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Top stories in endocrinology: American Diabetes Association updated standards include SGLT2 inhibitors, continuous glucose monitoring; exercise prevents bone loss after bariatric surgery

Among the top stories in endocrinology last week were the American Diabetes Association updating its care standards to include guidance on continuous glucose monitoring and the use of GLP-1 receptor agonists and SGLT2 inhibitors and a study that found exercise prevented bone loss after bariatric surgery.

Other highlights included findings that suggested young children with type 1 diabetes who adhere to a routine eating pattern and receive insulin before meals are more likely to achieve glycemic targets than children who snack throughout the day, a study that found alternate-day fasting lowered levels of fasting insulin and insulin resistance to a greater degree than calorie restriction among adults with overweight or obesity and insulin resistance and a study that suggested monthly lifestyle counseling may reduce cardiovascular and mortality risks for patients with diabetes.

American Diabetes Association incorporates liraglutide approval, continuous glucose monitoring targets in revised standards

The American Diabetes Association added guidance on continuous glucose monitoring and the use of GLP-1 receptor agonists and SGLT2 inhibitors in its latest update to its Standards of Medical Care in Diabetes, according to a press release. Read more.

Exercise prevents bone loss after bariatric surgery

Women with severe obesity who underwent Roux-en-Y gastric bypass surgery followed by a 6-month exercise program did not experience the bone loss observed in similar women who underwent gastric bypass followed by standard care, according to findings published in The Journal of Clinical Endocrinology & Metabolism. Read more.

Alternate-day fasting cuts insulin levels, resistance in half

Alternate-day fasting lowered levels of fasting insulin and insulin resistance to a greater degree than calorie restriction among adults with overweight or obesity and insulin resistance, according to findings published in Obesity. Read more.

Routine mealtimes, preprandial insulin help children with type 1 diabetes achieve glycemic targets

Young children with type 1 diabetes who adhere to a routine eating pattern and receive insulin before meals are more likely to achieve glycemic targets than children who snack throughout the day, according to findings published in BMJ Open Diabetes Research & Care. Read more.

Monthly lifestyle counseling may reduce cardiovascular, mortality risks for patients with diabetes

Adults with diabetes who took part in monthly lifestyle counseling appeared to reduce their risks for cardiovascular events and all-cause mortality compared with those who did not undergo regular counseling, according to findings published in Diabetes Care. Read more.