Here are what the editors at HealthDay consider to be the most important developments in Diabetes & Endocrinology for October 2018. 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.

Link Between Statins, Non-CVD Outcomes Lacks Evidence

WEDNESDAY, Oct. 31, 2018 (HealthDay News) — There is a lack of convincing evidence for an association between statin use and non-cardiovascular disease (CVD) outcomes, according to a review published in the Oct. 16 issue of the Annals of Internal Medicine.

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Antibiotics, Acid Suppressants in Infancy May Up Obesity Risk

WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Prescription of antibiotics and acid-suppressing medications in early childhood is associated with an increased risk for obesity, according to a study published online Oct. 30 in Gut.

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Peer Support Aids Patients With T2DM, Depressive Symptoms

TUESDAY, Oct. 30, 2018 (HealthDay News) — Peer support reduces hospitalizations for diabetes patients with depressive symptoms, according to a study published online Oct. 29 in Diabetes Care.

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AMA Announces Initiative to Reinvent Physician Training

TUESDAY, Oct. 30, 2018 (HealthDay News) — The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the “Reimagining Residency” initiative, aimed at improving residency training.

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Community Health Worker Intervention Beneficial

TUESDAY, Oct. 30, 2018 (HealthDay News) — A standardized community health worker (CHW)-delivered intervention, Individual Management for Patient-Centered Targets, improves patient-perceived quality of care and reduces hospitalizations for low-income patients with chronic diseases, according to a study published online Oct. 22 in JAMA Internal Medicine.

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Many Hospitals Noncompliant With Record Request Regulations

MONDAY, Oct. 29, 2018 (HealthDay News) — Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.

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Trump Administration Announces Plan to Cut Drug Prices

FRIDAY, Oct. 26, 2018 (HealthDay News) — In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.

HHS Study
New York Times Article

Early Natural Menopause Linked to Shorter Life Expectancy

FRIDAY, Oct. 26, 2018 (HealthDay News) — Compared with women who experience normal or late menopause, women who experience early natural menopause have a shorter life expectancy and spend fewer years without type 2 diabetes (T2D), according to a study published online Oct. 8 in Menopause.

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Pace of Change Has Accelerated in Alternative Payment Models

THURSDAY, Oct. 25, 2018 (HealthDay News) — The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.

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Most Supplements Contain Prohibited Stimulants

WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine.

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White House Unveils New Insurance Option for Small Firms

TUESDAY, Oct. 23, 2018 (HealthDay News) — A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.

AP News Article
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Inadequate Reimbursement May Mar Diabetes Prevention Program

TUESDAY, Oct. 23, 2018 (HealthDay News) — The costs of delivering a new Medicare Diabetes Prevention Program (MDPP) may be higher than the expected reimbursement, according to a study published in the November issue of Medical Care.

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Percent Weight Regain Predicts Health Risks Post-Bariatric Surgery

MONDAY, Oct. 22, 2018 (HealthDay News) — Measuring the percentage of weight regained following the maximum amount of weight lost after Roux-en-Y gastric bypass (RYGB) surgery best predicts a patient’s risk for several serious health problems, according to a study published in the Oct. 16 issue of the Journal of the American Medical Association.

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Glucose Dysregulation Seen Years Before Diabetes Diagnosis

MONDAY, Oct. 22, 2018 (HealthDay News) — Individuals who develop diabetes or prediabetes have elevated fasting plasma glucose (FPG) at least 10 years before diagnosis, according to an observational study recently published in the Journal of the Endocrine Society.

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Limited Success for Changing Diet and Exercise Among Nurses

FRIDAY, Oct. 19, 2018 (HealthDay News) — Implementation of a workplace intervention to change diet and physical activity (PA) behavior was partially successful among nurses, with the ability to change both diet and PA at the same time described as challenging, according to a study recently published in the Journal of Nutrition Education and Behavior.

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Sharp Drop in U.S. Life Expectancy Rankings by 2040

THURSDAY, Oct. 18, 2018 (HealthDay News) — The United States will have the largest drop in life expectancy rankings of all high-income countries by 2040, a new study says.

CNN Article
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Mortality Due to Suicide, Alcohol, Accidents Up in Diabetes

THURSDAY, Oct. 18, 2018 (HealthDay News) — Patients with diabetes have increased mortality due to suicide, alcohol-related causes, and accidents than those without diabetes, according to a study published in the November issue of the European Journal of Endocrinology.

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Procurement Requirements Drive Interoperability in Health Care IT

THURSDAY, Oct. 18, 2018 (HealthDay News) — Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.

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Fertility Rates Down for Each Urbanization Level 2007 to 2017

WEDNESDAY, Oct. 17, 2018 (HealthDay News) — During 2007 to 2017, fertility rates decreased in the United States for each urbanization level, according to an October data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Bariatric Sx Cuts Macrovascular Complications in Obesity, T2DM

TUESDAY, Oct. 15, 2018 (HealthDay News) — For patients with severe obesity and type 2 diabetes, bariatric surgery is associated with a lower risk for macrovascular outcomes compared with not undergoing surgery, according to a study published in the Oct. 16 issue of the Journal of the American Medical Association.

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Gastric Banding, Metformin Similar for Improving Glycemia

TUESDAY, Oct. 16, 2018 (HealthDay News) — In adults with moderate obesity and either impaired glucose tolerance (IGT) or recently diagnosed mild type 2 diabetes (T2D), gastric banding and metformin are similarly effective for slowing disease progression over a two-year period, according to a study published online Oct. 3 in Diabetes Care.

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Without Medicaid Expansion, Poor Patients Forgo Medical Care

MONDAY, Oct. 15, 2018 (HealthDay News) — Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.

AP News Article

Active Pharmaceuticals ID’d in >700 Dietary Supplements

MONDAY, Oct. 15, 2018 (HealthDay News) — Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration, according to a study published online Oct. 12 in JAMA Network Open.

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Cases Show Periodic Fasting May Cut Medication Use in T2DM

MONDAY, Oct. 15, 2018 (HealthDay News) — Medically supervised, therapeutic fasting regimens can help reverse type 2 diabetes (T2D) and minimize the need for pharmacological interventions, according to a case series published online Oct. 9 in BMJ Case Reports.

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High Variability in Metabolic Measures May Up Mortality

MONDAY, Oct. 15, 2018 (HealthDay News) — High variability in metabolic parameters is associated with increased risk for mortality and cardiovascular events, according to a study published online Oct. 1 in Circulation.

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Multicomponent Intervention Can Reduce Sitting Time at Work

FRIDAY, Oct. 12, 2018 (HealthDay News) — A multicomponent intervention (Stand More At [SMArT] Work) can reduce sitting time over the short, medium, and long terms, according to a study published online Oct. 10 in The BMJ.

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Hormone Therapy Not Beneficial in Subclinical Hypothyroidism

FRIDAY, Oct. 12, 2018 (HealthDay News) — Thyroid hormone therapy is not associated with improvements in general quality of life or thyroid-related symptoms in non-pregnant adults with subclinical hypothyroidism, according to a review published in the Oct. 2 issue of the Journal of the American Medical Association.

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High Circulating Prolactin Level Inversely Linked to T2DM Risk

FRIDAY, Oct. 12, 2018 (HealthDay News) — Among U.S. women, a normally high circulating prolactin concentration is associated with a reduced risk for type 2 diabetes, according to a study published online Oct. 11 in Diabetologia.

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On a Given Day, 36.6 Percent of U.S. Adults Eat Fast Food

THURSDAY, Oct. 11, 2018 (HealthDay News) — Overall, 36.6 percent of U.S. adults consumed fast food on a given day during 2013 to 2016, according to an October data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Review: Vitamin D Does Not Appear to Prevent Fractures, Falls

THURSDAY, Oct. 11, 2018 (HealthDay News) — Vitamin D supplementation does not prevent fractures or falls or have a clinically meaningful impact on bone mineral density in pooled analyses, according to a review and meta-analysis published online Oct. 4 in The Lancet Diabetes & Endocrinology.

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Aetna-CVS Merger Approved

WEDNESDAY, Oct. 10, 2018 (HealthDay News) — A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.

The New York Times Article

ADA, EASD Issue New Recommendations for T2DM

WEDNESDAY, Oct. 10, 2018 (HealthDay News) — Recommendations for the management of type 2 diabetes have been updated, according to a consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) published online Oct. 5 in Diabetes Care.

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Childhood Obesity Persists Into Adolescence

WEDNESDAY, Oct. 10, 2018 (HealthDay News) — Greater weight gain in early childhood often carries over to overweight and obesity in adolescence, according to a study published in the Oct. 4 issue of the New England Journal of Medicine.

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Intensive BP Therapy in Diabetes May Lower Risk for CV Events

WEDNESDAY, Oct. 10, 2018 (HealthDay News) — Intensive blood pressure (BP) therapy is associated with significantly lower risk for cardiovascular events based on data reweighted to better reflect the U.S. adult population with diabetes, according to a study published in the Sept. 11 issue of the Journal of the American College of Cardiology.

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Minority Residents Experience Burdens Linked to Race/Ethnicity

TUESDAY, Oct. 9 2018 (HealthDay News) — Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open.

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Best Practices for Congenital Adrenal Hyperplasia Updated

FRIDAY, Oct. 5, 2018 (HealthDay News) — Best practices have been updated for screening and managing congenital adrenal hyperplasia (CAH) due to steroid 21-hydroxylase deficiency. The updated Endocrine Society clinical practice guideline was published online Sept. 27 in the Journal of Clinical Endocrinology & Metabolism.

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Industry-Funded Trials Often Involve Employees in Studies

FRIDAY, Oct. 5, 2018 (HealthDay News) — Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ.

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Price Hikes Noted in Small Subset of Generic Drugs

THURSDAY, Oct. 4, 2018 (HealthDay News) — A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013, according to a study published in the October issue of Health Affairs.

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Tips Provided for Budgeting in Medical Residency

THURSDAY, Oct. 4, 2018 (HealthDay News) — Medical residents should start budgeting and save for the future, according to an article published in the American Medical Association AMA Wire.

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Three-Quarters of Health Care Workers Got Flu Shot Last Year

THURSDAY, Oct. 4, 2018 (HealthDay News) — Just over three-quarters of health care personnel received a flu vaccine last season, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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High HbA1c After T1DM Diagnosis Predicts Psychiatric Comorbidity

WEDNESDAY, Oct. 3, 2018 (HealthDay News) — High average glycated hemoglobin (HbA1c) levels during the first two years after type 1 diabetes onset predict higher risk for psychiatric diagnoses, according to a study published online Sept. 29 in Diabetes Care.

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Uninsured Rate at 8.8 Percent in First Quarter of 2018

WEDNESDAY, Oct. 3, 2018 (HealthDay News) — In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier, according to a report released Aug. 29 by the National Center for Health Statistics (NCHS).

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Soft Drinks Account for One-Fifth of Youth Beverage Consumption

TUESDAY, Oct. 2, 2018 (HealthDay News) — Despite dietary recommendations, soft drinks make up about one-fifth of total beverage consumption by U.S. youth, according to a September data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).

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For Employer-Based Plans, Spending Across Services Steady

TUESDAY, Oct. 2, 2018 (HealthDay News) — Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance, according to a study published in the October issue of Health Affairs.

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Interviews Can Help Ensure Physician Candidates Fit Culture

TUESDAY, Oct. 2, 2018 (HealthDay News) — In preparing to interview to hire a new physician, practices must understand their own cultures, according to an article published in Medical Economics.

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Number of Health-Related Data Breaches Increasing

TUESDAY, Oct. 2, 2018 (HealthDay News) — The number of health data breaches has steadily increased since 2010, according to a research letter published in the Sept. 25 issue of the Journal of the American Medical Association.

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More Non-Elderly Americans Uninsured in 2017 Versus 2016

MONDAY, Oct. 1, 2018 (HealthDay News) — From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans, according to a report published by the Robert Wood Johnson Foundation.

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Genetics May Identify Type 2 Diabetes Subtypes

MONDAY, Oct. 1, 2018 (HealthDay News) — Clusters of type 2 diabetes (T2D) loci and traits have been identified, according to a study published online Sept. 21 in PLOS Medicine.

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Risk of Venous Thromboembolism Recurrence High

MONDAY, Oct. 1, 2018 (HealthDay News) — The risk of recurrence after incident venous thromboembolism is high, particularly among patients with cancer-related venous thromboembolism, according to a study published in the September issue of The American Journal of Medicine.

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