A large heart can be filled with very little.

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Study links air pollution to diabetes risk in obese, overweight children Hispanic children who were overweight or obese and had prolonged exposure to nitrogen dioxide and particulate matter with aerodynamic diameter less than 2.5 µm, which can be found in ambient air pollution, were at an increased risk of developing type 2 diabetes, according to a study in Diabetes. The findings also revealed that long-term ambient air pollution exposure was associated with beta-cell function fatigue and elevations in fasting and two-hour insulin levels. Healio (free registration)/Endocrine Today (2/9) Lilly"s diabetes drug label update OK"d by FDA The labeling for Eli Lilly"s and Co."s Trulicity, or dulaglutide, has been updated by the FDA to indicate use in combination with basal insulin for adult patients with type 2 diabetes. Results from a 28-week late-stage study, which showed the drug"s ability to significantly reduce A1C levels when used as an adjunct to insulin glargine compared with placebo and insulin glargine, was the basis of the label update. P&T Community (2/8) Patients with IGT may benefit from valsartan, study finds A study in Diabetes, Obesity and Metabolism showed that valsartan reduced the incidence of diabetes, but not cardiovascular events, among patients with impaired glucose tolerance, compared with those on placebo. UK researchers followed 9,306 patients with IGT for an average of 6.2 years and found that fewer patients in the valsartan group experienced microalbuminuria, developed an estimated glomerular filtration rate of less than 30 mL/min/1.73 m² or had renal hospitalization. Physician"s Briefing/HealthDay News (2/9)

Studies: Switch to whole grains may cut calories, improve gut microbiome (Neilson Barnard/Getty Images) A study in the American Journal of Clinical Nutrition showed people switching from refined grains to whole grains absorbed fewer calories and had higher resting metabolic rates. A second study in the journal linked eating whole grains to improvements in the gut environment and some immune responses. HealthDay News (2/8) Study: Short but intense stair-climbing boosts cardio fitness Short intervals of intense stair-climbing can be an effective way to increase cardiorespiratory fitness, researchers reported in Medicine & Science in Sports & Exercise. The study included 31 sedentary women who compared sprint interval training using stairs with a similar workout on an exercise bike. Tech Times (2/8) Study: Exercise counseling for older men cost-effective in primary care Primary care-based counseling can help improve physical activity levels and rapid gait speed among older men at a reasonable cost, compared with usual care, according to a study in the Journal of the American Geriatrics Society. "Improvements in physical activity and rapid gait speed in the physical activity counseling group were obtained at a cost that represents a small fraction of patients" annual health care costs," researchers wrote. Physician"s Briefing/HealthDay News (2/8)

Exec offers suggestions to boost affordable, efficient rural health care Rural health care providers can achieve efficient and affordable care by creating relationships with other organizations within the community, implementing cost-saving care innovations, and leveraging telehealth and interoperable health IT systems, writes Irv Lichtenwald, president and CEO of Medsphere Systems. Combining strategy and technology will allow rural hospitals "to move beyond survival and become catalysts for healthier communities," Lichtenwald writes. HIT Consultant (2/8) Stakeholders detail roadblocks in achieving health care interoperability Fee-for-service payments, as well as the lack of business models on how to exchange health information, no uniform standards for EHR formatted data messages and a lack of interchangeability among existing EMRs, hinder the adoption of health care interoperability, experts said. Meanwhile, health care organizations believe that federal law preventing HHS from establishing a unique patient identifier standard has also hampered solutions to most interoperability problems. Healthcare IT News (2/6)

Cures Act may fix readmission issues for safety-net hospitals Language in the 21st Century Cures Act may mitigate effects of the Hospital Readmissions Reduction Program on safety-net hospitals by requiring HHS to set different penalty thresholds based on the numbers of Medicare-Medicaid dual-eligible patients served by a hospital, experts wrote in a Health Affairs blog. "Recognizing that safety-net providers may have low financial margins and may need to make significant investments to improve readmission rates, the law allows for penalties to be set among peer hospitals, while maintaining a national standard for quality," the authors wrote. Health Affairs Blog (2/7)

A large heart can be filled with very little. Antonio Porchia, writer

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