shutterstock_144659519 “Your wife has gestational diabetes.” My heart stopped when my wife’s physician called to tell me this. “I want you to tell her because it’ll be easier to give it some time and let it sink in. Tell her to call me if she has any questions.” But I had questions -- about a million. Let me give some background information. I’m ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman is evaluated during a follow-up visit. She has a history of well-controlled hypertension and type 1 diabetes mellitus. She is at 16 weeks' gestation with her first pregnancy. Prior to conception she was taking lisinopril, which was discontinued in anticipation of the pregnancy, and labetalol was initiated. Other medications ...

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medpagetodayFrom MedPage Today:

  1. Delayed Autism Diagnosis Common in Primary Care. Parents with autistic children were more likely to receive a passive, rather than a proactive response from a provider when raising concerns about their children's development compared with parents whose children exhibited signs of developmental delay.
  2. MOC Watch: ABMS President Rebuts Critics. ...

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medpagetodayFrom MedPage Today:

  1. CSF Biomarker May Predict Early AD Progression. Cerebrospinal fluid (CSF) levels of a certain brain protein may be a helpful predictor of progression to Alzheimer's disease.
  2. Diabetes More Likely in Children in Stressful Homes. Children who experienced psychologically stressful events faced a greater risk of developing type 1 diabetes ...

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medpagetodayFrom MedPage Today:

  1. Can Burning the Midnight Oil Lead to Diabetes? If you tend to be a night owl, add that to the list of risk factors for developing diabetes.
  2. Experts Weigh In on IgG4 Disease. The diagnosis of IgG4-related disease (IgG4-RD) requires biopsy confirmation and should not be based on the ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 44-year-old man is evaluated during a routine examination. He is concerned about his general health and risk of diabetes mellitus. He has no medical problems. Both parents and his sister have type 2 diabetes mellitus. On physical examination, temperature is normal, blood pressure is 130/79 mm Hg, pulse rate is 66/min, and ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man is evaluated as a new patient. He was diagnosed with type 2 diabetes mellitus during a health insurance evaluation 6 months ago. At that time, metformin was initiated. Medical history is otherwise unremarkable. On physical examination, blood pressure is 145/94 mm Hg; other vital signs are normal. BMI is 29. ...

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She is always a difficult admission. The long chart review. The vague complaints. The entitled attitude. The misdirection. These are expected. As is the cake at her bedside after a diabetic crisis. The two-liter soda after an emergent fluid dialysis. The urine toxicology was positive for cocaine. The staff knows her well. I know her well. I give her the attention, kindness and empathy that I give to every patient. ...

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It’s been a long day, and you just want to decompress. My boyfriend tells me about his day. I get to hear about the insane amount of reading he has to do for graduate school, or about the occasional annoying customer he’s had to deal with at his part-time job as a bank teller. When it’s my turn to decompress, I usually gripe about a patient or two from the ...

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medpagetodayFrom MedPage Today:

  1. Diabetes Patients on BP Meds at Lower Risk. Lowering blood pressure in patients with type 2 diabetes was associated with decreased mortality risk in a meta-analysis of 40 randomized trials.
  2. ACA: Beyond 'Repeal And Replace'. Repeal and replace" has been the rallying cry for Republicans since the Affordable Care ...

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