Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 68-year-old woman comes to the office for a follow-up evaluation. She has had type 2 diabetes mellitus for the past 13 years and has experienced two early-morning hypoglycemic episodes in the past 3 months.
Although her self-monitoring of fasting blood glucose levels over the past ...
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1. Newer Gene Tests Spot More Fetal Problems. Genetic microarray testing may be a better means of prenatal screening for abnormalities than karyotyping, the current standard of care.
2. Diabetes-Statin Link Hinges on Risk Factors. Higher-dose atorvastatin (Lipitor) increased the risk of new-onset diabetes compared with lower statin doses, but only among patients who already ...
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1. Weight-Loss Surgery May Not 'Cure' Diabetes. Although bariatric surgery is increasingly touted as a cure for type 2 diabetes, its remission was only temporary in about one-third of patients.
2. Grapefruit-Drug Interaction Seen With More Drugs. The number of drugs that react adversely with grapefruit is higher than previously recognized, and the interactions occur ...
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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 78-year-old man is evaluated in the hospital for poor glycemic control before undergoing femoral-popliteal bypass surgery. He has been on the vascular surgery ward for 3 weeks with a nonhealing foot ulcer.
The patient has an extensive history of arteriosclerotic cardiovascular disease, including peripheral vascular disease, and a 20-year history of type 2 diabetes ...
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1. No Healthcare Savings with ACOs. Accountable care organizations (ACOs) that improved diabetes outcomes by as much as 10% achieved minimal or no cost savings.
2. Aspirin: Protects Brain as Well as Heart. Low-dose aspirin may help forestall cognitive decline in elderly women at high cardiovascular risk.
3. Weight-Loss Drug May Work in Diabetes. ...
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1. More People Had Health Insurance Last Year. The percentage of Americans without health insurance fell from 16.3% in 2010 to 15.7% in 2011.
2. Pertussis Vax Loses Power Over Time. Protection from the five-dose childhood series of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine fades within 5 years of the last dose.
3.
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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 45-year-old woman is seen for routine follow-up. She has type 2 diabetes mellitus, diagnosed 5 years ago; initial treatment included metformin and glimepiride. A daily injection of insulin glargine was added to her regimen 1 year ago.
At present, her hemoglobin A1c value is 8.1%. Mean blood glucose values derived from the past 4 ...
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New York City’s Mayor Bloomberg has proposed a ban on the selling of sugar-containing drinks in containers larger than 16 ounces in all types of eating establishments including street vendors, movie theaters, delicatessens and even stadiums. The purpose is to limit sugar intake and theoretically help people lose weight by saving them from themselves.
The plan has received mixed reviews with some calling it a “nanny state” action. Also since a ...
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1. Sulfonylureas Up Mortality Risk in Diabetes. Diabetic patients treated with three commonly prescribed sulfonylurea drugs had a 50% higher mortality risk compared with patients treated with metformin.
2. Better Medical Homes Come at a Higher Cost. Running a better patient-centered medical home (PCMH) healthcare center may be more costly.
3. Early ADHD Treatment ...
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This series is brought to you by MedPage Today.
1. Glycemic Control Reduces CV Risk. Diabetes patients who responded to glucose-lowering treatment also improved their risk of adverse cardiovascular outcomes.
2. USPSTF: Screen All Potential Moms for Abuse. All women of childbearing age should be screened for intimate partner violence, with appropriate referrals made for those who have been abused.
3. Targeted Cancer ...
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