ACP Diabetes Monthly
Welcome to this month's issue of ACP Diabetes Monthly, an update for internists published by the American College of Physicians.
In the News for the month of November 2015
New algorithm may help physicians set glycemic targets for patients with diabetes
Researchers created a new algorithm to help choose target HbA1cs for patients with diabetes and compared the results to experts' advice. More...
Mortality in diabetes may vary greatly by age, glycemic control, renal complications
Patients who were under age 55 faced a more substantial increase in mortality risk from having diabetes than older patients. More...
DPP-4 inhibitors associated with lower mortality and cardiac risk than sulfonylureas as add-on therapy, study finds
When added to metformin, DPP-4 inhibitors were associated with reduced risks for all-cause death and stroke but did not appear to alter the risks for myocardial infarction and hospitalization for heart failure relative to sulfonylureas. More...
MKSAP quiz: Managing cardiovascular risk in diabetes patient
This month's quiz asks readers to evaluate a 72-year-old woman with hypertension, type 2 diabetes mellitus, and hyperlipidemia for sharp chest pain that occurs randomly. More...
From Annals of Internal Medicine
Drinking wine associated with slightly improved cardiometabolic risk in type 2 diabetes patients
Cholesterol markers improved in patients with type 2 diabetes who were assigned to drink wine, and some patients also saw glycemic benefits, a recent study found. More...
From ACP Journal Club
Review: In patients with type 2 diabetes who fast, sitagliptin reduces hypoglycemia more than sulfonylurea
Patients who took sitagliptin were significantly less likely to have hypoglycemia during Ramadan, according to a systematic review. More...
From ACP Internist Weekly
Physicians may overtreat blood pressure, glucose in older patients with diabetes
A retrospective cohort study used data from the Department of Veterans Affairs to assess both hypertension and blood glucose medication deintensification (i.e., dosage reduction or withdrawal of a drug). More...
Task Force recommends screening for type 2 diabetes in overweight, obese adults
The U.S. Preventive Services Task Force now recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in overweight and obese adults ages 40 to 70 years. More...
Spotlight on liraglutide and insulin
The effects of adding liraglutide to insulin treatment were assessed by multiple studies published in the past month. More...
For the record
Correction to October 2015 issue
In last month's issue, the article "Empagliflozin associated with reduced mortality risk in patients with cardiovascular disease" contained errors. More...
Physician editor: David V. O'Dell, MD, FACP
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About ACP Diabetes Monthly
ACP Diabetes Monthly is a monthly newsletter produced by the staff of ACP Internist. It is automatically sent to all College members who have an e-mail address on file with ACP.
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A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Following a physical exam and upper endoscopy, what is the most appropriate management?.
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