that the impact of the Bronx A1C intervention was not just on short-term improvements in glycemic control but also on long-term health care utilization. This finding is important because it suggests the benefits of the intervention were long-lasting with the potential to not only reduce hospitalizations but also to lower hospital-associated costs. Full Article
adults Day and Night Home Closed-Loop Insulin Delivery in Adults With Type 1 Diabetes: Three-Center Randomized Crossover Study By care.diabetesjournals.org Published On :: 2014-07-01 Lalantha LeelarathnaJul 1, 2014; 37:1931-1937Emerging Technologies and Therapeutics Full Article
adults A Low-Glycemic Load Diet Facilitates Greater Weight Loss in Overweight Adults With High Insulin Secretion but Not in Overweight Adults With Low Insulin Secretion in the CALERIE Trial By care.diabetesjournals.org Published On :: 2005-12-01 Anastassios G. PittasDec 1, 2005; 28:2939-2941BR Clinical Care/Education/Nutrition Full Article
adults Update on Prevention of Cardiovascular Disease in Adults With Type 2 Diabetes Mellitus in Light of Recent Evidence: A Scientific Statement From the American Heart Association and the American Diabetes Association By care.diabetesjournals.org Published On :: 2015-09-01 Caroline S. FoxSep 1, 2015; 38:1777-1803Scientific Statement Full Article
adults Concentrations of Serum Vitamin D and the Metabolic Syndrome Among U.S. Adults By care.diabetesjournals.org Published On :: 2005-05-01 Earl S. FordMay 1, 2005; 28:1228-1230BR Metabolic Syndrome/Insulin Resistance Syndrome/Pre-Diabetes Full Article
adults Global Economic Burden of Diabetes in Adults: Projections From 2015 to 2030 By care.diabetesjournals.org Published On :: 2018-05-01 Christian BommerMay 1, 2018; 41:963-970The Costs Of Diabetes Full Article