February 2019 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for February 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Risk Factors ID'd for Site Infection After Orthopedic Surgery in Seniors

THURSDAY, Feb. 28, 2019 (HealthDay News) -- Five risk factors are independently associated with surgical site infection among geriatric patients undergoing elective orthopedic surgery, according to a study published online Feb. 20 in the International Wound Journal.

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Dietary Monitoring Key to Successful Weight Loss

THURSDAY, Feb. 28, 2019 (HealthDay News) -- The frequency of dietary self-monitoring is significantly associated with weight loss, according to a study published online Feb. 25 in Obesity.

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Achievement of Targets in T2DM Varies by Season

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- There is seasonal variation in achievement of the guideline targets for hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein (LDL) cholesterol among persons with type 2 diabetes mellitus (T2DM), according to a study published online Feb. 22 in Diabetes Care.

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Kidney Disease Affects Revascularization Outcomes

WEDNESDAY, Feb. 27, 2019 (HealthDay News) -- The presence of comorbid chronic kidney disease (CKD) negatively impacts myocardial revascularization outcomes in patients with type 2 diabetes mellitus (T2DM), according to a study published in the Feb. 5 issue of the Journal of the American College of Cardiology.

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Ultrasound of Calcaneus Efficient for Screening Bone Health

TUESDAY, Feb. 26, 2019 (HealthDay News) -- Ultrasonography (US) of the calcaneus is efficient for screening bone health, according to a study published in the March issue of the Journal of the American Osteopathic Association.

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Program Aids Weight Loss in Patients With Mental Illness

TUESDAY, Feb. 26, 2019 (HealthDay News) -- A behavioral weight loss intervention is effective among overweight and obese individuals with serious mental illness (SMI), regardless of their diabetes status, according to a study published online Feb. 14 in Diabetes Care.

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2014 to 2017 Saw Improvement in Burnout for U.S. Physicians

MONDAY, Feb. 25, 2019 (HealthDay News) -- From 2014 to 2017, there was an improvement in burnout and satisfaction with work-life integration among U.S. physicians, according to a study published online Feb. 22 in the Mayo Clinic Proceedings.

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National Health Spending Set to Increase 5.5 Percent Annually

FRIDAY, Feb. 22, 2019 (HealthDay News) -- National health spending is projected to increase at an annual rate of 5.5. percent from 2018 to 2027, with fundamental economic and demographic factors the main drivers, according to a report published online Feb. 20 in Health Affairs.

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Most Patients Do Not Disclose Complementary Medicine Use

FRIDAY, Feb. 22, 2019 (HealthDay News) -- Just one-third of users of biologically based complementary medicine (CM) disclose their use to traditional health care providers, according to a review published online Feb. 7 in Scientific Reports.

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FDA Advances Regulation to Ensure Sunscreen Safety, Efficacy

THURSDAY, Feb. 21, 2019 (HealthDay News) -- The U.S. Food and Drug Administration took steps Thursday to tighten regulation of over-the-counter sunscreen products.

More Information: FDA
More Information: EWG

8 More U.S. Communities to Be Assessed for PFAS Toxin Exposure

THURSDAY, Feb. 21, 2019 (HealthDay News) -- Eight additional communities near current or former U.S. military installations that will be included in assessments of human exposure to perfluoroalkyl and polyfluoroalkyl substances (PFAS) were announced Thursday by federal officials.

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Vertical Integration Has Little Impact on Quality Measures

THURSDAY, Feb. 21, 2019 (HealthDay News) -- Vertical integration between hospitals and physicians has little impact on quality measures, while increased hospital market concentration is strongly associated with reduced quality in measures of patient satisfaction, according to a study published online Feb. 9 in Medical Care Research and Review.

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New Kaiser Permanente Medical School Plans to Waive Tuition

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- A new medical school to be opened by California-based health system Kaiser Permanente will waive tuition for all students in its first five graduating classes.

The New York Times Article
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Eating Nuts Tied to Reduced CVD Incidence, Death in T2DM Patients

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- Higher consumption of nuts, especially tree nuts, is associated with reduced cardiovascular disease (CVD) incidence and mortality among patients with type 2 diabetes, according to a study published online Feb. 19 in Circulation Research.

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Deep Learning-Enhanced Device Detects Diabetic Retinopathy

WEDNESDAY, Feb. 20, 2019 (HealthDay News) -- A deep learning-enhanced device can accurately detect diabetic retinopathy (DR), according to a study published online Feb. 14 in Diabetes Care.

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Cardiovascular Risk Increased During Gender Transition

TUESDAY, Feb. 19, 2019 (HealthDay News) -- People receiving hormone therapy during gender transition have an increased risk for cardiovascular events, according to a study published online Feb. 18 in Circulation.

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Low Vitamin D Tied to High Blood Glucose Levels in Women

TUESDAY, Feb. 19, 2019 (HealthDay News) -- Lower serum 25-hydroxyvitamin D (25[OH]D) concentrations appear to be associated with high blood glucose levels in women, according to a study recently published online in Menopause.

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FDA Approves First Customizable Insulin Pump

FRIDAY, Feb. 15, 2019 (HealthDay News) -- The Tandem Diabetes Care t:Slim X2 insulin pump, which allows a patient to customize treatment, has been approved by the U.S. Food and Drug Administration.

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Hospital Prices Growing Faster Than Physician Prices

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Growth in hospital prices and payments outpaced growth in physician prices and payments from 2007 through 2014, according to a report published in the February issue of Health Affairs.

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Fewer Older Men Assessed, Treated for Osteoporosis

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Fewer older men than women undergo evaluation for or management of osteoporosis, according to a study published online Feb. 12 in the Journal of Investigative Medicine.

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Primary Care Providers Can Improve Diabetic Retinopathy Screening

FRIDAY, Feb. 15, 2019 (HealthDay News) -- Screening for diabetic retinopathy (DR) in primary care settings has the potential to reach most U.S. adults with diabetes, according to a brief report published online Jan. 31 in JAMA Ophthalmology.

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Physical Activity Down Across Chronic Disease Subgroups

THURSDAY, Feb. 14, 2019 (HealthDay News) -- People with a wide variety of chronic diseases are less physically active than individuals without chronic diseases, according to a study published online Feb. 5 in the International Journal of Epidemiology.

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Rates of Osteonecrosis of the Jaw Low for Denosumab-Treated Women

THURSDAY, Feb. 14, 2019 (HealthDay News) -- For denosumab-treated women with postmenopausal osteoporosis, invasive oral procedures and events (OPEs), including dental implants, tooth extraction, natural tooth loss, scaling/root planning, and jaw surgery, are common and associated with osteonecrosis of the jaw (ONJ), although the overall rate of ONJ is low, according to a study published online Feb. 13 in the Journal of Clinical Endocrinology & Metabolism.

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Coexisting Medical Conditions, Smoking Explain PTSD-CVD Link

WEDNESDAY, Feb. 13, 2019 (HealthDay News) -- The correlation between posttraumatic stress disorder (PTSD) and cardiovascular disease (CVD) is not independent and is explained by physical and psychiatric conditions and smoking, according to a study published online Feb. 13 in the Journal of the American Heart Association.

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Larger Physician Bonus May Improve Care in Chronic Disease

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Increased bonus size for physicians caring for patients with chronic disease is associated with improvements in care quality, according to a study published online Feb. 8 in JAMA Network Open.

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CDC: Student Tobacco Use Increased From 2017 to 2018

TUESDAY, Feb. 12, 2019 (HealthDay News) -- From 2017 to 2018, there was an increase in any tobacco use, especially electronic cigarette use, for high school and middle school students, according to research published online Feb. 11 in the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Health Care Spending Per Person Increased to $5,641 in 2017

TUESDAY, Feb. 12, 2019 (HealthDay News) -- In 2017, health care spending per person reached $5,641, according to the Health Care Cost Institute (HCCI) annual Health Care Cost and Utilization Report.

Health Care Cost and Utilization Report

Many Systematic Reviews Do Not Fully Report Adverse Events

TUESDAY, Feb. 12, 2019 (HealthDay News) -- Many systematic review protocols in the International Prospective Register of Systematic Reviews (PROSPERO) do not include adverse event reporting, according to a study published in the April issue of the Journal of Clinical Epidemiology.

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Low Fitness, Obesity Linked to Later Disability Pension

MONDAY, Feb. 11, 2019 (HealthDay News) -- Among men, low cardiorespiratory fitness and obesity in adolescence are associated with an increased risk for later receipt of a disability pension, according to a study published online Feb. 12 in the Annals of Internal Medicine.

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Rates of Diabetes Screening High Among Adults Age ≥45

MONDAY, Feb. 11, 2019 (HealthDay News) -- Rates of diabetes screening are high, with hemoglobin A1c (HbA1c) used less but more likely to result in clinical diagnosis, according to a study published online Feb. 6 in Diabetes Care.

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Johnson & Johnson to Provide Drug Prices in TV Ads

FRIDAY, Feb. 8, 2019 (HealthDay News) -- In a drug industry first, Johnson & Johnson will start giving the list prices of its prescription drugs in television ads.

AP News Article

Walgreens Worst Violator in Tobacco Sales to Minors, FDA Says

FRIDAY, Feb. 8, 2019 (HealthDay News) -- Walgreens' high rate of violations for selling tobacco products to minors has led U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., to ask for a meeting with the company to discuss the issue.

CNN Article
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Most Americans Concerned About Weight, Link to Heart Health

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Most Americans are concerned about their weight and understand the connection between weight and cardiovascular health, but a substantial proportion of them are not doing much to lose excess weight, according to a Cleveland Clinic survey.

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T2DM Initially Remits in Majority Who Undergo Gastric Bypass

THURSDAY, Feb. 7, 2019 (HealthDay News) -- Roux-en-Y gastric bypass (RYGB) is associated with high levels of type 2 diabetes remission at one year, although 27 percent relapse after five years, according to a study published online Feb. 6 in Diabetologia.

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Type 2 Diabetes Risk Up With PCOS Regardless of BMI

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- Irrespective of age and weight, women with polycystic ovary syndrome (PCOS) have an increased risk for type 2 diabetes, according to a study published online Jan. 31 in Diabetes Care.

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Gastric Bypass May Aid Muscle Strength, Physical Performance

WEDNESDAY, Feb. 6, 2019 (HealthDay News) -- Relative muscle strength and physical function improve meaningfully after gastric bypass, according to a study recently published in the Journal of Clinical Endocrinology & Metabolism.

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Reading, Math Scores No Different for Children With T1DM

TUESDAY, Feb. 5, 2019 (HealthDay News) -- Standardized reading and mathematics scores do not differ significantly for public schoolchildren with and without type 1 diabetes, according to a study published in the Feb. 5 issue of the Journal of the American Medical Association.

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E-Cigarette Use Linked to Cigarette Initiation in Adolescents

MONDAY, Feb. 4, 2019 (HealthDay News) -- Electronic cigarette use is associated with an increased risk for cigarette initiation and use in adolescents, according to a study published online Feb. 1 in JAMA Network Open.

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Pharmacist-Led Phone Follow-Up May Cut Readmission Rates

FRIDAY, Feb. 1, 2019 (HealthDay News) -- A pharmacist-led, postdischarge structured telephone follow-up (TFU) intervention can reduce 30-day and 90-day readmission rates for polypharmacy patients, according to a study published online Jan. 23 in the British Journal of Clinical Pharmacology.

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Maternal Glucose in Pregnancy Tied to Child's Glucose Outcomes

FRIDAY, Feb. 1, 2019 (HealthDay News) -- In utero exposure to higher levels of maternal glucose is associated with higher glucose levels and insulin resistance during childhood, according to a study published online Jan. 7 in Diabetes Care.

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