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 August 2014
Intensive therapy associated with decreases in certain cardiovascular events, new ACCORD analysis finds
Despite the ACCORD study finding an increased risk of death from cardiovascular causes with intensive glucose-lowering therapy, rates of myocardial infarction, coronary revascularization, and unstable angina were lower in patients on an intensive regimen, a new analysis of the trial data found. More...
Risk for poor outcomes appears higher in diabetic patients with lacunar stroke
Patients with diabetes who have lacunar stroke are at higher risk for death and recurrent stroke than patients without diabetes, according to a recent study. More...
MKSAP quiz: Treatment plan for obesity and diabetes
This month's quiz asks readers to evaluate a 42-year-old-man with type 2 diabetes, hypertension, and hyperlipidemia for obesity treatment. More...
From ACP InternistWeekly
Nurse-managed protocols associated with modest improvement in control of chronic conditions, analysis finds
Medication titration by nurses according to protocols was associated with a modest improvement in control of chronic diseases in outpatient practice, a recent review and meta-analysis found. More...
Empagliflozin approved to treat type 2 diabetes
Empagliflozin (Jardiance), a sodium glucose co-transporter 2 inhibitor, was recently approved to treat type 2 diabetes in addition to diet and exercise, the FDA announced last week. More...
Spotlight on office visits for diabetes
New data on how often diabetes patients visit their physicians were provided by 2 recent analyses. More...
Physician editor: David V. O'Dell, MD, FACP
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A 42-year-old woman is evaluated for an 8-month history of crampy abdominal pain and three loose bowel movements per day. The pain is relieved by a bowel movement. There are no nocturnal bowel movements, and there is no blood or dark tarry material in the stool. She has not had fever, night sweats, or weight loss. She has a history of Hashimoto disease and is treated with levothyroxine. Following a physical exam, rectal exam, and lab tests, what is the most appropriate next step in management?
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