From MedPage Today:

  1. ACA Signups Hit 7 Million Mark. More than 7 million Americans -- the avowed goal for 2014 enrollment -- have signed up for coverage through the Affordable Care Act's health insurance exchanges.
  2. Mixed Results in NSCLC, SCLC Trials. Two-thirds of patients with recurrent, mutated non-small cell lung cancer (NSCLC) responded to an investigational agent that selectively targets mutant cells and spares ...

    Read more...

From MedPage Today:

  1. Ketoacidosis High in Type 1 Diabetes. The incidence of potentially dangerous diabetic ketoacidosis remains high for young patients with type 1 diabetes, but has decreased significantly for those with type 2 disease.
  2. Gout Drug Tames the Heart. Colchicine may be as effective at reducing multiple recurrences of pericarditis as it is in treating acute episodes and first recurrences.
  3. Cushing's ...

    Read more...

From MedPage Today:

  1. FDA Staff Doubts Colon Cancer Blood Test. FDA staff expressed serious reservations about using an investigational blood biomarker test as a colorectal cancer screen, citing poor specificity and unanswered questions about other purported advantages.
  2. Weight Gain Soon After Birth Tied to Diabetes Risk. New moms who add extra pounds to baby weight within a year of giving birth increase their risk ...

    Read more...

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 59-year-old woman is evaluated during a routine follow-up visit. She was recently diagnosed with type 2 diabetes mellitus and hyperlipidemia. She feels well. Medications are metformin, atorvastatin, and aspirin. Physical examination findings and vital signs are normal. BMI is 27. Laboratory studies reveal a serum creatinine level of 0.9 mg/dL (79.6 µmol/L), an ...

Read more...

From MedPage Today:

  1. The Role of NPs and PAs. What role should NPs and PAs play in a 21st century medical model?
  2. Patches Fail Smoking Test in Pregnancy. Nicotine patches were no better at increasing smoking cessation during pregnancy than a placebo.
  3. Diabetes in Pregnancy a Risk Factor for CVD. A history of gestational diabetes may be a marker for early atherosclerosis, ...

    Read more...

From MedPage Today:

  1. Bariatric Surgery Beneficial in Type 1 Diabetes. Overweight patients with type 1 diabetes may make good candidates for bariatric surgery, but unlike with type 2 disease, the procedure doesn't offer a chance of remission.
  2. Young Adults Undertreated for High BP. Primary care physicians may be dropping the ball on getting young adults with hypertension the medication they need to control their ...

    Read more...

From MedPage Today:

  1. Medicare Will Cover Rehab for CHF Patients. Medicare will cover cardiac rehabilitation services for patients with stable yet chronic heart failure.
  2. Long-Acting GLP-1: The Key to Adherence? The thinking behind long-acting GLP-1 agonists has been that fewer injections should translate to better outcomes -- particularly, better glycemic control -- because diabetic patients should be more compliant if they have to inject ...

    Read more...

As we address the issue of quality in healthcare, there is much to be learned from other industries. I believe our current approach, though, is a dangerous one, one that won’t yield the desired results. Thus far, we’ve approached quality assurance as if healing were an industrial process, a process similar to those that yield cars, air conditioners, or even cheeseburgers. But in an age where science, technology, and health policy ...

Read more...

From MedPage Today:

  1. Two More Levels to Check for Diabetes Risk? Fructosamine and glycated albumin levels could help predict risk of diabetes and microvascular complications, particularly when glycated hemoglobin (HbA1c) levels aren't reliable.
  2. ICU Infections Persist Even With Disposable ECG Wires. Single-use electrocardiogram leads didn't help prevent intensive care unit (ICU) infections compared with standard reusable ones.
  3. Hospitalization Often Avoidable in GI ...

    Read more...

Recently, I treated a young patient with diabetes in the hospital. Throughout her young life she had struggled with glucose control, and on this day her struggle left her in a state of diabetic ketoacidosis (DKA). DKA is a life-threatening condition that diabetics often face when their body is  unable to uptake enough glucose, leading to utilization of fat and consequential build up of acidic ketones, which cause blood levels ...

Read more...

Most Popular