American College of Physicians: Internal Medicine — Doctors for Adults ®

 
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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 2016




Highlights

Low-dose aspirin may not reduce cardiovascular events in diabetic patients

The Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes trial included 2,539 patients with type 2 diabetes and without pre-existing cardiovascular disease, randomized to receive aspirin (81 mg or 100 mg daily) or no aspirin. More...

Clinicians should integrate psychosocial components into diabetes care, ADA recommends

The position statement recommends that physicians consider assessing cognitive capacities and symptoms of diabetes distress, depression, anxiety, and disordered eating at the initial visit and at periodic intervals. More...

No apparent association between glycemic control, outcomes in diabetic nursing home residents

The study included patients 65 years of age and older with type 1 or type 2 diabetes admitted to a Veterans Affairs nursing home, and they were categorized by baseline HbA1c (6.0% to 6.9%, 7.0% to 7.9%, 8.0% to 8.9%, and 9.0% or higher). More...


Test yourself

MKSAP quiz: Preoperative glycemic control

This month's quiz asks readers to evaluate a 68-year-old man with a right intertrochanteric fracture scheduled for surgical repair. He takes insulin glargine and insulin lispro. More...


From ACP Journal Club

Review: In adults with diabetes, aspirin does not prevent CV events compared with placebo

A review published prior to the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes trial found that aspirin only reduced cardiovascular events in diabetes patients with pre-existing cardiovascular disease. More...


FDA update

New indication approved for empagliflozin

Empagliflozin (Jardiance) is approved for a new indication—to reduce the risk of cardiovascular death in adults with type 2 diabetes and cardiovascular disease. More...


Keeping tabs

Spotlight on hospitalized patients with diabetes

Recent studies of hospitalized patients looked at hypoglycemia and mortality, hyperglycemia and sleep, and corticosteroids for pneumonia. 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.

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Test yourself

A 24-year-old woman undergoes routine evaluation. She is pregnant at 12 weeks' gestation. Medical history is notable for homozygous sickle cell anemia (Hb SS). She has had multiple uncomplicated painful crises treated at home with hydration, nonopioid analgesia, and incentive spirometry. Following a physical exam and lab studies, what is the most appropriate management?

Find the answer

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