Search results for "Diabetes"
ACP: Best practice for diabetes is diet, then metformin, then any second drug
New diabetes guidelines from the American College of Physicians recommend prescribing a drug when lifestyle changes don't lower hyperglycemia. Specifically, start with metformin first and then add any second oral agent.
https://immattersacp.org/weekly/archives/2012/02/07/4.htm
7 Feb 2012
Diabetes education programs show mixed results
Educational programs for patients with uncontrolled diabetes showed some success but overall had mixed results in three recent trials.
https://immattersacp.org/weekly/archives/2011/10/18/4.htm
18 Oct 2011
MKSAP Quiz: routine follow-up visit for diabetes and hyperlipidemia
A 59-year-old woman is evaluated during a routine follow-up visit. She was recently diagnosed with type 2 diabetes mellitus and hyperlipidemia. She feels well. Medications are metformin, atorvastatin, and aspirin. Following a physical exam and lab results, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2014/03/11/3.htm
11 Mar 2014
Updated warnings on fluoroquinolones, new diabetes drug
This column reviews a warning on fluoroquinolones with a risk of disabling and potentially permanent side effects, as well as approval of an injection to improve glycemic control in adults with type 2 diabetes.
https://immattersacp.org/archives/2016/10/fda.htm
1 Oct 2016
Hydrochlorothiazide no better than placebo for preventing kidney stone recurrence
A randomized, double-blind, placebo-controlled trial in Switzerland found that patients with a history of recurring kidney stones were no less likely to experience symptomatic or radiologic recurrence with hydrochlorothiazide versus placebo.
https://immattersacp.org/weekly/archives/2023/03/07/1.htm
7 Mar 2023
Intensive blood pressure targets didn't reduce mortality in type 2 diabetes
Intensive hypertension treatment slightly reduced the risk of stroke in type 2 diabetics, but had no effect on mortality or myocardial infarction, a new review found.
https://immattersacp.org/weekly/archives/2012/08/14/6.htm
14 Aug 2012
MKSAP Quiz: Episodic nausea, bloating, epigastric pain
A 45-year-old woman is evaluated for episodic nausea, bloating, and epigastric pain of 5 years' duration, with occasional vomiting in the past 3 months, as well as near-daily heartburn symptoms that have not responded to daily omeprazole. She has a 10-year history of type 2 diabetes mellitus treated with metformin and glyburide. After physical exam, laboratory tests, and upper endoscopy, what is the next appropriate step in management?
https://immattersacp.org/weekly/archives/2021/01/12/4.htm
12 Jan 2021
MKSAP Quiz: type 2 diabetes with a draining chronic foot ulcer
A 75-year-old man with type 2 diabetes mellitus is evaluated in the emergency department for a draining chronic ulcer on the left foot, erythema, and fever. This week's MKSAP Quiz asks readers to determine appropriate management.
https://immattersacp.org/weekly/archives/2011/06/21/3.htm
21 Jun 2011
MKSAP Quiz: Type 2 diabetes management
Daily aspirin associated with reduced cancer deaths
https://immattersacp.org/weekly/archives/2010/12/14/3.htm
14 Dec 2010
Decision support intervention for clinicians helped decrease low-value care
A tool to increase clinicians' attention to the possible harms of overtreatment among older adults, among other aims, was associated with a greater decline in prostate-specific antigen testing, unspecified urine testing, and diabetes overtreatment compared with an education-only approach.
https://immattersacp.org/weekly/archives/2024/02/06/4.htm
6 Feb 2024