Endocrinology News

Adults diagnosed with type 1 diabetes before age 10 years have a 30 times increased risk for coronary heart disease and acute myocardial infarction in their early adult years, with that risk more than doubling for women vs. men with the disease, according to findings published in The Lancet.

An analysis of Australian hospital data showed that the incidence of adrenal crisis in young children with congenital adrenal hyperplasia, or CAH, varied by treating hospital, with variation likely due to differences between clinicians, according to findings published in Clinical Endocrinology.

Type 1 diabetes management for children and adolescents must not be extrapolated from adult diabetes care, and providers should consider a child’s evolving developmental stages in creating an adaptive care plan to best suit his or her changing needs, according to a position statement released today by the American Diabetes Association.

An intensive behavioral intervention for children with overweight and their parents that included skills-building sessions and phone calls did not lead to changes in BMI trajectory after 3 years, whereas a smaller parenting education intervention for parents of young infants was associated with a modest reduction in BMI z score during the same period, according to findings from two studies published in JAMA.

A two-screen approach to diagnostic testing for congenital hypothyroidism, performed in newborns during the first 48 hours after birth and again at age 7 to 28 days, better identified missed cases of the disease vs. lowering the diagnostic threshold for a single test, according to an analysis published this week in the CDC’s Morbidity and Mortality Weekly Report.

A two-screen approach to diagnostic testing for congenital hypothyroidism, performed in newborns during the first 48 hours after birth and again at age 7 to 28 days, better identified missed cases of the disease vs. lowering the diagnostic threshold for a single test, according to an analysis published this week in the CDC’s Morbidity and Mortality Weekly Report.

Researchers found that the relationship between toddlers’ ability to self-regulate and their risk for obesity in later childhood differed between boys and girls. The findings, published in JAMA Pediatrics, suggest that prevention efforts aimed at obesity will have different effects based on gender.

Exposure to organophosphate and alternative brominated flame retardants is common in American households through stuffed furniture like sofas and other household objects; however, regular hand-washing and house cleaning can effectively lower concentrations of these chemicals, researchers said.

A potential new treatment for type 1 diabetes, an analysis of cardiovascular outcome trials for patients with the condition and how to treat diabetes in youth, were some of the top takeaways from this year’s American Diabetes Association meeting, according to an interview with an ADA member.

Data appearing in Pediatrics earlier this year showed that children and adults seeking long-term treatment for type 1 diabetes who followed a very-low carbohydrate diet had measures of glycemic control in the near-normal range, generally high levels of satisfaction with health and diabetes control, and low rates of hypoglycemia and other adverse events.