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Briefly Noted

MANAGED CARE September 2013. © MediMedia USA
News & Commentary

Briefly Noted

Aggressive glucose control does not reduce heart attacks in patients with type 2 diabetes, according to a study in the journal Diabetes Care. Such care does have “mixed short-term effects on microvascular complications,” the study states, adding that the results are consistent with recent clinical trials.... Ten million more CT scans might very well need to be covered by insurance companies, thanks to a ruling by the U.S. Preventive Services Task Force. The task force says that the scans may now be used on patients at high risk of lung cancer, smokers and former smokers age 55–80 who averaged a pack a day for 30 years, or those who averaged two packs a day for 15 years. That’s about 10 million people. The task force gave the recommendation a “B” rating and, under the Affordable Care Act, preventive services with such a rating must be covered.... Women at risk for coronary artery disease (CAD) are less likely then men to receive preventive therapies, such as lipid-lowering medication, and don’t get the same lifestyle advice either, according to a study in the journal Global Health. This, despite evidence that CAD kills at least as many women as men.