Sooner or later I"m going to die, but I"m not going to retire.

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Study examines weight changes among diabetes patients on insulin therapy Early initiation of basal insulin therapy resulted in an average weight gain of 0.98 kg at one year among patients with newly diagnosed type 2 diabetes, compared with a weight loss of 1.52 kg for those who didn"t receive insulin, according to a study in BMJ Open Diabetes Research & Care. German researchers used a cohort of 521 diabetes patients diagnosed on or after Jan. 1, 2011, and found that diabetes duration and baseline weight may predict weight gain between baseline and one year among those in the basal insulin group. Healio (free registration)/Endocrine Today (2/2) Glucose monitoring system is safe to use in children with diabetes, study finds UK researchers conducted a trial of Abbott Diabetes Care"s FreeStyle Libre glucose monitoring system involving 89 children with type 1 diabetes, ages 4 to 17, and found that the sensor detected hyperglycemia and hypoglycemia 85% and 70% of the time, respectively, rising to 94% and 84%, respectively, when pending alerts were considered. The findings in the Archives of Disease in Childhood also revealed that five participants had five device-related adverse events, all of which were resolved by the end of the study. Medscape (free registration) (2/2) Lumbar surgery may improve glycemic control for diabetes patients with LSS A study in The Spine Journal showed that type 2 diabetes patients with lumbar spinal stenosis had overall A1C values of 6.58 ± 0.87% six months after undergoing lumbar surgery, and overweight patients had statistically significant reductions in body mass index in the second year after the procedure. Physician"s Briefing/HealthDay News (2/2)

Metabolic syndrome tied to colorectal cancer risk in normal-weight women Researchers looked at more than 5,000 normal-weight postmenopausal women enrolled in the Women"s Health Initiative and found that those with metabolic syndrome had a more than twofold higher likelihood of developing colon and rectal cancers than those who were metabolically healthy. The findings were published in Cancer Epidemiology, Biomarkers & Prevention. HealthDay News (2/1) Fish consumption tied to lower MI incidence, but not stroke, in diabetes Swedish researchers found that adults with type 2 diabetes who consumed at least three servings of fish per week had a 0.6 hazard ratio for myocardial infarction and 1.04 for stroke, compared with those who ate three or fewer servings of fish per month. The findings in Clinical Nutrition, based on 2,225 adults, showed that those who had moderate fish consumption of two to three servings per week and one to fewer than two servings per week had the lowest hazard ratios for total mortality. Healio (free registration)/Endocrine Today (2/1)

Data show increase in hospitals with physicians on payroll A Rice University study found the number of hospitals with physicians on salary increased from 44% to 55% from 2008 to 2013. Data showed 559 cases in which hospitals switched from no integration to some form of integration, and 489 cases in which hospitals de-integrated. BeckersSpine.com (1/31) Fees can create a barrier to patient-driven care Health care providers are allowed to charge fees for the cost of providing electronic or paper medical records to patients, and the costs limit patients" ability to donate their own data for research, correct errors and share data with other health care providers, according to a commentary in JAMA Internal Medicine. Kentucky requires health care providers to give patients one copy of their medical records at no charge, and the commentary"s authors say other states should do the same. Reuters (1/30)

HIT execs offer insights on EHR trends in 2017 Health care providers will continue pursuing EHR improvements this year amid increasing documentation requirements, while EHR vendors will bolster system usability as they continue to struggle with emerging regulations, predicted Dr. Donald Levick, CMIO at Lehigh Valley Health Network in Pennsylvania. Meanwhile, the Trump administration brings uncertainties on EHR use and programs such as the Merit-based Incentive Payment System and the Medicare Access and CHIP Reauthorization Act, said Ron Kloewer, CIO at Montgomery County Memorial Hospital in Iowa. Health Data Management (1/31) Lawmakers float ACA "repair" (Carl Court/Getty Images) Talk of repealing the Affordable Care Act among congressional Republicans has given way to efforts to "repair" the law, amid concerns about the challenges of developing a concrete replacement plan, market uncertainty and possible premium hikes if insurers do not soon have a clear framework for 2018. Insurers note that mixed messages complicate development of plans and pricing for next year, but some Republicans say the end goal has not changed. The New York Times (free-article access for SmartBrief readers) (2/2), CNN (2/2)

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Sooner or later I"m going to die, but I"m not going to retire. Margaret Mead, cultural anthropologist

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