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

Exercise, Therapy May Improve Depression, Diabetes Outcomes

FRIDAY, May 31, 2019 (HealthDay News) — Exercise and/or behavioral treatment interventions may provide clinically meaningful improvements in depression outcomes in adults with type 2 diabetes (T2DM) and major depressive disorder (MDD), according to a study published online May 21 in Diabetes Care.

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More Steps Tied to Lower Death Risk in Older Women

THURSDAY, May 30, 2019 (HealthDay News) — More steps taken per day are associated with lower mortality rates among older women, according to a study published online May 29 in JAMA Internal Medicine.

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High Costs Associated With Physician Burnout in U.S.

THURSDAY, May 30, 2019 (HealthDay News) — High costs are associated with physician turnover and reduced clinical hours attributed to burnout, according to a study published online May 28 in the Annals of Internal Medicine.

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Recent Plateauing Seen in Prevalence of Diagnosed Diabetes

WEDNESDAY, May 29, 2019 (HealthDay News) — The prevalence of diagnosed diabetes has plateaued during the last eight years, while the incidence has declined, according to a study published online May 28 in BMJ Open Diabetes Research & Care.

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Reading Visit Notes May Improve Medication Management

WEDNESDAY, May 29, 2019 (HealthDay News) — Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients, according to a brief research report published online May 28 in the Annals of Internal Medicine.

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Hip Fracture Linked to Increased Risk for Death in T2DM Patients

WEDNESDAY, May 29, 2019 (HealthDay News) — For patients with type 2 diabetes, hip fracture is associated with an increased risk for death, according to a study published online May 21 in the Journal of Diabetes Investigation.

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Meds for Weight Management Underutilized Among Veterans

TUESDAY, May 28, 2019 (HealthDay News) — Weight management medications (WMM) are underutilized among veterans, according to a study published online May 15 in Obesity.

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Suboptimal BP, Fasting Glucose Tied to Atrioventricular Block

TUESDAY, May 28, 2019 (HealthDay News) — Suboptimal blood pressure and fasting glucose levels are associated with atrioventricular (AV) block, according to a study published online May 24 in JAMA Network Open.

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T2DM Is Risk Factor for Liver Fibrosis Progression in NAFLD

FRIDAY, May 24, 2019 (HealthDay News) — Type 2 diabetes mellitus (T2DM) is a risk factor for progression of liver fibrosis in patients with nonalcoholic fatty liver disease (NAFLD), according to a study published online May 21 in the Journal of Gastroenterology and Hepatology.

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Poor Glycemic Control Linked to Sarcopenia in T2DM

FRIDAY, May 24, 2019 (HealthDay News) — For patients with type 2 diabetes, poor glycemic control is associated with sarcopenia, according to a study published online May 9 in the Journal of Diabetes Investigation.

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U.S. Incidence of Pediatric Thyroid Cancer on the Rise

FRIDAY, May 24, 2019 (HealthDay News) — From 1973 to 2013, there was an increase in the incidence rates of pediatric thyroid cancer, with marked increases from 2006 to 2013, according to a study published online May 23 in JAMA Otolaryngology-Head & Neck Surgery.

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Volume Overload Present in Patients on Peritoneal Dialysis

THURSDAY, May 23, 2019 (HealthDay News) — Volume overload is present before the start of peritoneal dialysis (PD), and is associated with risk of death, according to a study published online May 23 in the Clinical Journal of the American Society of Nephrology.

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Medication Nonadherence Common in Patients With T2DM

THURSDAY, May 23, 2019 (HealthDay News) — Routine urine samples can be used to test for medication adherence in patients with type 2 diabetes, according to a study published in the June issue of Diabetes Care.

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CDC: Seniors Use Various Strategies to Reduce Rx Costs

WEDNESDAY, May 22, 2019 (HealthDay News) — A proportion of older adults employ strategies to reduce prescription drug costs, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Half-Price Version of Humalog Insulin Now Available

WEDNESDAY, May 22, 2019 (HealthDay News) — A half-price version of Humalog insulin is now available in the United States, Eli Lilly said Wednesday.

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Adverse Liver Outcomes Up With Diagnosis of NAFLD/NASH

WEDNESDAY, May 22, 2019 (HealthDay News) — The risks for cirrhosis and hepatocellular carcinoma (HCC) are increased for patients with a recorded diagnosis of nonalcoholic fatty liver disease (NAFLD)/nonalcoholic steatohepatitis (NASH), according to a study published online May 20 in BMC Medicine.

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Vitamin D Deficiency Tied to Gestational Diabetes Risk

WEDNESDAY, May 22, 2019 (HealthDay News) — Maternal vitamin D deficiency, as early as the first trimester of pregnancy, is associated with an increased risk for gestational diabetes mellitus (GDM), according to a study recently published in Diabetes, Obesity and Metabolism.

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Bill Would Raise U.S. Legal Age to Buy Tobacco to 21

TUESDAY, May 21, 2019 (HealthDay News) — A bill to raise the minimum age for buying any type of tobacco product, including electronic cigarettes, from 18 to 21 years was introduced Monday by Senate Majority Leader Mitch McConnell.

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Higher Consumption of Sugary Drinks May Up Mortality in Adults

TUESDAY, May 21, 2019 (HealthDay News) — Consumption of sugary beverages, including 100 percent fruit juices, is associated with higher all-cause mortality in U.S. adults, according to a study published online May 17 in JAMA Network Open.

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Fracture Risk Tool Useful for Women on Aromatase Inhibitors

TUESDAY, May 21, 2019 (HealthDay News) — The FRAX fracture risk tool can stratify fracture risk equally well among women receiving aromatase inhibitor (AI) therapy for breast cancer and nonusers of AI therapy, according to a study published online May 9 in the Journal of Bone and Mineral Research.

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Clinical Drug Diversion Costly to Health Care Organizations

TUESDAY, May 21, 2019 (HealthDay News) — U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018, according to the 2019 Drug Diversion Digest, released by Protenus Inc.

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Private Insurers Pay 241 Percent of What Medicare Would Pay

FRIDAY, May 17, 2019 (HealthDay News) — Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid, with wide variation in prices among states, according to a report published by the RAND Corporation.

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Many Lives Could Be Saved if All Hospitals Had Grade A Rating

FRIDAY, May 17, 2019 (HealthDay News) — More than 50,000 lives could be saved if all hospitals had an avoidable death rate equivalent to “A” grade hospitals, according to an updated report prepared for The Leapfrog Institute.

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Sleep Duration Tied to Adverse Measures of Glycemia

FRIDAY, May 17, 2019 (HealthDay News) — Self-reported short and long sleep are both associated with adverse measures of glycemia among adults with prediabetes, according to a study published online May 10 in Diabetes Care.

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Recs Updated for TB Screening, Treatment in Health Care Workers

THURSDAY, May 16, 2019 (HealthDay News) — Guidelines have been updated for screening and treatment for tuberculosis (TB) infection among health care personnel, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Two-Thirds of Sunscreens Fail Safety Tests

WEDNESDAY, May 15, 2019 (HealthDay News) — Nearly two-thirds of sunscreens that were analyzed failed safety tests proposed by the U.S. Food and Drug Administration, the Environmental Working Group said Wednesday.

CNN Article

Thyroid Hormones Not Endorsed for Subclinical Hypothyroidism

WEDNESDAY, May 15, 2019 (HealthDay News) — Thyroid hormones are not recommended for adults with subclinical hypothyroidism (SCH), according to an article published online May 14 in The BMJ.

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Taxing Sweetened Beverages Reduces Volume Sold

TUESDAY, May 14, 2019 (HealthDay News) — Implementation of a beverage excise tax on sugar-sweetened and artificially sweetened beverages in Philadelphia in January 2017 was associated with a reduction in the volume of beverages sold, according to a study published in the May 14 issue of the Journal of the American Medical Association.

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Late-Onset Type 1 Diabetes Often Misdiagnosed as Type 2

TUESDAY, May 14, 2019 (HealthDay News) — Type 1 diabetes diagnosed in those older than age 30 years is clinically and biologically similar to disease occurring at younger ages but is often misidentified, according to a study recently published in Diabetologia.

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Patients Find Note Reading Important for Health Management

MONDAY, May 13, 2019 (HealthDay News) — Patients find note reading important for their health management and are rarely troubled by what they read, according to a study published in the May issue of the Journal of Medical Internet Research.

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Fournier Gangrene Is Safety Concern With SGLT2 Inhibitors

MONDAY, May 13, 2019 (HealthDay News) — Fournier gangrene (FG) is a safety concern for adults with diabetes receiving treatment with sodium-glucose cotransporter-2 (SGLT2) inhibitors, according to a study published online May 7 in the Annals of Internal Medicine.

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Low-Calorie Sweetened Drinks Do Not Cut Calories in Children

MONDAY, May 13, 2019 (HealthDay News) — Children and teens who drink low-calorie sweetened beverages (LCSB) do not save calories versus those who drink sugary drinks, according to a study published online May 2 in Pediatric Obesity.

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Health Professionals Supportive of Medicinal Cannabis

FRIDAY, May 10, 2019 (HealthDay News) — Health professionals are generally supportive of medicinal cannabis use but report a lack of knowledge about its use, according to a review published online May 6 in PLOS ONE.

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Doctors Aware of Patient Difficulties Affording Medical Care

FRIDAY, May 10, 2019 (HealthDay News) — Physicians are aware of patients’ difficulty with affording medical care and consider out-of-pocket costs in their decision making, according to an article published in a supplement to the May 7 issue of the Annals of Internal Medicine.

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2018 Saw More Employed Physicians Than Self-Employed

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, employed physicians outnumbered self-employed physicians, according to a report from the American Medical Association (AMA).

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CDC: Uninsurance Levels Did Not Change Significantly in 2018

THURSDAY, May 9, 2019 (HealthDay News) — In 2018, the percentage of U.S. individuals who were uninsured was not significantly different from the numbers in 2017, although uninsurance increased among adults aged 45 to 64 years, according to a report published online May 9 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Risk for Cancer Increased in Men, Women With T2DM

THURSDAY, May 9, 2019 (HealthDay News) — Men and women with type 2 diabetes (T2D) have an increased risk for overall cancer and some site-specific cancers, according to a study published online May 9 in the Journal of Diabetes.

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Prices Will Soon Be Included in TV Drug Ads

WEDNESDAY, May 8, 2019 (HealthDay News) — In response to public demands for action to control drug costs, the top U.S. health official says TV advertisements for prescription drugs will soon have to include prices.

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In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs

WEDNESDAY, May 8, 2019 (HealthDay News) — In 2015 to 2016, 45.8 percent of the U.S. population used prescription drugs within the past 30 days, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).

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Low Glucose Levels at Hospital Discharge Tied to Poor Outcomes

WEDNESDAY, May 8, 2019 (HealthDay News) — Patients with diabetes who have hypoglycemia or near-normal glucose values during the last day of hospitalization have higher rates of 30-day readmission and postdischarge mortality, according to a study published online May 1 in the Journal of Clinical Endocrinology & Metabolism.

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Efforts Needed to Ensure Publication of All Trials

TUESDAY, May 7, 2019 (HealthDay News) — Efforts are needed to ensure all completed large trials are reported, according to a research letter published online May 7 in the Annals of Internal Medicine.

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External Reference Pricing Could Cut Drug Costs in U.S.

TUESDAY, May 7, 2019 (HealthDay News) — The average price for single-source brand-name drugs is higher in the United States than in other countries, indicating that external reference pricing could reduce costs, according to a study published in the May issue of Health Affairs.

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Observation Feasible Strategy for Some Eyes With Diabetic Macular Edema

FRIDAY, May 3, 2019 (HealthDay News) — For eyes with center-involved diabetic macular edema (CI-DME) and good visual acuity, vision loss does not differ after initial management with aflibercept versus laser photocoagulation or observation, according to a study published online April 29 in the Journal of the American Medical Association.

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More Than Half of U.S. Adults Have Medical Financial Hardship

FRIDAY, May 3, 2019 (HealthDay News) — Medical financial hardship affects more than half of adults in the United States, according to a study published online May 1 in the Journal of General Internal Medicine.

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Prepregnancy Folate Intake Linked to Reduced Risk for GDM

THURSDAY, May 2, 2019 (HealthDay News) — Higher prepregnancy habitual folate intake from supplements is associated with a lower risk for gestational diabetes mellitus (GDM), according to a study published online April 22 in Diabetes Care.

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