March 2019 Briefing - Diabetes & Endocrinology

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

Shorter Reproductive Span May Up Risk for Dementia in Women

FRIDAY, March 29, 2019 (HealthDay News) -- Having a shorter reproductive span is associated with an increased risk for dementia in women, according to a study published online March 28 in Neurology.

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Long-Term Phentermine Use Safe, Effective for Weight Loss

FRIDAY, March 29, 2019 (HealthDay News) -- Patients taking phentermine for weight loss for more than three months experience greater weight loss without an increased risk for incident cardiovascular disease or death, according to a study published online March 21 in Obesity.

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FDA Grants Approval for Hypogonadism Treatment

THURSDAY, March 28, 2019 (HealthDay News) -- Jatenzo (testosterone undecanoate), an oral testosterone capsule, has been approved to treat men with certain forms of hypogonadism, the U.S. Food and Drug Administration announced Wednesday.

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Frailty May Up Fracture Risk in Patients With Type 2 Diabetes

THURSDAY, March 28, 2019 (HealthDay News) -- Patients with type 2 diabetes are frailer than participants without diabetes, and frailty increases the risk for fragility fractures, according to a study published in the April issue of Diabetes Care.

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Doctors With Malpractice Claims More Likely to Leave Medicine

THURSDAY, March 28, 2019 (HealthDay News) -- Physicians with one or more paid malpractice claims are more likely to leave practice or shift into smaller practice settings, according to a study published in the March 28 issue of the New England Journal of Medicine.

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Higher Disease Burden for OA Than RA After Six Months

WEDNESDAY, March 27, 2019 (HealthDay News) -- After six months, osteoarthritis (OA) is associated with higher mean disease burden than rheumatoid arthritis (RA), according to a study published online March 20 in Arthritis & Rheumatology.

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Douglas County, Colorado, Ranked as Healthiest Community

TUESDAY, March 26, 2019 (HealthDay News) -- The 2019 healthiest community in America is Douglas County, Colorado, according to a report published online March 26 by U.S. News & World Report, in conjunction with the Aetna Foundation.

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2019 Residency Match Day Was Largest in History

MONDAY, March 25, 2019 (HealthDay News) -- The 2019 Main Residency Match was the largest in history, with a record high of 38,376 applicants for 35,185 positions, according to 2019 Match Day results released by the National Resident Matching Program.

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Policies Recommended to Reduce Sugary Drink Intake in Youth

MONDAY, March 25, 2019 (HealthDay News) -- In a joint policy statement published online March 25 in Pediatrics, the American Academy of Pediatrics and the American Heart Association have endorsed a number of public health measures designed to reduce sugary drink consumption among children and adolescents.

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Many Patients Still Employ Strategies to Reduce Prescription Drug Costs

FRIDAY, March 22, 2019 (HealthDay News) -- The number of adults reporting the use of strategies, such as requesting a lower-cost medication or not using medication as prescribed, to reduce prescription drug costs remained stable in 2015 to 2017, according to a March data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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More Vascular Risk Factors Tied to Worse Brain Health

FRIDAY, March 22, 2019 (HealthDay News) -- A higher number of vascular risk factors (VRFs) is associated with poorer brain health across gray and white matter macrostructure and microstructure, according to a study published online March 11 in the European Heart Journal.

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Statins Tied to Insulin Resistance, Higher Serum Fasting Insulin

THURSDAY, March 21, 2019 (HealthDay News) -- Individuals using statins may be at higher risk for hyperglycemia, insulin resistance, and eventually type 2 diabetes, according to a study published online March 5 in the British Journal of Clinical Pharmacology.

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Overall, Physicians Are Happy and Enjoy Their Lives

WEDNESDAY, March 20, 2019 (HealthDay News) -- Overall, physicians are happy and enjoy their lives, according to the 2019 American Academy of Family Physicians (AAFP)/CompHealth Physician Happiness Survey published online March 19.

2019 AAFP/CompHealth Physician Happiness Survey

Healthy Food Rx Could Be Cost-Effective for Medicare, Medicaid

WEDNESDAY, March 20, 2019 (HealthDay News) -- Economic incentives for healthier foods through Medicare and Medicaid could generate substantial health gains and be highly cost-effective, according to a study published online March 19 in PLOS Medicine.

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Patients With Diabetes at Increased Risk for Sleep Apnea

WEDNESDAY, March 20, 2019 (HealthDay News) -- Patients with type 2 diabetes are at increased risk for developing obstructive sleep apnea (OSA), independent of other factors, according to a study published online March 12 in Diabetes Care.

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Bluetooth Technology Enables Insulin Adherence Monitoring

TUESDAY, March 19, 2019 (HealthDay News) -- Adherence to timing and dosing of insulin injections can be objectively measured using Bluetooth-enabled pen caps, according to a study published online March 12 in Diabetes Care.

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Average of 8.8 Inactive Ingredients Found in Oral Medications

MONDAY, March 18, 2019 (HealthDay News) -- Oral forms of medications contain an average of 8.8 inactive ingredients, many of which could cause adverse reactions, according to a perspective piece published in the March 13 issue of Science Translational Medicine.

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Physician Burnout Rate Increased From 2014 to 2017

FRIDAY, March 15, 2019 (HealthDay News) -- From 2014 to 2017, there was an increase in physician burnout, with early-career physicians being the most susceptible, according to a study published online March 15 in JAMA Network Open.

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Testosterone Therapy in Hypogonadism Can Prevent Progression to T2DM

FRIDAY, March 15, 2019 (HealthDay News) -- Testosterone therapy (TTh) can prevent progression to type 2 diabetes (T2D) in men with prediabetes and hypogonadism, according to a study published online March 12 in Diabetes Care.

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E-Cigarettes May Threaten Goal of Achieving Tobacco Endgame

THURSDAY, March 14, 2019 (HealthDay News) -- There is considerable concern regarding the potential negative impact that electronic cigarettes and other new products may have on ending all tobacco use and nicotine addiction, according to a presidential advisory issued by the American Heart Association and published online March 13 in Circulation.

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Head of National Cancer Institute Named Acting FDA Commissioner

WEDNESDAY, March 13, 2019 (HealthDay News) -- The U.S. Food and Drug Administration will temporarily be overseen by the head of the National Cancer Institute when FDA Commissioner Scott Gottlieb, M.D., leaves the post next month.

AP News Article

CDC: Most Americans Report Excellent, Good Health

WEDNESDAY, March 13, 2019 (HealthDay News) -- Most Americans report having excellent or good health and have a usual place to go for medical care, according to a report published March 13 for the National Health Interview Survey Early Release Program.

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Resistance Training May Prevent Type 2 Diabetes Progression

WEDNESDAY, March 13, 2019 (HealthDay News) -- Resistance training (RT) may be a viable option for patients with prediabetes seeking to prevent or delay progression to type 2 diabetes (T2D), according to a study published online Feb. 15 in Diabetes/Metabolism Research and Reviews.

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Total Thyroidectomy Improves HRQoL in Hashimoto Thyroiditis

TUESDAY, March 12, 2019 (HealthDay News) -- For patients with Hashimoto thyroiditis with persistent symptoms despite normal thyroid gland function, total thyroidectomy, but not medical management, improves health-related quality of life and fatigue, according to a study published online March 12 in the Annals of Internal Medicine.

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CDC: Flu Season May Have Peaked

MONDAY, March 11, 2019 (HealthDay News) -- It looks like the flu season has peaked in the United States, though there has been a recent rise in the number of cases involving a more severe flu strain.

AP News Article
More Information: CDC

Moderate Muscle Strength Linked to Lower Risk for T2DM

MONDAY, March 11, 2019 (HealthDay News) -- A moderate level of muscular strength is associated with a reduced risk for type 2 diabetes, independent of estimated cardiorespiratory fitness, according to a study published online March 11 in Mayo Clinic Proceedings.

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GDM Linked to Increased Cardiovascular Event Risk Postpartum

FRIDAY, March 8, 2019 (HealthDay News) -- Women with gestational diabetes mellitus (GDM) have an increased risk fir developing cardiovascular events postpartum, according to a review published online March 7 in Diabetologia.

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Raspberries May Aid Glucose Control With Prediabetes

THURSDAY, March 7, 2019 (HealthDay News) -- Eating red raspberries may help with glucose control in people with prediabetes, according to a small study published online Feb. 14 in Obesity.

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Behavioral Intervention Ups Physical Activity in T2DM

WEDNESDAY, March 6, 2019 (HealthDay News) -- A behavioral intervention results in a sustained increase in physical activity and decrease in sedentary time among patients with type 2 diabetes, according to a study published in the March 5 issue of the Journal of the American Medical Association.

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FDA Commissioner Dr. Scott Gottlieb Resigns

TUESDAY, March 5, 2019 (HealthDay News) -- In what probably came as a surprise to many, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced his resignation on Tuesday. Gottlieb is leaving the FDA because he wants to spend more time with his wife and three young daughters -- twins aged 9 and a 5-year-old -- one official said. He currently commutes each week from the family home in Connecticut to his Washington, D.C., office.

The Washington Post Article

Heat Alerts May Come Too Late in Northern States

TUESDAY, March 5, 2019 (HealthDay News) -- Hospital admissions for heat-related health problems increase in northern states long before heat alerts are issued, and these higher admission rates occur at lower temperatures than in the South, where people are more used to heat, the Associated Press reported.

AP News Article
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Eli Lilly to Sell Cheaper Version of Insulin Drug

MONDAY, March 4, 2019 (HealthDay News) -- A cheaper version of Eli Lilly's most popular insulin drug, Humalog, is being introduced by the drug maker.

The New York Times Article

Readmission for Patients With Sepsis Common and Costly

MONDAY, March 4, 2019 (HealthDay News) -- Readmission after sepsis hospitalization is common and is associated with considerable costs, according to a study published in the March issue of CHEST.

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FDA Warns Americans Not to Buy Drugs From Canadian Company

FRIDAY, March 1, 2019 (HealthDay News) -- A large Canadian drug distributor sells unapproved and mislabeled medicines to Americans, the U.S. Food and Drug Administration warned Thursday. The distributor disputes the claim, however.

The New York Times Article
More Information: FDA

Automated Insulin System Improves Glycemic Control

FRIDAY, March 1, 2019 (HealthDay News) -- The combination of an automated guidance system for insulin titration and support from health care professionals is safe and is associated with significant improvements in glycemic control among patients with type 2 diabetes, according to a study published online Feb. 23 in The Lancet.

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