Many of us are more capable than some of us, but none of us is as capable as all of us.

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Study IDs factors related to periodontitis severity in diabetes An A1C of at least 8.0%, the number of microvascular complications and old age were significantly associated with the severity of periodontitis among type 2 diabetes patients, according to a Japanese study in the Journal of Diabetes Investigation. Physician"s Briefing/HealthDay News (2/6) Insulin-delivery system may benefit teens, adults with diabetes, study finds Researchers found an increase in mean in-target sensor glucose values from 60.4% during the two-week run-in phase to 67.2% during the three-month study phase among adolescent type 1 diabetes patients who used Medtronic"s MiniMed 670G system, a hybrid closed-loop insulin-delivery system, and from 68.8% to 73.8% among adults. The findings in Diabetes Technology & Therapeutics, based on 124 adolescents and adults with type 1 diabetes, revealed that A1C levels dropped from an average 7.7% to 7.1% in adolescents and from 7.3% to 6.8% in adults. Healio (free registration)/Endocrine Today (2/6) Research finds evidence-based medicine can improve diabetes treatment A study in Circulation showed applying evidence-based medicine can improve treatment and patient-centered care for type 2 diabetes patients. Researchers note that evidence-based medicine also could help prevent overtreatment and reduce health care spending. Diabetes.co.uk (U.K.) (2/1)

Preventing weight gain may be more effective for diabetes risk reduction (Christof Stache/AFP/Getty Images) A study in BMC Public Health showed a 52% increased risk of type 2 diabetes among people who gained more than 2 pounds in 10 years, compared with those who maintained their weight. UK researchers evaluated data from 33,184 people ages 30 to 60 and found that public health initiatives to prevent weight gain could prevent twice as many cases of diabetes as weight-loss initiatives for at-risk patients. United Press International (2/6) Apps reward people who exercise with virtual currency Sweatcoin is the latest app that pays people for exercising, offering digital coins for every 1,000 steps taken that can be saved up to purchase real goods and services. Other virtual currency fitness apps include Bitwalking and Gympact, while Charity Miles allows people to use their steps for charitable donations. CBS News (2/3)

Groups issue updated recommendations on managing pediatric obesity The Pediatric Endocrine Society and the European Society of Endocrinology have issued updated guidance saying that youths with body mass index at or above the 85th percentile should receive routine evaluation for obesity-related comorbidities such as dyslipidemia, hypertension, and prediabetes or overt diabetes. Physicians should also develop an obesity preventive strategy aimed at children and their families, and consider bariatric surgery only for older adolescents with severe, obesity-related comorbidities, according to the guidelines in The Journal of Clinical Endocrinology & Metabolism. Medscape (free registration) (2/3) ONC paper explores future of patient-generated health data The HHS" Office of the National Coordinator for Health IT recently issued a draft white paper on the potential opportunities and challenges associated with using patient-generated health data in clinical decisions. The paper"s authors predict a more streamlined flow of health information between patients and their health care providers, a more collaborative relationship between patients and clinicians, and more use of PGHD in research; but some barriers must be overcome, including interoperability, security and data analysis problems. MedPage Today (free registration) (2/3)

CMS asks 3 states to extend dual-eligible programs The CMS has asked Massachusetts, Minnesota and Washington state if they will extend participation in pilot programs to improve care coordination for patients eligible for both Medicare and Medicaid. Early data indicate a drop in inpatient admissions and that patients feel they are getting better quality care, but the agency wants to continue the programs through the end of 2019 to have more time to evaluate if they are working. Modern Healthcare (tiered subscription model) (2/2) IBM: Malware accounts for 48% of successful health care cyberattacks (Adam Berry/Getty Images) An IBM Managed Security Services report showed that 48% of successful cyberattacks against the health care industry were caused by malware, and 19% of successful attacks manipulated system data structures. Researchers also found that insiders accounted for 68% of all network attacks against health care organizations in 2016, more than one-third of which involved malicious actors. Healthcare IT News (2/2)

Many of us are more capable than some of us, but none of us is as capable as all of us. Tom Wilson, cartoonist

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