Endocrine Practice

INTRODUCTION OF SOMATROGON IN PEDIATRIC GROWTH HORMONE DEFICIENCY: REAL-WORLD INSIGHTS FROM A NATIONAL SURVEY OF PEDIATRIC ENDOCRINOLOGISTS
Cohen-Sela E, Oren A, Perl L, Regev R, Becker AS, Eyal O, Mazor-Aronovitch K, Tenenbaum A, Rachmiel M, Lebenthal Y and Brener A
To characterize real-world prescribing patterns, perceived barriers, and clinician attitudes toward the recently introduced (July 2024) promising long-acting growth hormone (LAGH) somatrogon for treating pediatric growth hormone deficiency (GHD) in Israel.
An Overview of Familial Hypercholesterolemia in Children and Adolescents-The Story So Far
Strati M, Karatza A, Sinopidis X and Kostopoulou E
Familial hypercholesterolemia (FH), characterized by elevated serum cholesterol concentrations from birth onwards, is inherited in an autosomal dominant manner and is classified into heterozygous FH (HeFH) and homozygous FH.
Diabetes Collaborative Care for Young Adults: A Formative, Mixed Methods Study of a Pragmatic, Multidisciplinary Care Model for Young Adults With Diabetes in an Adult Center
Vakharia JD, Theodorakakis M, Schulte C, Shinnick D, Thaweethai T, O'Donnell E and Wexler D
Young adults with diabetes face unique challenges in care. We aimed to assess the feasibility of the Diabetes Collaborative Care for Young Adults (DCCYA), a multidisciplinary care model tailored to young adults.
Pyramidal Lobe in Total Thyroidectomy: A Prospective Study of 445 Patients with Papillary Thyroid Carcinoma
Wen L, Xu Z, Jin X, Chen S, Ruan J, Mao Z, Wang W, Teng L and Yu X
The pyramidal lobe (PL), a normal yet highly variable anatomical structure of the thyroid gland. Current literature suggests that 10% to 30% of patients undergoing total thyroidectomy (TT) exhibit residual PL tissue, which may compromise the completeness of cancer resection, hinder postoperative radioiodine therapy, and impact serum thyroglobulin levels. Notably, major guidelines from the American Thyroid Association, European Society for Medical Oncology, National Comprehensive Cancer Network lack specific recommendations regarding PL management. This study evaluates its role and necessity in TT, particularly in papillary thyroid carcinoma (PTC).
Qualitative Analysis of Caregiver and Patient Experiences with and Barriers to Medical Nutrition Therapy Utilization in Pediatric Type 1 Diabetes
Azova S, Michelson H, Williams D, Lennerz B and Garvey K
Despite recommendations by major diabetes organizations, medical nutrition therapy (MNT) in pediatric type 1 diabetes (T1D) remains underutilized. Suboptimal prandial practices and limited engagement in nutritional counseling with the diabetes care team may impact health outcomes in these youth. This study aimed to understand patient and caregiver experiences with and barriers to MNT utilization.
Real-World Evidence for Metformin Use in Solid Organ Transplant Recipients Living With Diabetes
Dotan I, Kushnir S, Shochat T and Diker Cohen T
Metformin is a widely used, safe, and effective antidiabetic agent; however, its use in solid organ transplant (SOT) recipients has been limited. We aimed to evaluate the safety and cardiovascular, renal, and metabolic outcomes associated with metformin use in a large, real-world cohort of SOT recipients living with diabetes.
Artificial Intelligence in Endocrinology: Balancing Innovation and Evidence
Lieb DC
Understanding Glycemia in the Post Discharge Period Through Blinded Continuous Glucose Monitoring
Patel R, O'Connor MY, Sabean A, Ashley A, Zheng H, Yan J, Steiner BA, Anandakugan N, Calverley M, Bartholomew R, Greaux E, Larkin M, Russell SJ, Putman MS and Flint KL
Transitions of care at hospital discharge are critical time periods for people with diabetes, but little is known about glycemia in the immediate post-discharge period.
Cardiovascular outcomes in adults with type 2 diabetes treated with tirzepatide: a systematic review and meta-analysis of real-world studies
Kamrul-Hasan ABM, Chatterjee S, Ashraf H, Nagendra L, Dutta D and Pappachan JM
Tirzepatide shows benefits on cardiovascular (CV) parameters and major adverse cardiovascular events (MACE) in clinical trials, but real-world data, especially for type 2 diabetes (T2D), are limited. This systematic review and meta-analysis seeks to address this gap.
The Impact of Weight on Insulin-like Growth Factor-1 Levels in Short-Statured Children Treated With Growth Hormone
Zilberberg KS, Yackobovitch-Gavan M, Tenenbaum A, Legmann LT, Lazar L, Phillip M and Oron T
To examine how weight status influences insulin-like growth factor-1 (IGF-1) levels and growth outcomes in short statured children treated with growth hormone (GH) for GH deficiency or idiopathic short stature.
Feasibility and Safety Clinical Study of a Novel Technique for Simultaneous Bilateral Adrenal Vein Sampling via Right Elbow Venous Access: A Prospective Clinical Study
Li Q, Lu J, Wang Q, Ma W, Yu M, Li L, Wen J, Shen S, Wu J, Jin Y, Li Y, Zhang L, Chen X, Wang C, Xing H and Shen L
Bilateral adrenal venous sampling (AVS) is critical for accurate primary aldosteronism (PA) subtype differentiation and treatment planning; however, its complexity and invasiveness limit its widespread adoption. We tested a less invasive simultaneous bilateral AVS via right cubital vein using 2 4F MPA1 catheters to improve practicality/safety.
What Is New in the 2025 American Thyroid Association's Guidelines on Thyroid Cancer?
Haymart MR
Menopause Hormone Therapy: 30 Years of Advances and Controversies
Schwartz AM, Sweeney ME, Dolan M and Lundberg GP
Menopause hormone therapy (MHT) recommendations have changed significantly over the last 30 years. Early observational studies suggested that MHT offered broad benefits for women, including relief from menopausal symptoms, improved genitourinary health, prevention of osteoporosis, and reduction in cardiovascular disease. As randomized controlled trials were conducted to validate these findings, new evidence emerged that led to shifts in guidance from medical societies and sharp declines in MHT prescriptions.
Prevalence of Hypercortisolism in Hypertension and Its Link to Carotid Atherosclerosis Markers
Musolino A, Parazzoli C, Delle Donne E, Favero V, Aresta C, Bilo G, Croce A, Pengo M, Parati G, Persani L, Scillitani A, Chiodini I and Morelli V
The prevalence of hypercortisolism in hypertension and its association with cardiometabolic risk in hypertensive patients remains unknown. This study investigates the prevalence of hypercortisolism and the relationship between cortisol secretion and cardiometabolic parameters in hypertensive patients.
The Face of Excess Cortisol: Clinical and Morphologic Insights Into Cushing Syndrome
Qiang J, Liu R, Lu L, Long X, Pan H, Huang J and Chen S
Cushing syndrome (CS) is characterized by excess cortisol and distinct facial features, including moon face and facial fat accumulation. However, facial fat distribution differences between CS and common obesity remain unclear. This study used 3-dimensional photogrammetry to quantify facial characteristics influenced by cortisol.
Establishment and Validation of a Nomogram for Primary Aldosteronism Patients: Using the Least Absolute Shrinkage and Selection Operator (LASSO)-Logistic Regression Model
Xu WX, Duan JH and Wu F
Primary aldosteronism (PA) is a clinical syndrome caused by endocrine disorders. This study developed a risk prediction nomogram model for patients with PA based on least absolute shrinkage and selection operator (LASSO)-logistic regression and evaluated the predictive performance of this nomogram model.
Evaluating Fluorine-18-Fluorocholine Positron Emission Tomography/Computed Tomography as a First-Line Imaging Modality for Localizing Parathyroid Adenomas in Clinical Practice: Benefits and Challenges
Rode M, Møller HR, Østergård LL and Holdgaard PC
For treatment of hyperparathyroidism, accurate detection of potential parathyroid adenomas is crucial prior to surgical removal. Fluorine-18-fluorocholine (FCH) positron emission tomography (PET)/computed tomography (CT) has emerged as an alternative to previous imaging procedures, and literature shows superior diagnostic performance. This study aimed to evaluate FCH-PET/CT as a first-line procedure for localizing potential parathyroid adenomas in a real-world setting and establish benefits and challenges of adopting this procedure.
Insulin Discontinuation in Youth With New-Onset Type 2 Diabetes Presenting With and Without Diabetic Ketoacidosis
Hao S, Westbrook AL, Sinha C, Hsia DS and Vellanki P
Heterogeneity in the clinical course of type 2 diabetes in youth presenting with and without diabetic ketoacidosis (DKA) at diagnosis is not well described. We aimed to characterize if presentation of type 2 diabetes with DKA affects rates of insulin discontinuation compared with type 2 diabetes without ketosis (non-DKA).
The Effect of Weight Loss and Weight Loss Interventions on Sex Hormones: An Umbrella Review of Systematic Reviews and Meta-Analyses
Nayak SS, Partheepan K, Mantena S, Misra M, De Leon G, Perali T, Chen J, Islam MA, Sedaliu T and Polisetty L
This umbrella review aims to comprehensively evaluate the effects of weight loss and various weight loss interventions, like bariatric surgery, dietary modifications, and physical activity, on sex hormone profiles in adults. The goal is to synthesize existing systematic reviews and meta-analyses to clarify the impact of different weight loss strategies on sex hormones.
Prevalence and Associated Risk Factors for Venous Thromboembolism in a Large Cohort of Patients With Cushing Disease
Garcia Pereira AJ, Batista RL, Carneiro Cunha-Neto MB, Sperling Cescato VA, Ochman da Silva G, Barisson Villares Fragoso MC, Nishimoto IN, Glezer A and Machado MC
Endogenous Cushing syndrome is associated with an intrinsic hypercoagulable state and an increased risk of venous thromboembolism (VTE). This study aimed to determine the prevalence and risk factors for VTE in a large cohort of patients with Cushing disease (CD).
A review of automated insulin delivery use in type 1 diabetes during pregnancy
Young E, Goyette AR, Alkire JF, Khachemoune NL, Bellini N and Isaacs D
This review aimed to: (i) summarize the clinical evidence for automated insulin delivery (AID) use during pregnancy in people with pregestational diabetes, (ii) provide an overview of AID systems available in the US, and (iii) offer practical tips and considerations for clinicians working with pregnant patients on these systems. We synthesized findings from all six randomized controlled trials investigating AID use in people with pregestational type 1 diabetes. Some demonstrated better glycemic outcomes in patients using AID compared to sensor-augmented pump (SAP) therapy or standard insulin therapy. Others found no significant differences. Maternal and neonatal outcomes were similar to standard care, though some studies found that AID users had reduced gestational weight gain among other improvements. We also compared the features of six AID systems and shared clinical insights on how their settings can be adjusted to better meet pregnancy-specific glycemic targets. CamAPS FX is the only FDA-cleared AID system for use in T1D pregnancy, though it is not yet available in the US. While no AID system has demonstrated the ability to meet all pregnancy-specific glycemic targets, some systems are more customizable, making it easier to achieve the tighter glycemic targets in pregnancy. In conclusion, for pregnant women using AID systems, there are strategies and workarounds to aid in achieving pregnancy-specific glycemic targets. However, no system consistently meets all targets. More research is needed to understand how AID use during pregnancy impacts maternal and fetal outcomes and patient-reported outcomes, especially for pre-existing type 2 diabetes.