February 2020 Briefing - Diabetes & Endocrinology

Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for February 2020. 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.

Certified Medical Homes Tied to Better Diabetes Outcomes

FRIDAY, Feb. 28, 2020 (HealthDay News) -- Primary care practices certified as medical homes have more practice systems and higher performance on diabetes care versus uncertified practices, according to a study published in the January/February issue of the Annals of Family Medicine.

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Regardless of Weight, Metabolic Health Tied to New Diabetes

FRIDAY, Feb. 28, 2020 (HealthDay News) -- There is a significant increased risk for diabetes mellitus (DM) in postmenopausal women who are metabolically unhealthy, according to a study published online Feb. 24 in Menopause.

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Recommendations Developed for Appropriate Thyroidectomy

THURSDAY, Feb. 27, 2020 (HealthDay News) -- In guidelines issued by the American Association of Endocrine Surgeons, published in the March issue of the Annals of Surgery, recommendations are presented for the definitive surgical management of thyroid disease in adults.

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CDC: Prevalence of Obesity 42.4 Percent in 2017 to 2018

THURSDAY, Feb. 27, 2020 (HealthDay News) -- The prevalence of obesity was 42.4 percent among U.S. adults in 2017 to 2018, according to a February data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Age at Period Cessation Not Linked to CVD Risk Trajectories

WEDNESDAY, Feb. 26, 2020 (HealthDay News) -- There is little evidence for associations between age at period cessation and trajectories of anthropometry, blood pressure, lipids, and hemoglobin A1c (HbA1c) measures, according to a study published online Feb. 25 in Heart.

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No Compensatory Smoking Seen With Low-Nicotine Cigarettes

WEDNESDAY, Feb. 26, 2020 (HealthDay News) -- Smokers do not appear to engage in compensatory smoking when using low-nicotine cigarettes, according to two studies published online Feb. 26 in Cancer Epidemiology, Biomarkers & Prevention.

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Sugar-Sweetened Beverages May Adversely Affect Lipid Profile

WEDNESDAY, Feb. 26, 2020 (HealthDay News) -- Intake of sugar-sweetened beverages (SSB) is associated with adverse changes in high-density lipoprotein cholesterol and triglyceride concentrations, according to a study published online Feb. 26 in the Journal of the American Heart Association.

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Influence of Politics Has Not Waned in Opinions About ACA

WEDNESDAY, Feb. 26, 2020 (HealthDay News) -- Public opinion about the Affordable Care Act (ACA) remains divided 10 years after its passage, according to a study published online Feb. 19 in Health Affairs.

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Longer Lactation Might Protect Against Type 2 Diabetes

WEDNESDAY, Feb. 26, 2020 (HealthDay News) -- Longer duration of lactation is associated with a lower risk for type 2 diabetes among women with a history of gestational diabetes mellitus (GDM), according to a study published online Feb. 10 in Diabetes Care.

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Mistreatment, Discrimination Still Common for Medical Students

TUESDAY, Feb. 25, 2020 (HealthDay News) -- Mistreatment of medical students remains common for women, racial/ethnic minorities, and sexual minorities, according to a study published online Feb. 24 in JAMA Internal Medicine.

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Liraglutide Enhances Weight Loss With Intensive Behavioral Therapy

TUESDAY, Feb. 25, 2020 (HealthDay News) -- Intensive behavioral therapy (IBT) produces clinically meaningful weight loss in a primary care setting, which is enhanced in combination with liraglutide, according to a study published online Feb. 24 in Obesity.

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Tax on Sweetened Beverages Reduced Sales Volume in Chicago

TUESDAY, Feb. 25, 2020 (HealthDay News) -- The Cook County Sweetened Beverage Tax (SBT) led to a substantial reduction in the volume sold of taxed beverages, according to a study published online Feb. 25 in the Annals of Internal Medicine.

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Long-Term Antidepressant Use Appears to Raise Risk for T2DM

TUESDAY, Feb. 25, 2020 (HealthDay News) -- Long-term antidepressant use increases the risk for type 2 diabetes onset in a time- and dose-dependent manner, according to a study published online Feb. 12 in Diabetes Care.

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HbA1c Levels Lower in Older, Multimorbid Patients With T2DM

FRIDAY, Feb. 21, 2020 (HealthDay News) -- A higher proportion of older and multimorbid patients with type 2 diabetes achieve low hemoglobin A1c (HbA1c) levels, according to a study published online Feb. 19 in BMJ Open Diabetes Research & Care.

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Chronic Kidney Disease Poses Major Global Health Burden

THURSDAY, Feb. 20, 2020 (HealthDay News) -- Chronic kidney disease (CKD) has a major effect on global health, both as a direct cause of morbidity and mortality and as a risk factor for cardiovascular disease, according to a study published online Feb. 13 in The Lancet.

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Dietitians Effective for Weight Loss in Obese Medicare Patients

THURSDAY, Feb. 20, 2020 (HealthDay News) -- Delivery of intensive behavioral therapy for obesity (IBTO) by registered dietitian nutritionists is effective and beneficial for Medicare beneficiaries, according to a study published online Feb. 20 in Family Practice.

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Many Transgender Youth Intentionally Avoid Disclosure

THURSDAY, Feb. 20, 2020 (HealthDay News) -- Most transgender youth voluntarily disclose their gender identity to health care providers (HCPs) outside of a gender clinic; however, almost half report having intentionally avoided disclosure, according to a study published online Feb. 20 in the Journal of Adolescent Health.

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Glycemic Control in T2DM Worse With Refusal of Insulin Therapy

THURSDAY, Feb. 20, 2020 (HealthDay News) -- For individuals with uncontrolled type 2 diabetes, those who decline insulin therapy have worse glycemic control, according to a study published online Feb. 20 in Diabetic Medicine.

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Prescription Medications Can Be Found on Craigslist

WEDNESDAY, Feb. 19, 2020 (HealthDay News) -- Prescription medications, especially analog insulin, can be found on Craigslist, according to a research letter published online Feb. 17 in JAMA Internal Medicine.

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Ethnic Differences in Sitting Behaviors ID'd in Older Women

WEDNESDAY, Feb. 19, 2020 (HealthDay News) -- Overweight/obese postmenopausal women have ethnic differences in sitting behavior and in the deleterious association between sitting behavior and cardiometabolic risk, according to a study published in the Feb. 18 issue of the Journal of the American Heart Association.

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Risk for Adverse Events Up With Low-Dose Methotrexate

TUESDAY, Feb. 18, 2020 (HealthDay News) -- Use of low-dose methotrexate (LD-MTX) is associated with increased risks for adverse events (AEs), including skin cancer, and gastrointestinal, pulmonary, infectious, and hematologic AEs, according to research published online Feb. 18 in the Annals of Internal Medicine.

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Certain Factors May Increase Risk for Cognitive Decline in Elderly

TUESDAY, Feb. 18, 2020 (HealthDay News) -- In older adults with abdominal obesity, sustained levels of higher blood glucose are tied to a higher likelihood of experiencing cognitive decline, whereas in older adults without abdominal obesity, the hormone adiponectin appears to up the risk for cognitive decline, according to a study published online Feb. 4 in the Journal of the American Geriatrics Society.

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Sodium-Glucose Cotransporter 2 Inhibitors Protect the Heart

TUESDAY, Feb. 18, 2020 (HealthDay News) -- Sodium-glucose cotransporter 2 inhibitors protect against cardiovascular disease in patients with type 2 diabetes, according to a review published in the Feb. 4 issue of the Journal of the American Heart Association.

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Telemarketer Access to Medicare Information to Be Investigated

FRIDAY, Feb. 14, 2020 (HealthDay News) -- An investigation into how telemarketers may be obtaining seniors' personal Medicare information will be launched by the U.S. Health and Human Services inspector general office.

AP News Article
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FDA Requests Market Withdrawal of Belviq Due to Cancer Risk

FRIDAY, Feb. 14, 2020 (HealthDay News) -- A clinical trial of the weight-loss drug Belviq (lorcaserin) shows an association with an increased risk for cancer, and the U.S. Food and Drug Administration is requesting that its maker withdraw the drug from the U.S. market.

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Medtronic MiniMed 600 Series Insulin Pumps Recalled

FRIDAY, Feb. 14, 2020 (HealthDay News) -- More than 322,000 MiniMed 600 Series Insulin Pumps have been recalled by Medtronic due to a defect that could cause them to malfunction and put users at risk for serious harm or death.

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U.S. Life Expectancy to Reach 85 by 2060

FRIDAY, Feb. 14, 2020 (HealthDay News) -- Nearly a quarter of all U.S. residents will be older than 65 by 2060, and life expectancy will reach an all-time high of 85 by that year, according to the U.S. Census Bureau.

AP News Article

2002 to 2015 Saw Increase in Incidence of Diabetes in Youth

THURSDAY, Feb. 13, 2020 (HealthDay News) -- From 2002 to 2015, there was a constant increase in the incidence of type 1 and type 2 diabetes among youth, according to research published in the Feb. 14 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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2011 to 2018 Saw Decline in Problems Paying Medical Bills

WEDNESDAY, Feb. 12, 2020 (HealthDay News) -- From 2011 to 2018, there was a decrease in the percentage of families having problems paying medical bills in the past 12 months, according to a February data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Survival Similar for Hemodialysis, Peritoneal Dialysis

WEDNESDAY, Feb. 12, 2020 (HealthDay News) -- Peritoneal dialysis (PD) and in-center hemodialysis (HD) carry similar survival benefits, according to a review published online Jan. 28 in Nephrology Dialysis Transplantation.

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Elevated FPG May Increase Adverse Outcomes in GDM Pregnancies

TUESDAY, Feb. 11, 2020 (HealthDay News) -- Elevated fasting plasma glucose, compared with elevated postload glucose, in pregnancies in women with gestational diabetes is associated with a higher risk for adverse maternal and infant outcomes, according to a study published in the January issue of Diabetic Medicine.

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Breast Development, Puberty Starting Earlier in Girls Worldwide

TUESDAY, Feb. 11, 2020 (HealthDay News) -- Across the world, young women are entering puberty at increasingly earlier ages, according to a review published online Feb. 10 in JAMA Pediatrics.

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Genetic Basis for Testosterone Levels Differs According to Sex

TUESDAY, Feb. 11, 2020 (HealthDay News) -- The genetic determinants of testosterone levels differ between the sexes, according to a study published online Feb. 10 in Nature Medicine.

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Empathy Declines as Students Progress Through Medical School

MONDAY, Feb. 10, 2020 (HealthDay News) -- Students become less empathic toward patients throughout medical school, according to a study published online Jan. 21 in Academic Medicine.

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Medical Group Opposes States' Limits on Trans Youth Access to Treatment

MONDAY, Feb. 10, 2020 (HealthDay News) -- A group of medical professionals in southern states opposes proposals that would limit transgender minors' access to gender-affirming health care such as hormone therapy and surgery.

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Seniors Have Concerns About Affording Health Insurance

MONDAY, Feb. 10, 2020 (HealthDay News) -- Many adults aged 50 to 64 years are concerned about their ability to afford health insurance, according to a study published online Feb. 7 in JAMA Network Open.

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Uninsured Rate in Diabetes Belt Dropped With Medicaid Expansion

MONDAY, Feb. 10, 2020 (HealthDay News) -- Medicaid expansion driven by the Affordable Care Act was associated with greater reductions in uninsurance rates in Diabetes Belt versus non-Belt counties, according to a study published online Jan. 27 in Diabetes Care.

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Low-Contrast Sensitivity Predicts Poor Vision in Seniors

FRIDAY, Feb. 7, 2020 (HealthDay News) -- For older adults, low-contrast sensitivity is a predictor of experiencing poor vision, according to a study recently published online in Acta Ophthalmologica.

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Screening for T1DM in Children May Help Reduce Morbidity

FRIDAY, Feb. 7, 2020 (HealthDay News) -- A public health screening for islet autoantibodies demonstrated prevalence of 0.31 percent among children aged 2 to 5 years, according to a study published in the Jan. 28 issue of the Journal of the American Medical Association.

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Number of Nurse Practitioners More Than Doubled 2010 to 2017

FRIDAY, Feb. 7, 2020 (HealthDay News) -- From 2010 to 2017, there was a substantial increase in the number of nurse practitioners in the United States, with a corresponding reduction in the size of the registered nurse workforce, according to a report published in the February issue of Health Affairs.

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Meta-Analyses Link Rosiglitazone to Increased Cardiovascular Risk

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Rosiglitazone seems to be associated with an increased cardiovascular risk, particularly heart failure, according to data from a systematic review and meta-analyses published online Feb. 5 in The BMJ.

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Reference Pricing Linked to Lower Prices Paid by Employers

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Reference prices are associated with lower prices paid by employers and lower cost sharing by employees, according to a study published online Feb. 5 in JAMA Network Open.

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Overweight and Obesity May Up Risk for Several Common Cancers

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Hospital-diagnosed overweight and obesity is associated with an increased risk for several common cancers, according to a study recently published in the Journal of Internal Medicine.

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New Study Finds an Egg a Day Does Not Increase Cardiovascular Risk

WEDNESDAY, Feb. 5, 2020 (HealthDay News) -- One egg per day is not tied to an increase in the risk for heart disease, including cholesterol levels, according to a study published onlune Jan. 21 in the American Journal of Clinical Nutrition.

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Negotiated Prices, Formulary Could Cut Medicare Rx Spending

WEDNESDAY, Feb. 5, 2020 (HealthDay News) -- Using negotiated prices and a defined formulary, similar to the Department of Veterans Affairs (VA), Medicare could save billions of dollars on prescription insulin for patients with diabetes, according to a research letter published online Feb. 3 in JAMA Internal Medicine.

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Cigarette Use Down, E-Cigarette Use Up Among Teens

MONDAY, Feb. 3, 2020 (HealthDay News) -- Cigarette use is dropping among teens, but electronic cigarette use is on the rise, according to a study published online Feb. 3 in Pediatrics.

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