Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for November 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.
U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults
TUESDAY, Nov. 26, 2019 (HealthDay News) — U.S. life expectancy increased from 1959 to 2016 but has been decreasing since 2014, according to research published in the Nov. 26 issue of the Journal of the American Medical Association.
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Taking Multiple Fracture-Linked Meds Ups Risk for Hip Fracture
TUESDAY, Nov. 26, 2019 (HealthDay News) — The addition of a second and third fracture-associated drug (FAD) is associated with an increase in hip fracture risk, according to a study published online Nov. 13 in JAMA Network Open.
Changes in Metabolic Syndrome Status Linked to MACE Risk
TUESDAY, Nov. 26, 2019 (HealthDay News) — Recovery from metabolic syndrome (MetS) is associated with a decreased risk for major adverse cardiovascular events (MACE), while increased risk is seen in association with MetS development, according to a study published online Nov. 26 in the Annals of Internal Medicine.
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Alarm Settings of CGM Systems Impact Glucose Control in T1DM
TUESDAY, Nov. 26, 2019 (HealthDay News) — Adjusting glucose thresholds for hypoglycemia and hyperglycemia alarms in continuous glucose monitoring (CGM) can help achieve better glucose control in patients with type 1 diabetes mellitus, according to a study published online Nov. 19 in the Journal of the Endocrine Society.
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Risk for Skin Infections, Diabetes Increase With Statin Use
MONDAY, Nov. 25, 2019 (HealthDay News) — Using statins for as short a time as three months can put patients at risk for developing diabetes and skin and soft tissue infections (SSTIs), according to a study published in the November issue of the British Journal of Clinical Pharmacology.
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Most Teens Worldwide Are Not Exercising Enough
FRIDAY, Nov. 22, 2019 (HealthDay News) — The majority of adolescents worldwide do not meet current physical activity guidelines, according to a study published online Nov. 21 in The Lancet Child & Adolescent Health.
Electronic Health Record Usability Graded F by Physicians
FRIDAY, Nov. 22, 2019 (HealthDay News) — The usability of current electronic health records (EHRs) is classified as unacceptable, with physician-rated EHR usability independently linked to the odds of burnout, according to a study published online Nov. 14 in the Mayo Clinic Proceedings.
Testosterone Replacement May Benefit Younger Male Cancer Survivors
FRIDAY, Nov. 22, 2019 (HealthDay News) — Testosterone replacement is associated with an improvement in body composition among younger male cancer survivors with low-normal morning total serum testosterone, according to a study published online Nov. 12 in PLOS Medicine.
Obesity Prevalence Decreased Modestly for Children in WIC
FRIDAY, Nov. 22, 2019 (HealthDay News) — During 2010 to 2016, there were modest decreases in obesity prevalence among children aged 2 to 4 years enrolled in 73 percent of 56 Special Supplemental Nutrition Program for Women, Infants and Children (WIC) state or territory agencies, according to research published in the Nov. 22 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Employee Premiums, Deductibles Eating Larger Share of Income
THURSDAY, Nov. 21, 2019 (HealthDay News) — During the last decade, health care costs have eaten up a larger share of income for millions of middle-class Americans with employer coverage, according to Trends in Employer Health Care Coverage, 2008-2018, a Nov. 21 report from The Commonwealth Fund.
Radiation From CT Scans Linked to Thyroid Cancer, Leukemia
THURSDAY, Nov. 21, 2019 (HealthDay News) — Exposure to medical radiation from computed tomography (CT) scans is associated with an increased risk for thyroid cancer and leukemia, according to a study published online Nov. 19 in JNCI Cancer Spectrum.
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Rheumatoid Arthritis Linked to Comorbidities Before, After Diagnosis
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — There are associations between rheumatoid arthritis (RA) and multiple comorbidities before and after diagnosis, with inflammatory bowel disease, type 1 diabetes, and venous thromboembolism (VTE) occurring more often before RA diagnosis versus controls, according to a study published online Nov. 20 in the Mayo Clinic Proceedings.
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Prenatal Antidepressant Use May Up Risk for Gestational Diabetes
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Taking certain antidepressants while pregnant can increase the risk for developing gestational diabetes, according to a study recently published in The BMJ.
Weight Loss Tied to Loss of Hip Bone Density in Older Adults
WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Obese and overweight older individuals who lose weight have lower bone mineral density (BMD) in their hips, according to a study published in the November issue of Obesity.
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CDC: ~20 Percent of U.S. Adults Currently Use Tobacco Products
TUESDAY, Nov. 19, 2019 (HealthDay News) — In 2018, 19.7 percent of U.S. adults reported currently using any tobacco products, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
HbA1c Variability Linked to Cardiovascular Disease Risk
TUESDAY, Nov. 19, 2019 (HealthDay News) — For patients with newly diagnosed type 2 diabetes, visit-to-visit hemoglobin A1c (HbA1c) variability is associated with increased risks for cardiovascular disease and microvascular complications, according to a study published online Nov. 14 in Diabetes Care.
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Bipartisan Bill to Curb Drug Costs Backed by White House
MONDAY, Nov. 18, 2019 (HealthDay News) — A bipartisan Senate bill that would curb prescription drug costs is being backed by the Trump administration as a new poll shows that many Americans think the White House has done little to tackle the issue.
White House Wants Hospitals, Insurers to Provide Actual Costs of Care
MONDAY, Nov. 18, 2019 (HealthDay News) — New rules requiring hospitals and insurers to disclose the actual prices for common tests and procedures before they are performed have been proposed by the Trump Administration.
Too Few Medicare Beneficiaries With Diabetes Getting Eye Exams
FRIDAY, Nov. 15, 2019 (HealthDay News) — Nationwide, about half of Medicare fee-for-service beneficiaries with diabetes had eye exams in 2017, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Childhood Episode of Pancreatitis May Up Risk for Diabetes Later
FRIDAY, Nov. 15, 2019 (HealthDay News) — A history of a clinically resolved, single event of acute pancreatitis in childhood is associated with an increased risk for diabetes during young adulthood, according to a study published online Nov. 6 in Diabetes Care.
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Survey of U.S. Registered Nurses Points to Worsening Shortages
THURSDAY, Nov. 14, 2019 (HealthDay News) — The 2019 AMN Healthcare Survey of Registered Nurses raises concerns about the outlook for the nursing profession in the United States.
2019 Survey of Registered Nurses
WHO to Test, Approve Generic Insulin
THURSDAY, Nov. 14, 2019 (HealthDay News) — Testing and approval of generic insulin will be conducted by the World Health Organization in an attempt to combat rising prices and shortages of the drug.
Minimum Age to Buy Tobacco, E-Cigarettes Raised in NY State
THURSDAY, Nov. 14, 2019 (HealthDay News) — The minimum age to buy tobacco and electronic cigarette products in New York State is now 21.
1999 to 2016 Saw Increase in U.S. Adults Trying to Lose Weight
THURSDAY, Nov. 14, 2019 (HealthDay News) — From 1999 to 2016, there were trends for increases in measured body mass index (BMI) and weight among adults in the United States, and there was an increase in the proportion of adults attempting to lose weight, according to a study published online Nov. 13 in JAMA Network Open.
Imaging Rates Continue to Rise Despite Efforts to Reduce
WEDNESDAY, Nov. 13, 2019 (HealthDay News) — Despite initiatives to reduce the use of medical imaging, rates continue to rise in both the United States and Ontario, Canada, according to a study recently published in the Journal of the American Medical Association.
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Less Weight Regain With EHR-Based Tracking Plus Coaching
TUESDAY, Nov. 12, 2019 (HealthDay News) — An electronic health record (EHR)-based weight maintenance intervention coupled with coaching is associated with less weight regain compared with EHR-based care alone, according to a study published online Nov. 12 in the Annals of Internal Medicine.
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Testosterone Therapy Tied to Increase in Short-Term VTE Risk
TUESDAY, Nov. 12, 2019 (HealthDay News) — For men with and without hypogonadism, testosterone therapy is associated with an increased short-term risk for venous thromboembolism (VTE), according to a study published online Nov. 11 in JAMA Internal Medicine.
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Tx Choice for T2DM in Obese Teens Tied to Later Kidney Disease Risk
THURSDAY, Nov. 7, 2019 (HealthDay News) — For severely obese adolescents with type 2 diabetes (T2D), medical therapy is associated with increased odds of diabetic kidney disease (DKD) at five years compared with metabolic bariatric surgery, according to a study published online Nov. 4 in Diabetes Care.
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PSA Levels No Different With Exposure to Antidiabetes Meds
THURSDAY, Nov. 7, 2019 (HealthDay News) — Men exposed to antidiabetic medications do not have different prostate-specific antigen (PSA) levels, and prostate cancer detection rates at biopsy do not differ regardless of trigger PSA levels, according to a study published online Nov. 6 in JAMA Network Open.
Many Adult Health Problems Due to Adverse Childhood Experiences
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Preventing adverse childhood experiences could potentially prevent chronic conditions, depression, health risk behaviors, and poor socioeconomic outcomes among adults, according to research published in the Nov. 5 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Weight-Loss Counseling With Group Visits Improves HbA1c
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — The addition of intensive weight management (WM) to group medical visits (GMVs) for diabetes is noninferior for lowering hemoglobin A1c (HbA1c) levels and is associated with clinically important outcomes, according to a study published online Nov. 4 in JAMA Internal Medicine.
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Few Eligible Patients Receive Rx for Weight-Loss Medications
WEDNESDAY, Nov. 6, 2019 (HealthDay News) — Few eligible patients receive prescriptions for weight-loss medications, according to a study published online Oct. 11 in Obesity.
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Medical Practices Burdened by Regulatory Requirements
TUESDAY, Nov. 5, 2019 (HealthDay News) — The vast majority of group medical practices report that regulatory requirements, including prior authorization and quality payment programs, are burdensome, according to a survey released by the Medical Group Management Association.
Annual Regulatory Burden Survey
Seriously Ill Medicare Beneficiaries Face Financial Hardship
MONDAY, Nov. 4, 2019 (HealthDay News) — Seriously ill Medicare enrollees experience considerable financial distress, according to a report published in the November issue of Health Affairs.
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Dr. Stephen Hahn Nominated to Head FDA
MONDAY, Nov. 4, 2019 (HealthDay News) — Radiation oncology expert Stephen Hahn, M.D., has been nominated as the new U.S. Food and Drug Administration commissioner.
Type 2 Diabetes Linked to Higher Risk for Vertebral Fractures
MONDAY, Nov. 4, 2019 (HealthDay News) — Individuals with type 2 diabetes (T2D) are at higher risk for sustaining an incident vertebral fracture (VF) compared with individuals without T2D, according to a review published online Oct. 28 in Diabetes Care.
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Recommendations Developed to Address Clinician Burnout
FRIDAY, Nov. 1, 2019 (HealthDay News) — In Taking Action Against Clinician Burnout, a new report published online Oct. 23 by the National Academies of Sciences, Engineering, and Medicine, recommendations are presented to address clinician burnout.
Taking Action Against Clinician Burnout
Borderline Personality Disorder May Raise Cardiometabolic Risk
FRIDAY, Nov. 1, 2019 (HealthDay News) — Middle-aged adults with borderline personality disorder (BPD) seem to have an increased cardiometabolic risk, according to a study published online Oct. 24 in Personality Disorders: Theory, Research, and Treatment.
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