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March 2020 Briefing - Diabetes & Endocrinology

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

Doctors, Hospitals, Pharmacies Warned Not to Stockpile Meds

TUESDAY, March 31, 2020 (HealthDay News) -- In a joint statement released by the American Medical Association, American Pharmacists Association, and American Society of Health-System Pharmacists, the professional groups "strongly oppose" physicians, pharmacies, and hospitals prophylactically prescribing medications or purchasing excessive amounts or stockpiles of potential treatments for COVID-19.

Joint Statement

U.S. Army Opens Field Hospital in New York City

MONDAY, March 30, 2020 (HealthDay News) -- The first U.S. Army field hospital for civilian patients opened in New York City Monday and could be the first of many across the nation as it struggles with the coronavirus pandemic.

CBS News Article
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Consistent Sleep in Early Adulthood May Cut Diabetes Risk

MONDAY, March 30, 2020 (HealthDay News) -- Maintaining a consistent pattern of seven to eight hours of sleep during early to middle adulthood may lessen the risk for diabetes in women, according to a study published online March 24 in Diabetes Care.

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Moderate Maternal Fish Intake May Aid Child Metabolic Health

FRIDAY, March 27, 2020 (HealthDay News) -- Moderate fish intake during pregnancy (one to three times per week) is associated with improvements in the subsequent metabolic health of children, according to a study published online March 16 in JAMA Network Open.

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PPE Negative for SARS-CoV-2 After Patient Contact

FRIDAY, March 27, 2020 (HealthDay News) -- Samples collected from personal protective equipment (PPE) from health care workers (HCWs) caring for patients positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were negative for SARS-CoV-2, according to research published online March 26 in Infection Control & Hospital Epidemiology.

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Online Patient Portal Access Aids Diabetes Management

FRIDAY, March 27, 2020 (HealthDay News) -- Providing patients with online (computer and mobile) portal access is associated with significantly improved diabetes medication adherence and glycemic control, according to a study recently published in JAMA Network Open.

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Workers at Risk for COVID-19 Exposure Can Access Online Training

THURSDAY, March 26, 2020 (HealthDay News) -- The National Institutes of Health has launched a new website with educational resources for hospital employees, emergency first responders, and other workers at risk for exposure to COVID-19.

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National Health Spending Expected to Increase Through 2028

WEDNESDAY, March 25, 2020 (HealthDay News) -- National health expenditures are projected to increase at an average annual rate of 5.4 percent for 2019 to 2028, representing almost 20 percent of U.S. gross domestic product by 2028, according to a study published online March 24 in Health Affairs.

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Many Older Adults Receive Inpatient Diabetes Rx Intensification

WEDNESDAY, March 25, 2020 (HealthDay News) -- One in 10 older adults hospitalized for common medical conditions are discharged with intensified diabetes medications, despite the fact that nearly half are unlikely to benefit from the intensification, according to a study published online March 24 in JAMA Network Open.

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Editorial

FDA: Insulin Among Drugs Transitioned to Biological Products

TUESDAY, March 24, 2020 (HealthDay News) -- Insulin and other biologic drugs, such as human growth hormone, have now transitioned to being regulated as biological products, providing a new pathway for approval of biosimilars and interchangeable versions of these products and introducing competition into the market, the U.S. Food and Drug Administration announced Monday.

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More Steps in a Day Tied to Lower Risk for Death

TUESDAY, March 24, 2020 (HealthDay News) -- A greater number of daily steps -- 8,000 or more -- is associated with a significantly lower risk for all-cause mortality, according to a study conducted in U.S. adults published in the March 24/31 issue of the Journal of the American Medical Association.

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Early Age at Puberty Linked to Increased T2DM Risk in Men

TUESDAY, March 24, 2020 (HealthDay News) -- For men, early age at puberty is associated with an increased risk for type 2 diabetes, according to a study published online March 23 in Diabetologia.

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Tool Aids Safe Fasting for T2DM Patients Observing Ramadan

FRIDAY, March 20, 2020 (HealthDay News) -- Use of the Fasting Algorithm for Singaporeans with Type 2 Diabetes (FAST) facilitates safe intermittent fasting for patients with diabetes during Ramadan, according to a study published in the March/April issue of the Annals of Family Medicine.

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Serial Interval of COVID-19 Estimated at 3.96 Days

FRIDAY, March 20, 2020 (HealthDay News) -- The serial interval of coronavirus 2019 (COVID-19), defined as the time between a primary case and secondary case developing symptoms, is 3.96 days, according to a study published online March 19 in Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Antibiotics in First Year of Life May Up Risk for T1DM by Age 10

THURSDAY, March 19, 2020 (HealthDay News) -- Antibiotic prescriptions in the first year of life are associated with an increased risk for type 1 diabetes in childhood, according to a study published online March 4 in Diabetes Care.

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Metformin Could Reduce Obesity in Children

WEDNESDAY, March 18, 2020 (HealthDay News) -- Metformin treatment reduces some obesity measures in children, according to a review and meta-analysis published online Feb. 18 in Childhood Obesity.

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Wide Variation Seen in Screening Practices forType 2 Diabetes

WEDNESDAY, March 18, 2020 (HealthDay News) -- Diabetes screening practices vary widely and are only partially explained by patient, provider, and clinic factors, according to a study published online March 5 in Diabetes Care.

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Graphic Health Warnings Coming for U.S. Cigarette Packs

TUESDAY, March 17, 2020 (HealthDay News) -- Graphic new health warnings must appear on cigarette packages and in cigarette ads beginning next year, the U.S. Food and Drug Administration says.

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Per-Capita Medical Radiation Exposure Down in United States

TUESDAY, March 17, 2020 (HealthDay News) -- From 2006 to 2016, there was a decrease in per-capita exposure to medical radiation in the United States, according to a study published online March 17 in Radiology.

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Climate Similar in Cities With Biggest Outbreaks of COVID-19

TUESDAY, March 17, 2020 (HealthDay News) -- Cities that have experienced significant outbreaks of coronavirus 2019 (COVID-19) have similar winter climates, according to a study published online March 9 on the open-data site SSRN.

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Noncitizens Undertreated for Cardiovascular Risk Factors

TUESDAY, March 17, 2020 (HealthDay News) -- Noncitizens are undertreated for cardiovascular risk factors in the United States, according to a study published in the March issue of Circulation: Cardiovascular Quality and Outcomes.

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2009 to 2015 Saw Increase in Hyperglycemic Events

MONDAY, March 16, 2020 (HealthDay News) -- From 2009 to 2015, there were increases in diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) events among adults, according to a study published online March 11 in Diabetes Care.

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Evidence Shows Co-Occurrence, Coaggregation of Asthma, T1DM

FRIDAY, March 13, 2020 (HealthDay News) -- There is evidence for co-occurrence and coaggregation of asthma and type 1 diabetes in children and their siblings, according to a study published online March 13 in JAMA Network Open.

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All-Cause Mortality Up in Female Domestic Abuse Survivors

FRIDAY, March 13, 2020 (HealthDay News) -- Women who survive domestic abuse (DA) are more likely to have type 2 diabetes mellitus and cardiovascular disease (CVD) and to die from any cause, according to a study published in the Feb. 18 issue of the Journal of the American Heart Association.

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More U.S. Adults at High Risk for Vision Loss in 2017 Than 2002

THURSDAY, March 12, 2020 (HealthDay News) -- More U.S. adults were at high risk for vision loss in 2017 versus 2002, with an increase in the proportion unable to afford eyeglasses, according to a study published online March 12 in JAMA Ophthalmology.

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Nonglycemic Factors Up Risk for Peripheral Neuropathy in T1DM

THURSDAY, March 12, 2020 (HealthDay News) -- Several nonglycemic factors may increase the risk for the development of diabetic peripheral neuropathy (DPN) among people with type 1 diabetes (T1D), according to a study recently published in Diabetes Care.

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Advanced Features Seen in Some Adults With Small Thyroid Tumors

WEDNESDAY, March 11, 2020 (HealthDay News) -- Almost 19 percent of adult patients with papillary thyroid microcarcinoma (PTMC) present with advanced features, according to a study published online March 6 in the Journal of the American College of Surgeons.

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Genetic Risk Linked to T2DM in Women With History of GDM

WEDNESDAY, March 11, 2020 (HealthDay News) -- Among women with a history of gestational diabetes mellitus (GDM), a genetic risk score (GRS) is generally positively associated with type 2 diabetes (T2D) risk, according to a study recently published in BMJ Open Diabetes Research & Care.

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Romosozumab Added to Guideline for Management of Osteoporosis

TUESDAY, March 10, 2020 (HealthDay News) -- In an Endocrine Society guideline update, published online in the March issue of the Journal of Clinical Endocrinology & Metabolism, recommendations are presented for the use of romosozumab in the pharmacological management of osteoporosis in postmenopausal women.

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Diabetes-Related Lower-Extremity Complications Increasing

TUESDAY, March 10, 2020 (HealthDay News) -- Diabetes-related lower-extremity complications (DRLECs) are a large and increasing contributor to the global burden of disability, according to a study published online March 5 in Diabetes Care.

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2018 Health Care Spending Up Due to Higher Prices

MONDAY, March 9, 2020 (HealthDay News) -- Average employer-sponsored insurance spending rose to $5,892 per person in 2018, according to the Health Care Cost Institute annual Health Care Cost and Utilization Report.

Health Care Cost and Utilization Report

Rotavirus Vaccination, Type 1 Diabetes Not Linked in Children

MONDAY, March 9, 2020 (HealthDay News) -- Rotavirus vaccination seems not to be associated with type 1 diabetes in children, according to a study published online March 9 in JAMA Pediatrics.

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Preventive Care Service May Cut Risk for Recurrent Fractures

MONDAY, March 9, 2020 (HealthDay News) -- Hospitals' implementation of fracture liaison services (FLS) is associated with a reduced risk for recurrent fracture among older patients, according to a study published online Feb. 25 in the Journal of Bone and Mineral Research.

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Guidelines Detail Management of Liver Failure in ICU Patients

MONDAY, March 9, 2020 (HealthDay News) -- In an executive summary of a new guideline from the Society of Critical Care Medicine, published in the March issue of Critical Care Medicine, a set of evidence-based recommendations are presented for the management of liver failure in critically ill patients.

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Antioxidant Supplements Offer No Benefit in Male Infertility

FRIDAY, March 6, 2020 (HealthDay News) -- Antioxidants do not improve semen parameters or DNA integrity among men with male factor infertility, according to a study published online Feb. 25 in Fertility and Sterility.

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FDA: Cybersecurity Vulnerabilities May Affect Medical Devices

FRIDAY, March 6, 2020 (HealthDay News) -- SweynTooth cybersecurity vulnerabilities may affect medical devices, according to a U.S. Food and Drug Administration safety communication.

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Bariatric Surgery Outcomes Similar Regardless of Obesity Onset

FRIDAY, March 6, 2020 (HealthDay News) -- The treatment benefits of bariatric surgery in adults are similar regardless of early- or adult-onset obesity, according to a study recently published in Diabetes Care.

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Americans' Protein-Rich Diets May Up Heart Disease Risk

FRIDAY, March 6, 2020 (HealthDay News) -- Plant-based diets lower in sulfur amino acids (SAA) are associated with a reduced risk for cardiometabolic diseases, according to a study published online Feb. 3 in EClinicalMedicine.

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Period of 2015 to 2018 Saw Increase in Cannabis Use in Seniors

FRIDAY, March 6, 2020 (HealthDay News) -- From 2015 to 2018, there was an increase in the prevalence of cannabis use among older adults, according to a research letter published online Feb. 24 in JAMA Internal Medicine.

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Female Clinical Chairs Paid Significantly Less Than Men

THURSDAY, March 5, 2020 (HealthDay News) -- There are significant sex differences in salaries of clinical department chairs in public medical schools in the United States, according to a research letter published online March 2 in JAMA Internal Medicine.

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Antimalarials May Cut Risk for Type 2 Diabetes in Lupus Patients

THURSDAY, March 5, 2020 (HealthDay News) -- Adherence to antimalarials may offer a protective effect against type 2 diabetes mellitus (T2DM) among patients with systemic lupus erythematosus (SLE), according to a study recently published in Arthritis Care & Research.

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Racial/Ethnic Insurance Coverage Disparity Down Since ACA

WEDNESDAY, March 4, 2020 (HealthDay News) -- Since the implementation of coverage expansions associated with the Affordable Care Act (ACA), the disparities in insurance coverage related to race and ethnicity have decreased, according to a study published in the March issue of Health Affairs.

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T2DM Remission Rates Higher With RYGB Versus Sleeve Gastrectomy

WEDNESDAY, March 4, 2020 (HealthDay News) -- Most patients with type 2 diabetes mellitus (T2DM) undergoing bariatric surgery experience T2DM remission during five years of follow-up, but outcomes are superior with Roux-en-Y gastric bypass (RYGB) compared with sleeve gastrectomy (SG), according to a study published online March 4 in JAMA Surgery.

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Editorial (subscription or payment may be required)

Considerable Increase Seen in List, Net Prices of Branded Drugs

WEDNESDAY, March 4, 2020 (HealthDay News) -- From 2007 to 2018, there were substantial increases in list and net prices of branded drugs in the United States, according to a study published in the March 3 issue of the Journal of the American Medical Association.

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Editorial 1 (subscription or payment may be required)
Editorial 2 (subscription or payment may be required)

1996 to 2016 Saw Increases in U.S. Spending on Health Care

TUESDAY, March 3, 2020 (HealthDay News) -- From 1996 to 2016, there were considerable increases in U.S. spending on health care, according to a study published in the March 3 issue of the Journal of the American Medical Association.

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NICE Guidelines Presented for Management of Thyroid Disease

TUESDAY, March 3, 2020 (HealthDay News) -- In a summary of a recent guideline from the National Institute for Health and Care Excellence (NICE), published online Jan. 29 in The BMJ, recommendations are presented for the assessment and management of thyroid disease.

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Improved Oral Hygiene Tied to Lower Risk for Incident Diabetes

TUESDAY, March 3, 2020 (HealthDay News) -- Improved oral hygiene is associated with a reduced risk for new-onset diabetes in a population-based cohort from South Korea, according to a study published online March 2 in Diabetologia.

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