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

Medtronic Recalls Some Insulin Pumps Over Cybersecurity Concerns

FRIDAY, June 28, 2019 (HealthDay News) — The U.S. Food and Drug Administration announced Thursday that some high-tech insulin pumps made by Medtronic are being recalled for potential cybersecurity risks that could leave them vulnerable to hacking.

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Myocardial Perfusion PET Predicts Cardiac Death in Diabetes

FRIDAY, June 28, 2019 (HealthDay News) — Myocardial perfusion positron emission tomography (PET) imaging can improve risk prediction of cardiac death for patients with diabetes, according to a study published online June 27 in Radiology: Cardiothoracic Imaging.

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Functional Decline Seen in Many Older Adults Initiating Dialysis

FRIDAY, June 28, 2019 (HealthDay News) — For older adults initiating dialysis, many experience a decline in functional status after six months, and the prevalence of high caregiver burden increases, according to a study published online June 27 in the Clinical Journal of the American Society of Nephrology.

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Family History of Dementia Tied to Early Memory Deficits

FRIDAY, June 28, 2019 (HealthDay News) — A first-degree family history of dementia is associated with memory deficits decades before the typical onset of Alzheimer disease, according to a study published online June 18 in eLife.

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Similar CV Event Rates Seen for Generic, Brand Levothyroxine

THURSDAY, June 27, 2019 (HealthDay News) — Cardiovascular event rates are similar for patients with newly treated hypothyroidism receiving generic and brand levothyroxine (L-T4), according to a study published online April 26 in the Mayo Clinic Proceedings.

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MSSP ACOs May Not Improve Spending, Quality of Care

WEDNESDAY, June 26, 2019 (HealthDay News) — After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.

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Americans Concerned About Clinician Burnout

WEDNESDAY, June 26, 2019 (HealthDay News) — Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).

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Short-Term Walking Intervention Offers Lasting Health Benefits

WEDNESDAY, June 26, 2019 (HealthDay News) — Short-term primary care pedometer-based walking interventions can produce lasting health benefits, according to a study published online June 25 in PLOS Medicine.

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Higher Intake of Linoleic Acid May Reduce Type 2 Diabetes Risk

WEDNESDAY, June 26, 2019 (HealthDay News) — Intake of linoleic acid (LA) is inversely associated with the risk for type 2 diabetes, according to a study published in the June issue of Diabetes Care.

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Triclosan Exposure May Lower Bone Mineral Density in Women

WEDNESDAY, June 26, 2019 (HealthDay News) — Urinary triclosan (TCS) concentration is negatively associated with bone mineral density (BMD) and positively associated with osteoporosis, according to a study published online June 25 in the Journal of Clinical Endocrinology & Metabolism.

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Set of Competencies for Obesity Developed for Medical Educators

TUESDAY, June 25, 2019 (HealthDay News) — A set of competencies has been developed for medical education program directors on caring for patients with obesity, and a proposed standard of care has been developed for adults with obesity, according to two reports published online June 24 in Obesity.

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Diabetes Outcomes Similar Regardless of Primary Provider

TUESDAY, June 25, 2019 (HealthDay News) — Diabetes outcomes are similar for Veterans Affairs patients regardless of whether the primary provider is a physician, nurse practitioner (NP), or physician assistant (PA), according to a study published in the June issue of the Journal of the American Academy of Physician Assistants.

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Death From Specific Causes Up for Veterans With PTSD

MONDAY, June 24, 2019 (HealthDay News) — Among veterans with posttraumatic stress disorder (PTSD), all-cause mortality is elevated, especially death from suicide, accidental injury, and viral hepatitis, according to a study published online June 24 in the American Journal of Preventive Medicine.

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Adrenal Incidentalomas Rarely Grow, Change Hormone Function

MONDAY, June 24, 2019 (HealthDay News) — Nonfunctioning adrenal tumors (NFATs) or adenomas causing mild autonomous cortisol excess (MACE) rarely show clinically relevant changes in size or hormone function, according to research published online June 25 in the Annals of Internal Medicine.

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Anxiety With Type 2 Diabetes Tied to High-Cost Health Care Use

MONDAY, June 24, 2019 (HealthDay News) — Anxiety is independently associated with high-cost resource use among individuals with type 2 diabetes, according to a study published online June 18 in Diabetes Care.

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No Change Seen in Processed Meat Consumption by U.S. Adults

FRIDAY, June 21, 2019 (HealthDay News) — During the last 18 years, there has been no change in consumption of processed meats among U.S. adults, according to a study published online June 21 in the Journal of the Academy of Nutrition and Dietetics.

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New England Journal of Medicine Picks New Editor-in-Chief

THURSDAY, June 20, 2019 (HealthDay News) — The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.

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T2DM Risk in Offspring Up With Maternal Overweight, Obesity

THURSDAY, June 20, 2019 (HealthDay News) — Maternal obesity and overweight are associated with an increased risk for type 2 diabetes in offspring, according to a study published online June 19 in Diabetologia.

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Health Care Workers With ARIs Often Work While Symptomatic

THURSDAY, June 20, 2019 (HealthDay News) — Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.

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Risk Factors ID’d for Atrial Fibrillation With Type 1 Diabetes

THURSDAY, June 20, 2019 (HealthDay News) — Older age, cardiovascular comorbidities, and renal complications increase the risk for atrial fibrillation (AF) in patients with type 1 diabetes, according to a study published online June 6 in Diabetes Care.

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Outpatient Office Visits Increased With Access to Patient Portal

WEDNESDAY, June 19, 2019 (HealthDay News) — For patients with diabetes, use of a patient portal can increase engagement in outpatient visits, according to a study published online June 19 in PLOS ONE.

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Late-Life Diabetes Status Tied to New Cognitive Impairment

WEDNESDAY, June 19, 2019 (HealthDay News) — Having diabetes, poor glycemic control, and longer diabetes duration are associated with worse cognitive outcomes in older adults during a median follow-up of five years, according to a study recently published in Diabetes Care.

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Pediatric T1DM Medication Adherence Drops on Weekends, Holidays

TUESDAY, June 18, 2019 (HealthDay News) — For children with type 1 diabetes, medication adherence is lower during school holidays and on weekends, according to a study recently published in the Archives of Disease in Childhood.

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Patterns of Inpatient Opioid Use Linked to Long-Term Use

TUESDAY, June 18, 2019 (HealthDay News) — Specific patterns of opioid administration to opioid-naive inpatients are associated with risk for long-term use after discharge, according to a study published online June 18 in the Annals of Internal Medicine.

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FDA Approves Victoza Injection for Children 10 Years and Older

TUESDAY, June 18, 2019 (HealthDay News) — Victoza (liraglutide) injection is now approved to treat type 2 diabetes in children 10 years and older, the U.S. Food and Drug Administration announced yesterday.

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Drug Makers Challenge New Rule Requiring Drug Prices in TV Ads

MONDAY, June 17, 2019 (HealthDay News) — Three large drug makers have launched a legal challenge against the Trump administration’s rule requiring the prices of drugs to be included in television ads.

The New York Times Article

Review Suggests More Sleep May Lower Cardiometabolic Risk

MONDAY, June 17, 2019 (HealthDay News) — Increasing the length of nightly sleep may help reduce the risk for cardiovascular disease and metabolic disorders, according to a review published online June 5 in the Journal of Sleep Research.

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Recommendations Developed to Prepare Children for Camp

MONDAY, June 17, 2019 (HealthDay News) — In a policy statement issued by the American Academy of Pediatrics and published online June 17 in Pediatrics, recommendations are presented for the preparation of children for summer camps.

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High Soy Intake May Cut Fracture Risk in Younger Breast Cancer Survivors

MONDAY, June 17, 2019 (HealthDay News) — Higher soy consumption is linked to fewer osteoporotic fractures in younger breast cancer survivors, according to a study published online May 21 in JNCI Cancer Spectrum.

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Undetected Dysglycemia Linked to MI, Periodontal Disease

FRIDAY, June 14, 2019 (HealthDay News) — Undetected dysglycemia is associated with both myocardial infarction (MI) and periodontitis (PD), according to a study published online June 10 in Diabetes Care.

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Rotavirus Vaccination Tied to Lower Risk for T1DM in Children

FRIDAY, June 14, 2019 (HealthDay News) — Completion of full rotavirus vaccination appears to be associated with a reduction in the risk of type 1 diabetes in children, according to a study published online June 13 in Scientific Reports.

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CDC: Prevalence of Meeting Exercise Guidelines Recently Increased

THURSDAY, June 13, 2019 (HealthDay News) — From 2008 to 2017, there was an increase in the prevalence of meeting physical activity guidelines among adults living in rural and urban areas, according to research published in the June 14 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Increases in Red Meat Intake Linked to Increased Mortality

THURSDAY, June 13, 2019 (HealthDay News) — Increases in red meat consumption over eight years are associated with an increased mortality risk during the subsequent eight years, according to a study published online June 12 in The BMJ.

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Vitamin D, Estradiol Deficiency Have Synergistic Effect on MetS

THURSDAY, June 13, 2019 (HealthDay News) — For Chinese postmenopausal women, vitamin D (VitD) and estradiol (E2) deficiency have a synergistic effect on metabolic syndrome (MetS), according to a study published online June 10 in Menopause.

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Most Providers Unaware of Online Feedback About Themselves

WEDNESDAY, June 12, 2019 (HealthDay News) — Many health care providers in the United Kingdom have little direct experience with online feedback, rarely encourage it, and often view it as having little value for improving the quality of health services, according to a study published online June 2 in the Journal of Health Services Research & Policy.

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Nitrate Pollution of Tap Water May Cause Thousands of Cancer Cases

WEDNESDAY, June 12, 2019 (HealthDay News) — Nitrate pollution of drinking water has serious health and economic consequences, according to a study published online June 11 in Environmental Research.

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In Most Older Adults, Prediabetes Stays Stable or Improves

WEDNESDAY, June 12, 2019 (HealthDay News) — Most older adults with prediabetes remained stable or reverted back to normal blood sugar levels during a 12-year follow-up period, according to a study published online June 4 in the Journal of Internal Medicine.

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Access to Health Care Has Little Impact on Longevity

MONDAY, June 10, 2019 (HealthDay News) — Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.

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Hyperglycemia in Pregnancy May Up Risk for Obesity in Offspring

MONDAY, June 10, 2019 (HealthDay News) — Pregnancy hyperglycemia at levels below the threshold for gestational diabetes mellitus (GDM) and maternal obesity are associated with childhood obesity, according to a study recently published in PLOS ONE.

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Irregular Sleep Patterns May Increase Risk for Metabolic Syndrome

MONDAY, June 10, 2019 (HealthDay News) — Variability in sleep duration and timing is associated with higher odds of metabolic syndrome, according to a study published online June 5 in Diabetes Care.

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Individualized Care Plans Advised for T2DM With Heart Failure

FRIDAY, June 7, 2019 (HealthDay News) — Team-based care emphasizing development of individualized care plans is recommended for management of type 2 diabetes mellitus (T2DM) and heart failure, according to a scientific statement issued by the American Heart Association and Heart Failure Society of America and published online June 6 in Circulation.

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Rapid Cycling Work Roster Improves Resident Sleep Practices

THURSDAY, June 6, 2019 (HealthDay News) — A rapidly cycling work roster (RCWR) is effective in reducing weekly work hours and the occurrence of >16 consecutive-hour shifts as well as improving sleep duration of resident physicians, according to a study published online May 20 in SLEEP.

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Survey Indicates Physician Misconduct Is Underreported

THURSDAY, June 6, 2019 (HealthDay News) — Physician misconduct is being underreported and most Americans do not know where to file a complaint, according to a report published by the Federation of State Medical Boards (FSMB).

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Midlife Type 2 Diabetes May Up Later Risk for Cerebral Infarction

THURSDAY, June 6, 2019 (HealthDay News) — Midlife type 2 diabetes is associated with an increased risk for cerebral infarction and cerebral artery occlusion in late life, according to a study published online June 6 in Diabetologia.

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No Evidence of Legacy Effect Seen for Intensive Glucose Lowering

WEDNESDAY, June 5, 2019 (HealthDay News) — There seems to be no evidence of a legacy effect or mortality benefit for intensive glucose control among military veterans with type 2 diabetes, according to a study published in the June 6 issue of the New England Journal of Medicine.

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Lowering Cholesterol Levels May Worsen Nerve Damage in T2DM

WEDNESDAY, June 5, 2019 (HealthDay News) — Lowering serum cholesterol levels in patients with type 2 diabetes is associated with diabetic polyneuropathy (DPN), according to a study published online May 31 in JAMA Network Open.

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Young Male Adults Have Lower Cancer Burden Than Women

TUESDAY, June 4, 2019 (HealthDay News) — For young adults, there have been some notable findings for overall cancer incidence rates and death rates, according to a study published online May 30 in the Journal of the National Cancer Institute.

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ACP Issues Position on Response to Physician Impairment

MONDAY, June 3, 2019 (HealthDay News) — Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

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Decline in Nontraumatic Lower-Extremity Amputation Slowing

MONDAY, June 3, 2019 (HealthDay News) — Decreases in nontraumatic lower-extremity amputation (NLEA) have plateaued in recent years among adults with end-stage renal disease (ESRD) and diabetes, according to a study published online May 29 in Diabetes Care.

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