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 September 2016
CABG may improve outcomes compared with PCI in patients with diabetes and stable CAD
The results support coronary artery bypass grafting (CABG) with optimal medical therapy as the preferred management strategy, with optimal medical therapy alone as the next best therapeutic approach, the study authors said. More...
Intense multifactorial intervention associated with increased life span, time to CVD events in type 2 diabetes
The intensive intervention was initially conducted for a median of 7.8 years and used both pharmacologic and behavioral methods to target coexisting risk factors for late complications of diabetes. More...
Restricting orders for insulin glargine may lower hypoglycemia rates, study finds
Non-endocrinologist clinicians who electronically ordered glargine at a dose of 0.5 units/kg or greater incurred a warning screen, which advised either lowering the dose or contacting the diabetes consult service for approval. More...
MKSAP Quiz: Diabetes and hyperlipidemia
This month's quiz asks readers to treat hyperlipidemia in a 67-year-old man with a recent diagnosis of type 2 diabetes mellitus. More...
From ACP Journal Club
Review: In type 2 diabetes, adding dipeptidyl peptidase-4 inhibitors to sulfonylureas increases hypoglycemia
Adding dipeptidyl peptidase-4 (DPP-4) inhibitors to sulfonylureas was associated with 1 excess case of hypoglycemia for every 17 patients in the first 6 months of treatment, the systematic review and meta-analysis found. More...
From ACP Internist Weekly
Preoperative factors may help predict long-term weight outcomes after gastric bypass, study finds
Only 3 factors were associated with greater long-term weight loss: preoperative insulin use, history of smoking, and use of 12 or more medications before surgery. More...
From ACP Internist
System-wide changes improve diabetes care
A Success Story in the latest issue of ACP Internist describes a primary care intervention to improve HbA1c testing. More...
Glucagon recalled due to detaching needles
Six batches of GlucaGen HypoKit (glucagon [rDNA origin] for injection) were recalled due to the possibility of needle detachment, the FDA recently announced. More...
Spotlight on undertreatment of risks from diabetes
Studies published in the past month looked at statin prescriptions for patients with diabetes and osteoporotic fracture risk in women with diabetes. More...
Physician editor: David V. O'Dell, MD, FACP
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.
To sign up for ACP Diabetes Monthly, please click here.
Copyright © by American College of Physicians.
A 57-year-old man is evaluated in follow-up for a right-sided pleural effusion. He initially presented with increasing dyspnea and a constant dull ache on his right side. He also has lost 9.1 kg (20.0 lb) over the last 6 months. Medical history is otherwise unremarkable. Following chest radiographs and repeat thoracentesis, what is the most appropriate diagnostic test to perform next?
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