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Top stories in endocrinology: Risks from caffeine intake during pregnancy, strategies for managing migraines

Among the top stories in endocrinology is a new consensus statement said that while hospital protocols are needed to outline the proper use of insulin pump therapy in the impatient setting, many patients with diabetes can safely continue to use insulin pumps while hospitalized. Women with certain forms of hyperandrogenism will now be required to lower their natural testosterone level for at least 6 months prior to competing in races ranging from 400 meters to 1 mile. Other stories include consuming at least 200 mg of caffeine per day during pregnancy is associated with excess growth in infancy and overweight in childhood, migraines are more prevalent among women than men, and adults with diabetes experience increased mortality risk at both low and high HbA1c levels.

Consensus statement: More data needed on inpatient insulin pump therapy use

Hospital protocols are needed to outline the proper use of insulin pump therapy in the inpatient setting, but with careful management, many patients with diabetes can safely continue to use insulin pumps while hospitalized, according to a new consensus statement published in the Journal of Diabetes Science and Technology. Read More.

New track and field regulations to require hormone therapy for women with hyperandrogenism disorders

The international governing body for track and field sports will require women with certain forms of hyperandrogenism to lower their natural testosterone level for at least 6 months prior to competing in races ranging from 400 meters to 1 mile, according to new eligibility regulations released by the organization last week. Read More.

Maternal caffeine intake associated with excess infant growth, overweight

Women who consume at least 200 mg of caffeine per day during pregnancy are more likely to have offspring with excess growth in infancy and overweight in childhood, and the risk rises with increasing caffeine intake, according to an analysis of a Norwegian pregnancy cohort. Read More.

Managing migraine in women often means managing hormones

Prevalence of migraine among women is about three times that of men, and fluctuations in female sex hormones often play a role in the onset of the condition. Women are particularly vulnerable to migraine during the childbearing years, which are also generally the most active and demanding years of a woman’s life. Read More.

HbA1c level, variability associated with mortality risk in older adults

Among older adults with diabetes, low and high HbA1c levels, as well as the amount of variability, were each associated with increased mortality risk, according to findings reported in The Lancet Diabetes & Endocrinology. Read More.