Silence is the bluntest of blunt instruments.

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Study: Poor blood glucose control seen among night shift workers with diabetes A study presented at the Endocrine Society meeting showed that night shift workers with type 2 diabetes have poorer blood glucose control, higher body mass index, less sleep and more calorie consumption than those who work in the daytime or were unemployed. Thai researchers used a cohort of 260 people and found that the average A1C among those who worked night shifts was 66.1 mmol/mol, 59.6 mmol/mol among those who worked during the day and 58.5 mmol/mol among those who did not have a job. Diabetes.co.uk (U.K.) (4/4) Prepregnancy weight gain tied to increased gestational diabetes risk Australian researchers found that women who gained more than 2.5% of their body weight each year before becoming pregnant had an almost three times higher risk of developing gestational diabetes than those who maintained their weight. The findings in Diabetes Research and Clinical Practice, based on more than 3,000 women, showed that a weight gain of 1.5% to 2.5% of body weight each year was associated with a twofold increased risk of gestational diabetes. United Press International (4/4) Research examines diabetes technology use among military children Use of insulin pumps was more likely among type 1 diabetes patients who were children of military officers and white, compared with those who were not a military officer"s child or not white, according to a study presented at the Endocrine Society"s annual meeting. Researchers evaluated 405 military children with a mean age of 16 and found that 34% of insulin pump users also used continuous glucose monitors, compared with 7% on multiple daily injections. Healio (free registration)/Endocrine Today (4/4)

Being overweight, obese increases mortality risks, study says (Jeff Haynes/AFP/Getty Images) Research in the Annals of Internal Medicine found overall mortality risks increased by 10% for people who were overweight, 34% for those who were obese and 98% for the morbidly obese. The study, which considered patient data over 12 years, contradicts the "obesity paradox" theory that being overweight may have health or survival benefits for some people, researchers said. HealthDay News (4/3) Researcher: Undernutrition may be linked to gut microbiota Disturbances in gut microbiota may be linked to childhood undernutrition, a leading cause of death worldwide for children under age 5, Dr. Jeffrey Gordon, director of the Center for Genome Sciences at Washington University in St.Louis, told the Endocrine Society meeting. He said a healthy gut microbiome is needed for good growth and how it develops can have long-term health effects. Healio (free registration)/Endocrine Today (4/1)

Videoconferences prepare clinicians to treat complex diabetes Diabetes specialists, including certified diabetes educators, nurses and endocrinologists, can use videoconferencing sessions to help prepare primary care clinicians to treat patients with complex diabetes, researchers told the Endocrine Society"s annual meeting. A survey of participants showed the sessions increased their ability to treat patients with complex diabetes, including managing complex insulin regimens and screening for diabetes complications. Healio (free registration)/Endocrine Today (4/3) Study examines ACO, HIE participation of health care organizations Data from Definitive Healthcare showed that just 1 in 4 physician sites that engage in public health or quality reporting participates in accountable care organizations run by private payers, while only 12% of entities have connected to a statewide or regional health information exchange. ACO and HIE affiliation is most likely among physicians who have adopted technology modules focused on chronic care management and coordination, findings showed. Health IT Analytics (4/3)

Pence proposes allowing states to roll back essential health benefits Pence (Pool/Getty Images) In an effort to find consensus on health care policy, Vice President Mike Pence proposed allowing states to apply for waivers to repeal the Affordable Care Act"s essential health benefits and the community rating regulation, which prevents sick enrollees from being charged more for coverage. Rep. Mark Meadows, R-N.C., chairman of the House Freedom Caucus, noted members would be receptive to such changes but need to review legislative language before striking an agreement. The Hill (4/3) Democrats ask Trump to keep ACA stable Five Senate Democrats who serve on the chamber"s health committee sent a letter to President Donald Trump asking him not to take actions to weaken the Affordable Care Act, specifically calling on him to oppose or push congressional Republicans to drop a pending lawsuit targeting cost-sharing subsidies. The Democrats also asked that public outreach efforts continue and the requirement that most Americans have health insurance be enforced. The Wall Street Journal (tiered subscription model) (4/3), The Hill (4/3)

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Silence is the bluntest of blunt instruments. Erica Jong, writer

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