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 December 2014
Large analysis finds no link between pioglitazone and bladder cancer in type 2 diabetes patients
Pioglitazone wasn't associated with higher incidence of bladder cancer in people with type 2 diabetes, according to a recent, multi-country analysis. More...
Care gaps identified in U.S. diabetic adults
Among U.S. adults with diabetes, 3 in 10 are undiagnosed, possibly due to limited access to care, a study recently reported. More...
Routine coronary angiography didn't reduce cardiac events in asymptomatic diabetics
Screening all diabetic patients for coronary artery disease using coronary computed tomography angiography did not reduce the rate of mortality or cardiovascular events, a study found. More...
MKSAP Quiz: Medication for a patient attempting conception
This month's quiz asks readers to evaluate a 32-year-old woman who is planning to attempt conception with her partner and has a history of systemic lupus erythematosus complicated by chronic kidney disease. More...
From Annals of Internal Medicine
Diabetes associated with cognitive decline, CABG better than PCI for diabetics
Higher HbA1c at midlife was associated with greater cognitive decline over the following 20 years, and coronary artery bypass grafting is preferable to percutaneous coronary intervention in diabetics, according to studies recently published in Annals of Internal Medicine. More...
From ACP Journal Club
In metformin-treated type 2 diabetes mellitus, weekly dulaglutide was noninferior to daily liraglutide for HbA1c levels
Patients whose diabetes was inadequately controlled on metformin showed similar weight loss, improvement in HbA1c, and adverse events whether they took dulaglutide or liraglutide, a trial found. More...
From ACP Internist Weekly
Aspirin primary prevention trial in Japan halted for lack of mortality benefit
Low-dose aspirin for primary prevention reduced nonfatal myocardial infarction, but not death from cardiovascular causes, in older Japanese patients, a recent study found. More...
Spotlight on type 1 diabetes
A couple of significant studies in type 1 diabetes came out last month. More...
Physician editor: David V. O'Dell, MD, FACP
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A 66-year-old man is evaluated for vague abdominal pain of several months' duration and a 10-kg (22-lb) weight loss. He drinks alcohol socially but does not smoke. The patient is otherwise well, has good performance status, and takes no medications. Following a physical exam, lab studies, and a CT scan, what is the most appropriate initial management of this patient?
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