ADA Friday June 13

 

Lifestyle change and CVD risk

This study (9-OR) looked at efforts to translate the landmark Diabetes Prevention Program (DPP) clinical trial results into a cost-effective, community-based lifestyle intervention program, called Group Lifestyle Balance (GLB).

 

Over the course of a year, patients received a lifestyle intervention curriculum adapted directly from the DPP (focused upon moderate weight loss and increasing physical activity with lifestyle coach support).

 

Delivered in senior community centers, this program was effective in improving weight, physical activity and diabetes/CVD risk factors in older adults, supporting the coverage of such programs for adults at highrisk for type 2 diabetes as they become Medicare-eligible.

 

 

Cow’s milk v. formula and the T1 antibody

People have been arguing for decades over whether early exposure to cow’s milk triggers development of type 1 diabetes. This randomized controlled study (25-OR) compared infants being fed cow’s milk-based formula to those being fed hydrolyzed protein formula and found no difference in the development of antibody markers for type 1 diabetes among the two groups. Researchers will continue to follow participants until they are 10 years old to see if they develop diabetes.

 

Love your pharmacist

Pharmacists are valuable, cost-efficient resources who can successfully help physicians get patients to their diabetes treatment goals, according to this randomized study (12-OR). Researchers found patients who attended a pharmacist-led Diabetes Intense Medical Management clinic for six months saw A1C levels drop 2.4% on average, resulting in a three-year cost reduction of $9,000 per patient. All told, there was a return on investment of $7.81 per dollar spent treating the patient.

 

Who should get screened for prediabetes?

The American Diabetes Association (ADA) recommends prediabetes screening for those age 45 and older, even if they don’t report any symptoms.

 

The US Preventive Services Task Force suggests screening only for those who have high blood pressure. This study (20-OR) found that using the ADA’s screening guidelines would save substantially more money and result in better health outcomes over a 10-year period than using guidelines set forth by the USPSTF. Why? Because doing so would identify more people with prediabetes early enough for lifestyle intervention to make a difference.

 

Nyhetsinfo

www red DiabetologNytt