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Morning Briefing

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Wednesday, Jul 19 2017

Full Issue

Diabetes In America, By The Numbers

A new report shows that nearly half of Americans have diabetes or pre-diabetes. In other public health news: diet drinks, vegan diets, plague chasers, telemedicine, readmission rates and Latinos in clinical trials.

Baseball, hot dogs, apple pie and 鈥 diabetes. That鈥檚 right. The metabolic condition is about as American as you can get, according to a new national report card on diabetes released Tuesday by the Centers for Disease Control and Prevention. (Kaplan, 7/18)

Over the past decade, Americans have soured on artificial sweeteners. Once heralded as sweet substitutes for sugar without as many belt-busting calories, people once couldn't get enough sucralose and aspartame. But recently, people have started聽looking at the molecules with increasing suspicion, amid聽studies that linked them to increased belly fat聽鈥 and bogus but widespread rumors that they聽led to things much worse. (Wootson, 7/18)

The wrong kind of exclusively plant-based diet, one that includes a lot of refined grains and聽sweetened beverages, can聽actually increase the risk of coronary heart disease, according to a new study from Harvard University. On the other hand, reducing your intake of animal products while boosting your consumption of聽fruits, vegetables, and whole grains, and continuing to indulge modestly in animal foods,聽can do you nearly as much good as a healthy vegan diet鈥攁nd even聽more good than one that聽includes a lot of French fries and pasta. (Shanker, 7/18)

Usually, the corpses are already underground, not because they鈥檝e been buried, but because they are prairie dogs. In the throes of plague, they crawled down into their burrows to die at home. Wagner isn鈥檛 there for their bodies. He鈥檚 more interested in the fleas that transmitted plague in the first place. Sometimes, like their dead hosts, they too are beneath the earth, and he needs to coax them out. At other times 鈥 when he鈥檚 investigating what he鈥檇 call a 鈥渉ot site鈥濃 the blood is gone from the corpses, the fleas have begun to starve, and they鈥檝e jumped their way to the surface to wait for another mammal to pass by. (Boodman, 7/19)

As the prevalence of childhood conditions like asthma and diabetes have risen, nurses treat a wide range of problems. Still, only an estimated 40 percent of U.S. schools have a full-time nurse, according to the National Association of School Nurses. But now telemedicine 鈥斅爒irtual doctor visits over video 鈥 is increasingly helping nurses do their jobs. Telemedicine programs are making inroads in schools, where a student referred to the nurse can be plopped in front of a screen and connected with a physician. Special computer-connected otoscopes and stethoscopes allow doctors to check ears, noses, throats, and heartbeats from afar. (Samuel, 7/19)

Too often, people return home from the hospital only to find themselves heading back soon after. Sometimes the need arises because, despite the best care, it is difficult to slow the progression of disease. But other times, it's because we in the health care system fail to communicate, coordinate and orchestrate the care that people need to successfully make the transition from hospital to home. (Dharmarajan and Krumholz, 7/18)

Two decades ago, Luis Antonio Cabrera received devastating news: He likely had only three months to live. The Puerto Rican truck driver, then 50, had attributed his growing leg pain to spending so many hours on the road. The real culprit was a malignant tumor in his left kidney that was pressing on nerves from his lower spine. (Andalo, 7/18)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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