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 February 2015
Tight BP control associated with improved outcomes in diabetics
Hypertension treatment reduces mortality and cardiovascular events in patients with type 2 diabetes, but it is underused, according to 2 recent studies. More...
All-cause mortality risk with type 1 diabetes may be greater in women vs. men
Women with type 1 diabetes may have a higher all-cause mortality risk than men with the condition, as well as higher risk for fatal and nonfatal vascular events, according to a recent study. More...
Diabetes spending has increased, mostly due to prescription costs
Managing diabetes has become more expensive in the past 20 years, mostly due to more spending on drugs, a study found, while a second paper suggested that older patients are more likely to be using medications to control their condition. More...
MKSAP question: Hypertension treatment in type 2 diabetes
This month's quiz asks readers to evaluate a 60-year-old man, diagnosed with type 2 diabetes mellitus during a health insurance evaluation 6 months ago, as a new patient. More...
From ACP Journal Club
Review: In type 2 diabetes, GLP-1 agonists plus basal insulin reduce HbA1c without increasing hypoglycemia
Combination treatment with a glucagon-like peptide-1 receptor (GLP-1) agonist and basal insulin was associated with lower HbA1c values, less weight gain, and similar hypoglycemia rates compared to other type 2 diabetes treatment regimens, according to a meta-analysis. More...
From ACP Hospitalist Weekly
Improved mortality rates in diabetic ICU patients appear to be independent of glucose control, study finds
Improved mortality rates in diabetic ICU patients over the past decade appear to be independent of glucose control, according to a new study. More...
Glucose monitoring app, weight-loss device, medications approved
The FDA approved an app for continuous glucose monitoring, a weight-loss device, a combination diabetes pill, and a new indication for an eye medication in the past month. More...
Physician editor: David V. O'Dell, MD, FACP
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A 66-year-old man is evaluated for a persistent rash for 6 years' duration. The rash waxes and wanes in severity, and it becomes pruritic only after he becomes hot and sweating, such as when he mows the lawn or exercises. It has always been limited to his back and lower chest. He has never treated it. The patient is otherwise well, has no other medical problems, and takes no medication. Following a physical exam, what is the most likely diagnosis?
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