Trends in mean serum insulin and hyperinsulinemia among US adults without diabetes 1999-2018.

Purpose: The purpose of this study is to examine trends for mean serum insulin concentration (pmol/L) and prevalence of hyperinsulinemia (≥4.358 pmol/L fasting insulin) in US adults without diabetes.

Methods: We used data from the 1999-2018 National Health and Nutrition Examination Survey (NHANES).

Step Monitor Accuracy During PostStroke Physical Therapy and Simulated Activities.

Introduction/purpose: The amount of stepping activity during rehabilitation post-stroke can predict walking outcomes, although the most accurate methods to evaluate stepping activity are uncertain with conflicting findings on available stepping monitors during walking assessments. Rehabilitation sessions also include non-stepping activities and the ability of activity monitors to differentiate these activities from stepping is unclear. The objective of this study was to examine the accuracy of different activity monitors worn by individuals post-stroke with variable walking speeds during clinical physical therapy (PT) and research interventions focused on walking.

Care Utilization Patterns and Diabetes Self-Management Education Duration.

Objective. Previous studies have shown that receiving diabetes self-management education (DSME) is associated with increased care utilization. However, the relationship between DSME duration and care utilization patterns remains largely unexamined.