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July 2020 Briefing - Diabetes & Endocrinology

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

Telemedicine Use Explodes During COVID-19 Pandemic

FRIDAY, July 31, 2020 (HealthDay News) -- The emergence of telemedicine has accelerated during the coronavirus pandemic. HD Live! sat down with Rujuta Saksena, M.D., an oncologist at Overlook Medical Center in Summit, New Jersey, and Ateev Mehrotra, M.D., associate professor of health care policy at Harvard Medical School in Boston, to discuss the future of telemedicine and its impact on health care.

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Inflammation Tied to Thyroid Dysfunction With Psoriasis

FRIDAY, July 31, 2020 (HealthDay News) -- Thyroid dysfunction in patients with psoriasis may be associated with inflammation caused by psoriasis, according to a study published online June 22 in the Journal of Dermatology.

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Survivors of Adolescent, Young Adult ALL May Suffer Late Effects

FRIDAY, July 31, 2020 (HealthDay News) -- Survivors of adolescent and young adult (AYA) acute lymphoblastic leukemia (ALL) may experience late effects, with a high incidence of subsequent endocrine disease and cardiac disease, according to a study published in the August issue of JNCI Cancer Spectrum.

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Sex Differences in Income Vary With Proportion of Male Doctors

FRIDAY, July 31, 2020 (HealthDay News) -- For surgical and nonsurgical specialists, sex differences in income vary with the proportion of male physicians in a practice, according to a study published online July 30 in The BMJ.

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Cinnamon Supplementation May Improve Blood Glucose Control

THURSDAY, July 30, 2020 (HealthDay News) -- In individuals with prediabetes, 12 weeks of cinnamon supplementation improved fasting plasma glucose (FPG) and glucose tolerance, according to a study published online July 21 in the Journal of the Endocrine Society.

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Chocolate Tied to Lower Coronary Artery Disease Risk

THURSDAY, July 30, 2020 (HealthDay News) -- Eating chocolate at least once a week is associated with a lower risk for coronary artery disease (CAD), according to a review published online July 22 in the European Journal of Preventive Cardiology.

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More Diabetic Foot Amputations Seen During COVID-19 Lockdown

WEDNESDAY, July 29, 2020 (HealthDay News) -- Patients with diabetes admitted to a tertiary care center for diabetic foot ulceration (DFU) during the COVID-19 lockdown in Italy had a more than threefold risk for amputation versus patients seen in 2019, according to a study published online July 23 in Diabetes Care.

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Decrease Seen in Products Purchased Containing Caloric Sweeteners

WEDNESDAY, July 29, 2020 (HealthDay News) -- From 2002 to 2018, there was a decrease in the volume of products purchased containing caloric sweeteners (CS) and an increase in purchases of products containing both CS and nonnutritive sweeteners (NNS), according to a study published online July 29 in the Journal of the Academy of Nutrition and Dietetics.

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Cost-Sharing Caps for Insulin Would Benefit Youth With T1D

WEDNESDAY, July 29, 2020 (HealthDay News) -- For privately insured young children and adults with type 1 diabetes, the mean annual out-of-pocket spending on insulin was $494 in 2018, and many would benefit from price caps, according to a research letter published online July 27 in JAMA Pediatrics.

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Nearly Half of Hispanics, Blacks Scared to Go to Hospital During COVID-19

WEDNESDAY, July 29, 2020 (HealthDay News) -- Hispanics and blacks are most likely to stay home if experiencing medical emergencies, like a heart attack or stroke, to avoid the risk of contracting COVID-19 at the hospital, according to a poll released by the American Heart Association (AHA).

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SGLT-2 Inhibitors May Raise Risk for Diabetic Ketoacidosis

WEDNESDAY, July 29, 2020 (HealthDay News) -- In patients with type 2 diabetes, sodium-glucose cotransporter-2 (SGLT-2) inhibitors are associated with an increased risk for diabetic ketoacidosis (DKA), according to a study published online July 28 in the Annals of Internal Medicine.

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Vertebral Fractures Up With Long-Term Delay of Denosumab

TUESDAY, July 28, 2020 (HealthDay News) -- Compared with on-time dosing, delay of denosumab by more than 16 weeks is associated with an increased risk for vertebral fractures, according to a study published online July 28 in the Annals of Internal Medicine.

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Obesity Diagnoses Up Among Hospitalized Patients in the U.S.

MONDAY, July 27, 2020 (HealthDay News) -- There was an increase in obesity diagnoses in hospitalized patients and bariatric surgeries among those diagnosed with obesity from 2011 to 2014, according to a study published online July 5 in Clinical Obesity.

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Long-Term Risk for Severe Kidney Disease High in Those With T2DM

FRIDAY, June 24, 2020 (HealthDay News) -- The long-term risk for end-stage kidney disease (ESKD) in type 2 diabetes is high and disproportionately affects those with younger onset of diabetes, according to a study published online June 15 in Diabetes Care.

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CDC Guidance Issued for Testing, Management of HCP Exposed to Hep C

FRIDAY, July 24, 2020 (HealthDay News) -- In a U.S. Centers for Disease Control and Prevention guidance report, published in the July 24 issue of Morbidity and Mortality Weekly Report, recommendations are presented for testing and clinical management of health care personnel (HCP) exposed to the hepatitis C virus (HCV).

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High Prevalence of Americans Have Conditions Linked to Severe COVID-19

THURSDAY, July 23, 2020 (HealthDay News) -- The median prevalence of any underlying medical condition that increases the risk for severe COVID-19-associated illness is 47.2 percent among residents in all 50 states and the District of Columbia, according to research published in the July 24 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Financial Health of Hospitals 'Dire' Due to COVID-19

THURSDAY, July 23, 2020 (HealthDay News) -- COVID-19 continues to cause financial peril for U.S. hospitals, according to a report released by the American Hospital Association (AHA).

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Too Much, Too Little Sleep May Up Mortality in Patients With T2DM

THURSDAY, July 23, 2020 (HealthDay News) -- In people with type 2 diabetes, sleeping more or less than seven hours/day is associated with an increased risk for all-cause and condition-specific mortality, according to a study published online July 16 in Diabetologia.

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Varenicline Strongly Recommended for Smoking Cessation

THURSDAY, July 23, 2020 (HealthDay News) -- Varenicline is strongly recommended over the patch for adult smokers hoping to quit, according to an American Thoracic Society practice guideline published online in the July 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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CDC: Former Smokers Have Higher Levels of Fair, Poor Health

WEDNESDAY, July 22, 2020 (HealthDay News) -- Smoking cessation is beneficial, but even after cessation, former smokers have worse health measures, according to a study published online July 22 in National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Even Mild Obesity Tied to Significantly Worse COVID-19 Outcomes

TUESDAY, July 21, 2020 (HealthDay News) -- Obesity is a strong, independent risk factor for poor outcomes among COVID-19 patients, according to a study published July 1 in the European Journal of Endocrinology.

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Ban on Menthol Cigarettes Might Cut Smoking Rates in the U.S.

MONDAY, July 20, 2020 (HealthDay News) -- Extending the U.S. cigarette flavor ban to include menthol products could promote smoking cessation and reduce initiation, according to a review published online July 9 in BMC Public Health.

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Prediabetes Linked to Increased Risk for Mortality, CVD

FRIDAY, July 17, 2020 (HealthDay News) -- Prediabetes is associated with an increased risk for all-cause mortality and cardiovascular disease among the general population and individuals with atherosclerotic cardiovascular disease, according to a meta-analysis published online July 15 in The BMJ.

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Flu Vaccine Cuts Cardiovascular Mortality in Adults With Diabetes

FRIDAY, July 17, 2020 (HealthDay News) -- Influenza vaccination may improve outcomes in patients with diabetes, according to a study published online July 9 in Diabetes Care.

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Being Tall for Age May Increase Child's Risk for Later Obesity

FRIDAY, July 17, 2020 (HealthDay News) -- Children who are relatively tall for their age may be at increased risk for developing obesity, according to a study published online July 7 in Obesity.

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Physical Distancing Interventions Cut Incidence of COVID-19

THURSDAY, July 16, 2020 (HealthDay News) -- Physical distancing interventions are associated with a reduced incidence of COVID-19 globally, according to a study published online July 15 in The BMJ.

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Premature Mortality Dropped With Adoption of Food Guidelines

THURSDAY, July 16, 2020 (HealthDay News) -- Adoption of national food-based dietary guidelines (FBDGs) is associated with about a 15 percent reduction in premature mortality, according to a study published online July 15 in The BMJ.

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Medication Use Linked to Weight Gain in Postmenopausal Women

WEDNESDAY, July 15, 2020 (HealthDay News) -- For postmenopausal women, antidepressants, beta-blockers, and insulin are associated with weight gain over three years, according to a study published online July 15 in Menopause.

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Global Population Anticipated to Peak in 2064

WEDNESDAY, July 15, 2020 (HealthDay News) -- The global population is anticipated to peak in 2064 and then decline to year 2100, according to a study published online July 14 in The Lancet.

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Cortisol Profile Linked to Fasting Glucose in Patients With Diabetes

WEDNESDAY, July 15, 2020 (HealthDay News) -- For individuals with diabetes, changes in cortisol are positively associated with changes in fasting glucose (FG), according to a study published online July 13 in Psychoneuroendocrinology.

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Layoffs Cost 5.4 Million Americans Their Health Insurance

TUESDAY, July 14, 2020 (HealthDay News) -- About 5.4 million Americans lost their health insurance after being laid off between February and May due to the COVID-19 pandemic, a new study shows.

The New York Times Article

Not All Food Sources of Fructose-Containing Sugars Raise Risk for MetS

TUESDAY, July 14, 2020 (HealthDay News) -- The adverse association of sugar-sweetened beverages and incident metabolic syndrome (MetS) does not extend to other major food sources of fructose-containing sugars, and yogurt, fruit, 100 percent fruit juice, and mixed fruit juice all have a protective association with MetS, according to a review published online July 9 in JAMA Network Open.

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Hyperglycemia Linked to Higher Mortality in COVID-19 Patients

TUESDAY, July 14, 2020 (HealthDay News) -- For COVID-19 patients without a previous diagnosis of diabetes, fasting blood glucose (FBG) ≥7.0 mmol/L is an independent predictor of 28-day mortality, according to a study published online July 10 in Diabetologia.

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Predicted Albumin-Creatinine Ratio Useful for CKD Screening

MONDAY, July 13, 2020 (HealthDay News) -- Predicted albumin-creatinine ratio (ACR) calculated from urine protein-creatinine ratio (PCR) or urine dipstick protein may be useful for chronic kidney disease (CKD) screening, staging, and prognosis, according to research published online July 14 in the Annals of Internal Medicine.

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Fetal, Early-Life Exposures May Impact Young Adult Bone Health

FRIDAY, July 10, 2020 (HealthDay News) -- Factors during gestation and infancy may impact bone health in young adulthood, according to a study published online July 8 in the Journal of Bone and Mineral Research.

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Glucose Levels Tied to Maternal Mortality Even Without Diabetes

FRIDAY, July 10, 2020 (HealthDay News) -- Women with an elevated hemoglobin A1c preconception may be at higher risk for severe maternal morbidity (SMM) or death during pregnancy or postpartum, according to a study recently published in PLOS Medicine.

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Electronic Health Records Fail to Detect Many Medication Errors

THURSDAY, July 9, 2020 (HealthDay News) -- There is wide variation in the safety performance of electronic health record (EHR) systems used in U.S. hospitals, according to a study recently published in JAMA Network Open.

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Higher Vitamin C, Carotenoid Intake May Lower Risk for T2DM

THURSDAY, July 9, 2020 (HealthDay News) -- Higher intakes of vitamin C and carotenoids, as well as total whole grains, are associated with a lower risk for type 2 diabetes, according to two studies published online July 8 in The BMJ.

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Newborn Iodine Status Not Tied to Congenital Hypothyroidism

THURSDAY, July 9, 2020 (HealthDay News) -- Blood iodine concentrations in newborns do not vary for infants with or without congenital hypothyroidism (CH), although they are higher in cases versus controls in the neonatal intensive care unit (NICU), according to a study published online July 7 in the Journal of Nutrition.

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2010 Healthy, Hunger-Free Kids Act Tied to Drop in Childhood Obesity

WEDNESDAY, July 8, 2020 (HealthDay News) -- Implementation of the 2010 Healthy, Hunger-Free Kids Act significantly cut childhood obesity among children living in poverty, according to a study published in the July issue of Health Affairs.

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Interruption of Sitting May Cut Acute Postprandial Response

WEDNESDAY, July 8, 2020 (HealthDay News) -- When individuals interrupt prolonged sitting with bouts of light physical activity, postprandial insulin and glucose levels are reduced, according to a study published in the June issue of Medicine & Science in Sports & Exercise.

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Excessive Sugar Tied to Fat Deposits Around Heart, Other Organs

TUESDAY, July 7, 2020 (HealthDay News) -- Long-term intake of added sugar and sugar-sweetened beverages is associated with higher pericardial adipose tissue, visceral adipose tissue, and subcutaneous adipose tissue volumes, according to a study published online June 28 in the European Journal of Preventive Cardiology.

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Mortality Risk Down With Meeting Recommended Exercise Levels

THURSDAY, July 2, 2020 (HealthDay News) -- The risk of all-cause and cause-specific mortality is reduced for adults who engage in leisure time aerobic and muscle strengthening activities at levels recommended by the 2018 physical activity guidelines, according to a study published online July 1 in The BMJ.

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Mortality Higher From AKI Versus Kidney Failure From Other Causes

THURSDAY, July 2, 2020 (HealthDay News) -- Kidney failure resulting from acute kidney injury (AKI) leads to a higher risk of death in the first six months compared to kidney failure from diabetes or other causes, according to a study published online June 17 in the Clinical Journal of the American Society of Nephrology.

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Roughly 2 Million Americans Buy Prescriptions From Outside the Country

THURSDAY, July 2, 2020 (HealthDay News) -- An estimated 1.5 percent of American adults purchase prescription medication from outside of the United States to save money, according to a study published online June 24 in JAMA Network Open.

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Low Physical Function May Up Bone Loss After Hip Fracture

THURSDAY, July 2, 2020 (HealthDay News) -- Older patients with low physical function and lower lean body mass (LBM) may be at risk for greater decline in tibia bone properties during the first year after hip fracture, according to a study published online June 9 in BMC Musculoskeletal Disorders.

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Increased Body Weight, Obesity Linked to Dementia Incidence

WEDNESDAY, July 1, 2020 (HealthDay News) -- Having increased body weight or abdominal obesity is associated with increased incidence of dementia, according to a study published online June 23 in the International Journal of Epidemiology.

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