Several changes to recommended care for diabetes patients over age 65, including less use of aspirin therapy, were made in a guideline update from the American Geriatrics Society (AGS).
19 Nov 2013
ACP's Quality Improvement (QI) Network is recruiting practices to enroll in ACPNet: Diabetes, a QI initiative that provides physicians free access to PQRSwizard, ABIM-approved MOC practice performance (part IV) credit, and ACP's Practice Advisor (formerly the Medical Home Builder).
8 Oct 2013
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?
12 Jan 2021
A recent clinical guideline calls for screening patients with Down syndrome for Alzheimer-type dementia starting at age 40 years and diabetes starting at age 30 years. Down syndrome is also associated with high risk for death from COVID-19, a new study found.
27 Oct 2020
A systematic evidence review by the U.S. Preventive Services Task Force suggests that screening asymptomatic adults for elevated glucose levels could help delay progression to diabetes but has not been shown to improve mortality rates.
14 Apr 2015
A 48-year-old woman who works the night shift presents with a one-year history of gaining 25 pounds, as well as fatigue, easy bruising, and difficulty remembering things. Medical history is significant for hypertension, type 2 diabetes, and menopausal hot flushes. After medication review and physical exam, what is the most appropriate next step in evaluation?
15 Dec 2020
While nonalcoholic fatty liver disease and nonalcoholic steatohepatitis are dynamic processes that can progress and regress, lifestyle modification, including diet, is a must for all patients, wherever they are in their disease.
1 Apr 2021
Researchers created a new score, based on four variables, which can help predict whether a patient will have remission of type 2 diabetes after Roux-en-Y gastric bypass surgery.
24 Sep 2013
Over a third of patients with chronic kidney disease (CKD) enrolled in a Medicare plan's Medication Therapy Management program in 2018 received a prescription for at least one potentially inappropriate medication.
2 Feb 2021
The onus is on internists to understand the newer classes of incretins such as sodium-glucose cotransporter 2 (SGLT2) inhibitors and dipeptidyl peptidase-4 (DPP-4) inhibitors. They hold promise for better treatments, but they are new and not as well understood as older treatments.
1 Oct 2015