Welcome to this month's issue of ACP DiabetesMonthly, an update for internists published by the American College of Physicians.
In the News for the month of November 2013
Diabetes raises coronary artery disease risk more in women under 60
Young and middle-aged women with diabetes have about 4 times the risk of coronary artery disease as same-age women without diabetes and similar risk to same-age diabetic men, an analysis found. More...
CABG and PCI offer similar improvements in quality of life for diabetics
In patients with diabetes, coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) with drug-eluting stents improved health status and quality of life to similar degrees. More...
eGFR overestimates kidney function in patients with poor glycemic control
Poor glycemic control causes overestimations in calculations of estimated glomerular filtration rate (eGFR), according to a recent study that developed a formula to correct the problem. More...
MKSAP Quiz: Elderly patient with episodes of confusion
This month's quiz asks readers to evaluate an 82-year-old with a 6-year history of type 2 diabetes mellitus and a 5-year history of heart failure. More...
From ACP InternistWeekly
ADA updates nutrition guidelines to address varied eating patterns
The American Diabetes Association (ADA) recently released new recommendations on nutrition therapy for adults with type 1 or type 2 diabetes. More...
ACE inhibitors may be better than other antihypertensives for diabetes patients
Angiotensin-converting enzyme (ACE) inhibitors were found to possibly improve outcomes for patients with diabetes more than other antihypertensives, a recent meta-analysis found. More...
From ACP Journal Club
Review: Bariatric surgery improves weight and glycemia in nonmorbidly obese adults with diabetes
A review of 3 randomized controlled trials found that surgical treatment increased weight loss and improved diabetes-related outcomes more than nonsurgical treatment in moderately obese patients. More...
A lifestyle intervention did not reduce cardiovascular outcomes in overweight or obese patients with type 2 diabetes
The Look AHEAD trial randomized more than 5,000 overweight and obese type 2 diabetics to intensive lifestyle intervention or diabetes support and education and found that the intensive group reduced several risk factors, but not the primary outcome. More...
Tool of the month
Advice for patient education about exercise
When counseling patients with type 2 diabetes about their exercise habits, consider some advice from ACP Smart Medicine and ACP DiabetesMonthly's physician editor. More...
Spotlight on lifestyle change
The effects of lifestyle interventions on patients with diabetes were analyzed by several recent studies. More...
Physician editor: David V. O'Dell, MD, FACP
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A 74-year-old woman is evaluated for a 2-month history of fatigue, anorexia, and a 6-kg (13.2-lb) weight loss. She was treated with chemotherapy for ovarian cancer 6 months ago. She also has hypertension managed with hydrochlorothiazide. Following a physical exam and lab results, what is the most likely cause of this patient's hyponatremia?
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