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

CDC: Prevalence of Diabetes Has Plateaued Since 2012 for Seniors

THURSDAY, Oct. 31, 2019 (HealthDay News) — Since 2012, the prevalence of diabetes has plateaued among adults aged ≥68 years, according to research published in the Nov. 1 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Small Drop in Calories Purchased With Labeling in Restaurants

THURSDAY, Oct. 31, 2019 (HealthDay News) — Implementation of calorie labeling in a large franchise of fast food restaurants was associated with a small decrease in mean calories per transaction, according to a study published online Oct. 30 in The BMJ.

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In T2DM Patients, Anemia Tied to Diabetic Retinopathy

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — In patients with type 2 diabetes mellitus, anemia is associated with the development of diabetic retinopathy, according to a study published in the October issue of Medicine.

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Factors Tied to Pregnancy Rates in Women on Dialysis Explored

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Due to impaired fertility, pregnancy is not common in women on dialysis, but the pregnancy rate is higher than previously thought, and several factors are associated with the likelihood of pregnancy, according to a study published online Oct. 8 in the Journal of the American Society of Nephrology.

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CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Life expectancy has increased slightly in the United States, and mortality is lower than in 2007, according to a report published Oct. 30 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Hypoglycemia Increases Risk for Sudden Cardiac Arrest in T2DM

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Hypoglycemic episodes may increase the risk for ventricular arrhythmia (VA) and sudden cardiac arrest (SCA) among patients with type 2 diabetes, according to a study published online Oct. 26 in Diabetes/Metabolism Research and Reviews.

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Cancer Screening Rates Lower Among Women With Diabetes

TUESDAY, Oct. 29, 2019 (HealthDay News) — Women with diabetes have lower rates of breast, cervical, and colorectal cancer screening compared with women without diabetes, according to a review published online Oct. 24 in Diabetologia.

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Facebook Launches Preventive Health Tool

TUESDAY, Oct. 29, 2019 (HealthDay News) — A new tool designed to help guide preventive care for heart disease, cancer, and seasonal flu was launched in the United States Monday by Facebook.

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Medicaid Expansion Has Positive Effect on Diabetes Management

TUESDAY, Oct. 29, 2019 (HealthDay News) — Medicaid expansion has significant positive effects on self-reported diabetes management, with substantial improvements seen in states with large diabetes populations, according to a study published online Oct. 24 in Diabetes Care.

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Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators

MONDAY, Oct. 28, 2019 (HealthDay News) — Receiving medical care from fraud and abuse perpetrators (FAPs), subsequently excluded from Medicare, is associated with higher rates of all-cause mortality and emergency hospitalization, according to a study published online Oct. 28 in JAMA Internal Medicine.

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Physical Activity May Lower Postmenopausal Fracture Risk

MONDAY, Oct. 28, 2019 (HealthDay News) — For postmenopausal women, physical activity is associated with reduced risks for total fracture and hip fracture, according to a study published online Oct. 25 in JAMA Network Open.

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Electronic Device Use Tied to Sugar, Caffeine Intake in Teens

MONDAY, Oct. 28, 2019 (HealthDay News) — Greater electronic device use, particularly television, is linked to more consumption of added sugar and caffeine among adolescents, according to a study published online Oct. 22 in PLOS ONE.

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Cardiologist Most Represented Specialist in Diabetes Care

MONDAY, Oct. 28, 2019 (HealthDay News) — Cardiologists are the highest represented specialists among patients with diabetes, according to a research letter published online Oct. 23 in JAMA Cardiology.

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AI Model Based on US Classifies Thyroid Nodules by Genetic Risk

FRIDAY, Oct. 25, 2019 (HealthDay News) — A model developed through automated machine learning uses ultrasonographic images to classify indeterminate thyroid nodules as having low or high genetic risk, according to a study published online Oct. 24 in JAMA Otolaryngology-Head & Neck Surgery.

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Family Involvement Cuts Postop Delirium in Older Patients

FRIDAY, Oct. 25, 2019 (HealthDay News) — The Tailored, Family-Involved Hospital Elder Life Program (t-HELP) is effective in reducing postoperative delirium (POD) for older patients, according to a Chinese study published online Oct. 21 in JAMA Internal Medicine.

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Fewer Women Than Men Receive Kidney Replacement Therapy

THURSDAY, Oct. 24, 2019 (HealthDay News) — Fewer women than men receive kidney replacement therapy (KRT), according to a large European study published online Oct. 24 in the Clinical Journal of the American Society of Nephrology.

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Patients With Diabetes Still Require More Hospitalizations for Infections

WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Rates of hospitalizations for common infections requiring hospitalization remain substantially higher in adults with diabetes compared with adults without diabetes, according to a study published online Oct. 15 in Diabetes Care.

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More Choices, Lower Premiums for ACA Consumers Next Year

TUESDAY, Oct. 22, 2019 (HealthDay News) — There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act, according to the Trump administration.

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Topical Wound Oxygen Therapy Helps Heal Diabetic Foot Ulcers

MONDAY, Oct. 21, 2019 (HealthDay News) — Adjuvant cyclical pressure topical wound oxygen (TWO2) therapy, compared with sham control therapy, in addition to optimal standard of care is superior for healing chronic diabetic foot ulcers (DFUs), according to a study published online Oct. 16 in Diabetes Care.

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Artificial Pancreas Helps T1DM Patients Meet Glycemic Targets

THURSDAY, Oct. 17, 2019 (HealthDay News) — Patients with type 1 diabetes using an artificial pancreas or closed-loop system spend a greater percentage of time in a target glycemic range compared with those using a sensor-augmented insulin pump, according to a study published online Oct. 16 in the New England Journal of Medicine.

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Insurance Plans Vary in Policies for Gender-Affirming Surgeries

THURSDAY, Oct. 17, 2019 (HealthDay News) — There is great variability in coverage and medical necessity criteria for gender-affirming top surgery across insurance companies, according to a study published in the October issue of Plastic and Reconstructive Surgery.

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Tesamorelin May Aid Patients With HIV, Fatty Liver Disease

WEDNESDAY, Oct. 16, 2019 (HealthDay News) — Tesamorelin reduces liver fat content in patients with HIV and nonalcoholic fatty liver disease (NAFLD), according to a study published online Oct. 11 in The Lancet HIV.

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Boosting Testosterone Ups Women’s Athletic Performance

WEDNESDAY, Oct. 15, 2019 (HealthDay News) — Topical supplemental testosterone increases running performance and lean body mass in young, physically active women, according to a study published online Oct. 15 in the British Journal of Sports Medicine.

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Sweetened Drinks Represent Majority of Children’s Drink Sales

WEDNESDAY, Oct. 16, 2019 (HealthDay News) — None of the 34 top-selling sweetened children’s drinks meet expert recommendations for healthier drinks for children, according to Children’s Drink FACTS 2019, a new report from the Rudd Center for Food Policy & Obesity at the University of Connecticut.

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Meat Study Authors Have Financial Ties to Beef Industry

TUESDAY, Oct. 15, 2019 (HealthDay News) — The authors of a recent study downplaying the health risks of red meat have financial ties with meat producers. The international group of researchers has received funding from a university program partially backed by the beef industry, the Washington Post reported Monday.

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Black Patients With Diabetes Have Higher 30-Day Readmission Rates

TUESDAY, Oct. 15, 2019 (HealthDay News) — Black patients with diabetes have a significantly higher risk for 30-day readmission compared with other racial/ethnic groups, according to a study published online Oct. 11 in JAMA Network Open.

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Nearly 5 Million Youth Are Obese in the United States

FRIDAY, Oct. 11, 2019 (HealthDay News) — Nationwide, 4.8 million young people ages 10 to 17 years have obesity, according to the State of Childhood Obesity: Helping All Children Grow Up Healthy report published Oct. 10 by the Robert Wood Johnson Foundation.

State of Childhood Obesity: Helping All Children Grow Up Healthy

Patients With T2DM Who Have Flu More Likely to Be Hospitalized

FRIDAY, Oct. 11, 2019 (HealthDay News) — The risk for hospitalization with pandemic influenza is higher for patients with type 2 diabetes than for those without type 2 diabetes, according to a study published online Oct. 6 in the Journal of Internal Medicine.

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Patient Portal Use Has Positive Impact on Preventive Health Behaviors

FRIDAY, Oct. 11, 2019 (HealthDay News) — Patient portal use has a positive impact on preventive health behaviors, but not on chronic health outcomes, according to a study published in the October issue of the Journal of Medical Internet Research.

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Poor Glycemic Control May Up Risk for Stroke, Death in T2DM

FRIDAY, Oct. 11, 2019 (HealthDay News) — Poor glycemic control is associated with increased risks for stroke and death among patients with type 2 diabetes, according to a study published online Oct. 1 in Diabetes, Obesity and Metabolism.

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Recommendations Developed for Preventing Secondary Fractures

FRIDAY, Oct. 11, 2019 (HealthDay News) — Clinical recommendations for the prevention of secondary fractures among older adults with hip or vertebral fracture have been issued by a multi-stakeholder coalition assembled by the American Society for Bone and Mineral Research and published online Sept. 20 in the Journal of Bone and Mineral Research.

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SGLT2 Inhibitors Protect Against Kidney Disease in T2DM

THURSDAY, Oct. 10, 2019 (HealthDay News) — The class of diabetes drugs known as sodium-glucose co-transporter-2 (SGLT2) inhibitors protect against kidney disease in patients with type 2 diabetes, according to a review published online Sept. 5 in The Lancet Diabetes & Endocrinology.

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Racial, Ethnic Minorities Want to See Doctor Who Shares Their Culture

THURSDAY, Oct. 10, 2019 (HealthDay News) — Minority racial and ethnic groups are more likely to perceive the importance of seeing a health care provider who shares or understands their culture, according to a study published online Oct. 8 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Medicare Fraud-Prevention Rules to Be Revised

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.

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2000 to 2015 Saw Increase in Medicare GME Payments

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Medicare graduate medical education (GME) payments increased significantly from 2000 to 2015, according to a study published online Oct. 7 in JAMA Internal Medicine.

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Maintaining Weight Loss Cuts Cardiovascular Risk in T2DM

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Among individuals with type 2 diabetes, maintaining weight loss is better than weight regain for improving cardiometabolic risk factors, according to a study published online Oct. 9 in the Journal of the American Heart Association.

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Cost of Waste in U.S. Health System Estimated

TUESDAY, Oct. 8, 2019 (HealthDay News) — The estimated cost of waste in the U.S. health care system varies from $760 to $935 billion, according to a special communication published online Oct. 7 in the Journal of the American Medical Association.

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Burnout Linked to Poor Quality Care in Published Literature

TUESDAY, Oct. 8, 2019 (HealthDay News) — In the published literature, burnout in health care professionals is frequently associated with poor-quality care, but the effect size may be smaller than reported, according to data from a systematic review published online Oct. 8 in the Annals of Internal Medicine.

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Testosterone, Estradiol Levels May Play Role in Sex Differences in Asthma

TUESDAY, Oct. 8, 2019 (HealthDay News) — Sex hormones seem to play a role in known sex differences in asthma in adults, with the effects modified by obesity, according to a study published online Sept. 16 in the American Journal of Respiratory and Critical Care Medicine.

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Aggressive Lowering of HbA1c in T1DM Does Not Reduce Eye, Kidney Disease

TUESDAY, Oct. 8, 2019 (HealthDay News) — A glycated hemoglobin (HbA1c) target value of <6.5 percent does not offer additional protection against organ complications for patients with type 1 diabetes compared with a target of 6.5 to 6.9 percent, according to a study recently published in The BMJ.

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Increasing Intake of Any Sugary Drink Ups Diabetes Risk

MONDAY, Oct. 7, 2019 (HealthDay News) — People who increase their consumption of sweet beverages — either fruit juice or drinks with added sugars — are at greater risk over time for developing diabetes, according to a study published online Oct. 3 in Diabetes Care.

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Food Insecurity Linked to Chronic Disease in Young Adults

FRIDAY, Oct. 4, 2019 (HealthDay News) — For young adults, food insecurity is associated with chronic disease and with mental health problems, according to two studies published online Oct. 1 in the Journal of General Internal Medicine and the Journal of Adolescent Health.

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With Comorbidities, Less Than Six Hours of Sleep Ups Risk for Early Death

FRIDAY, Oct. 4, 2019 (HealthDay News) — Middle-aged adults with high blood pressure, type 2 diabetes, heart disease, or stroke could be at higher risk for cancer and early death when sleeping less than six hours per day, according to a study published online Oct. 2 in the Journal of the American Heart Association.

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Fairly Modest Weight Loss Tied to Diabetes Remission

FRIDAY, Oct. 4, 2019 (HealthDay News) — Patients with newly detected diabetes who achieve at least 10 percent weight loss within the first five years of diagnosis are more likely to have disease remission, according to a study published online Sept. 3 in Diabetic Medicine.

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Survey: Many U.S. Adults Not Planning to Get Flu Vaccine

FRIDAY, Oct. 4, 2019 (HealthDay News) — Many U.S. adults, including some at the highest risk for the flu and pneumonia, do not plan to get preventive vaccines, according to a survey conducted by NORC at the University of Chicago on behalf of the National Foundation for Infectious Diseases.

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2014 to 2018 Saw Drop in Flavored Tobacco Products in Youth

THURSDAY, Oct. 3, 2019 (HealthDay News) — From 2014 to 2018, there was a decrease in current use of one or more flavored tobacco products among youth, according to research published in the Oct. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Medicare Spends More Than $6 Billion on Secondary Fractures

WEDNESDAY, Oct. 2, 2019 (HealthDay News) — Medicare could save billions of dollars if secondary fractures could be prevented with improved osteoporosis screening, according to a new National Osteoporosis Foundation report conducted by Milliman.

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FDA: Pacemakers, Insulin Pumps Could Be Hacking Targets

TUESDAY, Oct. 1, 2019 (HealthDay News) — Medical devices that can connect to the internet might be at risk for hacking, the U.S. Food and Drug Administration warned Tuesday.

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Glycemic Control Worse Than Thought in Adults With T1DM

TUESDAY, Oct. 1, 2019 (HealthDay News) — For adults with type 1 diabetes, glycemic control may be worse than previously thought, and rates of all complications increase with increasing hemoglobin A1c (HbA1c), according to a study published online Sept. 23 in Diabetes Care.

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Food Insecurity Prevalent Among Medicare Enrollees

TUESDAY, Oct. 1, 2019 (HealthDay News) — Food insecurity is prevalent among Medicare enrollees, affecting 38.3 percent of those aged younger than 65 years, according to a research letter published online Sept. 30 in JAMA Internal Medicine.

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