Plans are worthless, but planning is everything.

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CMS to cover use of therapeutic continuous glucose monitors Therapeutic continuous glucose monitors, which so far include only the Dexcom G5 Mobile from San Diego-based Dexcom, have been classified by the CMS as durable medical equipment under Medicare Part B coverage. MassDevice.com (Boston) (1/13) Study examines effect of sitagliptin on CV risk in diabetes A study in Diabetes Care showed that older adults with type 2 diabetes and cardiovascular disease who took sitagliptin didn"t experience any significant impact on their primary composite outcome or on severe hypoglycemia, hospitalization due to heart failure or death. UK researchers used a cohort of 14,351 participants and also found that sitagliptin didn"t raise any significant safety concerns among older patients. Physician"s Briefing/HealthDay News (1/12) Study: Combined metformin, glyburide shows benefits in gestational diabetes Only 11% of women with gestational diabetes needed insulin after receiving a combination of metformin and glyburide, compared with 32% of those who received either drug alone, according to a study published in Diabetes Care. The findings, based on 104 women with gestational diabetes, showed comparable results in mean daily blood glucose and other neonatal and obstetric outcomes, including neonatal hypoglycemia, electrolyte imbalance and macrosomia, between patients in the combination therapy and monotherapy groups. Healio (free registration)/Endocrine Today (1/13)

US makes progress on some "Healthy People 2020" goals US officials say eight of 26 objectives set through the "Healthy People 2020" initiative have been met or exceeded, while eight others are improving, seven show little or no change, and three are getting worse. In the area of nutrition and physical activity, the percentage of adults who met guidelines for aerobic and muscle-strengthening physical activity exceeded the 2020 goal, but there was little or no change in obesity rates for adults or children. Medscape (free registration) (1/12) Study: Fitness wearables may help monitor health (Pablo Cuadra/Getty Images) Wearable fitness trackers may be able to chart day-to-day physiology and show changes that could signal potential illness, such as a cold or Lyme disease, Stanford University researchers reported in PLOS Biology. The findings are early and researchers continue to collect data from volunteers who wear up to eight activity monitors or other sensors and undergo lab tests to provide data. The Associated Press (1/12) Nordic diet may reduce stroke risk, study says (Loic Venance/AFP/Getty Images) A study reported in the journal Stroke found a high level of adherence to a Nordic-style diet may reduce the risk of total stroke by 14%, compared to those with low adherence. A Nordic diet features cabbage, rye bread, root vegetables, oatmeal, fish and some fruits. Medscape (free registration) (1/11)

Study: Incentives help small practices adopt health IT Financial incentives promote greater health care IT adoption by small and privately owned physician practices, researchers reported in the Annals of Family Medicine. The study, which included 566 small primary care practices, also showed health IT adoption and use rose with electronic public reporting of data and pay-for-performance incentives. EHR Intelligence (1/12) Study: PCPs beneficial in end-of-life care Medicare claims data from 2010 showed US regions with the highest primary care physician involvement in end-of-life care had lower spending during the final two years of life and patients had fewer ICU days in the final six months of life. The study in the Annals of Family Medicine showed regions with the highest primary care physician participation also had lower hospice enrollment for end-of-life care. MedPage Today (free registration) (1/11)

ADA revises guidelines for diabetic neuropathy Medscape (free registration) Novo Nordisk"s diabetes treatment gets EU OK PharmaTimes (U.K.) Study shows increase in use of artificial sweeteners Time.com Study examines association between enteroviruses, diabetes in children Physician"s Briefing/HealthDay News Experts: Diabetes prevention programs should be population-based MedPage Today (free registration)

Children increasingly need care for type 2 diabetes, obesity (Jana Birchum/Getty Images) Insurance claims for type 2 diabetes and other conditions more typically seen in adults rose sharply among children and youths from 2011 to 2015, according to an analysis from Fair Health. Type 2 diabetes claims rose more than twofold, prediabetes claims increased 110%, hypertension claims went up 67%, and obesity-related claims rose 94% among babies and toddlers and up to 154% among 19- to 22-year-olds. Kaiser Health News (1/12) ACA debate puts popular and lesser known provisions in the spotlight The Affordable Care Act provision allowing young adults to stay on their parents" or guardians" health insurance until age 26 may be at risk as Republicans seek to dismantle the ACA, but the provision may be folded into replacement legislation. Other provisions Americans may not realize were established under the ACA include calorie counts in restaurants, the requirement for workplaces to provide space and time for breast-feeding mothers to express milk, restrictions on charges for use of out-of-network emergency rooms and more. Kaiser Health News (1/12), USA Today (1/12)

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Plans are worthless, but planning is everything. Dwight D. Eisenhower, 34th US president

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