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

Panel Votes Yes to Current Level of Red, Processed Meat Intake

MONDAY, Sept. 30, 2019 (HealthDay News) — An international panel suggests that adults continue their current levels of consumption of red or processed meat based on evidence from five systematic reviews published online Oct. 1 in the Annals of Internal Medicine.

Clinical Guideline
Review 1
Review 2
Review 3
Review 4
Review 5
Editorial

DPP4 Inhibitors Do Not Up Risk of Inflammatory Bowel Disease

FRIDAY, Sept. 27, 2019 (HealthDay News) — Short-term use of a dipeptidyl peptidase 4 inhibitor (DPP4i) for the treatment of diabetes does not increase the risk of inflammatory bowel disease (IBD), according to a study published online Aug. 30 in Diabetes Care.

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Average Annual Premium for Workers Increased in 2019

THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.

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Primary Care Use Aids Patients With Diabetes and Coexisting Psych Disorders

THURSDAY, Sept. 26, 2019 (HealthDay News) — For patients with mental health (MH) or substance use (SU) disorders with newly diagnosed diabetes, primary care engagement may offer moderate health benefits, according to a study published online Sept. 25 in JAMA Network Open.

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Racial/Ethnic Disparities in Mortality Persist in the U.S.

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.

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Quality of Carbohydrates, Protein Has Improved in U.S. Diet

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — From 1999 to 2016, the percentage of energy intake from low-quality carbohydrates decreased and that from high-quality carbohydrates and plant protein increased, according to a study published in the Sept. 24 issue of the Journal of the American Medical Association.

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ACA Provided Care to 1.9 Million People With Diabetes

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — The Affordable Care Act (ACA) provided care to an estimated 1.9 million people with diabetes, according to a research letter published online Sept. 23 in Diabetes Care.

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Percentage of Women in Internal Med Residencies Increasing

TUESDAY, Sept. 24, 2019 (HealthDay News) — From 1999 to 2016, the percentage of women in internal medicine residencies increased, but the percentage in subspecialty fellowships decreased, according to a research letter published online Sept. 23 in JAMA Internal Medicine.

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Hurricanes Up Mortality Risk for Seniors With Diabetes

TUESDAY, Sept. 24, 2019 (HealthDay News) — Living through a hurricane increases both the short- and long-term risk for death among seniors with diabetes, according to a study published online Sept. 23 in Diabetes Care.

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Nut Consumption Tied to Less Annual Weight Gain, Obesity

TUESDAY, Sept. 24, 2019 (HealthDay News) — Increasing daily consumption of nuts is associated with less long-term weight gain and a lower risk for obesity in adults, according to a study published online Sept. 23 in BMJ Nutrition, Prevention & Health.

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For Seniors With T2DM, Insulin Use Up With Poor Health

TUESDAY, Sept. 24, 2019 (HealthDay News) — Among older individuals with type 2 diabetes, those with poor health have more prevalent insulin use, according to a study published online Sept. 23 in JAMA Internal Medicine.

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Protected Health Info Breaches Compromise Sensitive Data

MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.

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Higher Fat Mass May Up Risk for Major Adverse CV Events in T2DM

MONDAY, Sept. 23, 2019 (HealthDay News) — In patients with type 2 diabetes, higher fat mass is associated with a higher risk for major adverse cardiovascular events, according to a study published in the Sept. 23 issue of CMAJ, the journal of the Canadian Medical Association.

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SGLT2 Inhibitors Linked to Lower Risk for Heart Failure

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Use of sodium glucose cotransporter 2 (SGLT2) inhibitors for type 2 diabetes is associated with a reduced risk for heart failure, but not a reduced risk for major cardiovascular events, compared with use of dipeptidyl peptidase 4 (DPP4) inhibitors, according to a study published online Aug. 29 in The BMJ.

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Rates of Diabetes Higher at Lower BMIs Among Minorities

THURSDAY, Sept. 19, 2019 (HealthDay News) — Even at lower body weights, members of certain racial and ethnic-minority groups have a higher prevalence of diabetes or prediabetes than whites, according to a study published online Sept. 19 in Diabetes Care.

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House Speaker Unveils Plan to Lower Drug Costs

THURSDAY, Sept. 19, 2019 (HealthDay News) — House Speaker Nancy Pelosi has revealed a plan to lower the cost of medications for people on Medicare and those with private insurance.

AP News Article

Medical Students Not Ready to Provide Nutritional Care

THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.

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Diabetes Distress Common at Large Midwestern University

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — In a large university population, the prevalence of diabetes distress is high, and high diabetes distress levels are associated with lower diabetes quality of life (QOL) for both type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM) patients, according to a study published in the September issue of the Journal of the American Osteopathic Association.

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Gaps in Physician Knowledge, Management of Prediabetes ID’d

TUESDAY, Sept. 17, 2019 (HealthDay News) — There are considerable gaps in primary care physician (PCP) knowledge regarding risk factors that prompt screening for prediabetes and management recommendations for patients with prediabetes, according to a study published online Sept. 9 in the Journal of General Internal Medicine.

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Nine States Now Have an Obesity Rate Above 35 Percent

THURSDAY, Sept. 12, 2019 (HealthDay News) — The number of U.S. states with adult obesity rates above 35 percent reached an all-time high of nine in 2018, according to the Trust for America’s Health, the nonprofit group behind the 16th annual “State of Obesity: Better Policies for a Healthier America” report.

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Screening for Opioid-Related Low Testosterone Underused

THURSDAY, Sept. 12, 2019 (HealthDay News) — More men with long-term opioid use are screened for low testosterone than men taking opioids for a short period of time; however, given the known link between opioid use and low testosterone, these rates were still lower than expected, according to a study published in the September issue of Mayo Clinic Proceedings: Innovations, Quality & Outcomes.

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Incidence of T2DM Rising in Fewer Populations Since 2006

THURSDAY, Sept. 12, 2019 (HealthDay News) — Since 2006, the incidence of type 2 diabetes has continued to rise in a minority of populations, with decreasing incidence in more than one-third of populations, according to a review published online Sept. 11 in The BMJ.

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Editorial

EPA to Phase Out Chemical Testing on Mammals

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.

The New York Times Article
More Information: EPA

Insulin Pump Therapy Use Has Increased Since 1995

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Insulin pump usage has increased since 1995, especially among patients aged younger than 15 years, according to a study published online Sept. 5 in Diabetes Care.

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Spending Up With Treatment in Hospital-Owned Practices

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Financial integration between physicians and hospitals raises patient spending but does not impact care quality, according to a study published online Sept. 3 in the Journal of General Internal Medicine.

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Poverty Rate Drops, but Fewer Americans Have Health Insurance

TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.

The New York Times Article
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Greater Height Linked to Lower Risk for Type 2 Diabetes

TUESDAY, Sept. 10, 2019 (HealthDay News) — Greater height is associated with a lower risk for type 2 diabetes, according to a study published online Sept. 9 in Diabetologia.

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Use of Pain Reliever Tramadol May Up Risk for Hypoglycemia

MONDAY, Sept. 9, 2019 (HealthDay News) — Use of the widely prescribed opioid tramadol is associated with a greater risk for developing hypoglycemia compared with almost every other opioid, according to a study published online Aug. 28 in Scientific Reports.

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T2DM Risk Reduced by 75 Percent With Healthiest Lifestyle

MONDAY, Sept. 9, 2019 (HealthDay News) — Individuals with the healthiest lifestyle have a 75 percent reduced risk for type 2 diabetes, and those with diabetes have a lower risk for mortality, according to a review published online Sept. 4 in Diabetologia.

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Racial, Ethnic Underrepresentation Found in Med School Matriculants

FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.

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Majority of U.S. Doctors Believe ACA Has Improved Access to Care

THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.

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Position Statement Clarifies Benefits of Testosterone Therapy for Women

THURSDAY, Sept. 5, 2019 (HealthDay News) — Testosterone can be used for postmenopausal women with hypoactive sexual desire dysfunction (HSDD) but is not recommended for other symptoms or medical conditions, according to a position statement published online Sept. 2 in the Journal of Clinical Endocrinology & Metabolism.

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Menstrual Cycles More Varied Than Previously Thought

THURSDAY, Sept. 5, 2019 (HealthDay News) — Menstrual cycle length per woman is varied, and tracking physiological parameters such as basal body temperature is key to identifying fertility windows when planning pregnancy, according to a study published online Aug. 27 in npj Digital Medicine.

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Drinking Soft Drinks Tied to Higher Risk for Early Death

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — Greater consumption of soft drinks, both sugar-sweetened and artificially sweetened, is associated with a higher risk for all-cause mortality, according to a European study published online Sept. 3 in JAMA Internal Medicine.

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Low-Fat Dietary Pattern Offers Long-Term Health Benefits

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — A low-fat dietary pattern provides lasting health benefits, according to a study published in the September issue of The Journal of Nutrition.

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