Endocrinology

Lipid screening in children, adolescents: USPSTF recommendation statement

Lipid screening in children, adolescents: USPSTF recommendation statement

Current evidence is insufficient to weigh the balance of benefits and harms of screening.

Thyroid antibodies

Thyroid antibodies

When symptoms of thyroid disease are present, clinicians should check thyroid antibodies even if thyroid function is normal.

Reduced inpatient hypoglycemia with electronic glycemic management system

Reduced inpatient hypoglycemia with electronic glycemic management system

The eGMS system provides patient-specific insulin dosing.

New questionnaire to guide treatment of patients with acromegaly

New questionnaire to guide treatment of patients with acromegaly

Patients with acromegaly often exhibit breakthrough symptoms, despite stable treatment.

Coronary artery bypass linked to new-onset diabetes

Coronary artery bypass linked to new-onset diabetes

Coronary artery bypass surgery may lead to metabolic changes, causing new-onset diabetes.

Glucommander linked to improved blood glucose levels

Glucommander linked to improved blood glucose levels

Use of the Glucommander was linked to a shorter time to achieving blood glucose levels lower than 200 mg/dL.

Once-weekly GLP-1RAs beneficial for type 2 diabetes

Once-weekly GLP-1RAs beneficial for type 2 diabetes

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Once-weekly GLP-1RAs reduced HbA1c and fasting plasma glucose.

Short sleep duration increases risk of metabolic syndrome

Short sleep duration increases risk of metabolic syndrome

Dose-response association, with 1.5-fold increase among those sleeping less than five hours

Prevalence of metabolic 
syndrome high but stable

Prevalence of metabolic 
syndrome high but stable

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Although many older adults have metabolic syndrome, the rates are stable.

Subclinical hypothyroidism plus statins increase diabetes risk

Subclinical hypothyroidism plus statins increase diabetes risk

Patients with subclinical hypothyroidism who take statins have an increased risk of developing diabetes.

Diabetes may increase infection-related mortality risk

Diabetes may increase infection-related mortality risk

After adjustment for age and sex, standardized mortality ratios (SMRs) were higher in type 1 and type 2 diabetes for all outcomes.

Older insulins may be option for uninsured patients with diabetes

Older insulins may be option for uninsured patients with diabetes

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Current insulin treatments and new agents to manage diabetes may be prohibitively expensive for patients without health insurance.

Strict glycemic control may decrease cardiovascular events in diabetes patients

Strict glycemic control may decrease cardiovascular events in diabetes patients

The glycated hemoglobin in the intensive control group was 6.9%, on average. For those on standard care, the glycated hemoglobin average was 8.4%.

Insulin resistance not associated with post-adolescent acne

Insulin resistance not associated with post-adolescent acne

The homeostasis model assessment of insulin resistance index did not differ significantly for patients with post-adolescent acne and controls.

Vegan diet may improve diabetic neuropathy pain

Vegan diet may improve diabetic neuropathy pain

The vegan group had lost 15 pounds, on average, versus about one pound in the comparison group.

Educate patients on SGLT2 inhibitors about yeast infection risk

Educate patients on SGLT2 inhibitors about yeast infection risk

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Patients with diabetes who are prescribed sodium glucose co-transporter type 2 inhibitors are at increased risk for developing a mycotic infection.

Iron deficiency may impact metabolic pathways

Iron deficiency may impact metabolic pathways

Iron treatment correlated with significant increases in serum folate and vitamin B12 from baseline.

Renal failure in a patient with maturity onset diabetes of the young

Renal failure in a patient with maturity onset diabetes of the young

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A patient presented to the office with a 45-year history of maturity onset diabetes of the young after renal failure.

Vitamin D aids weight loss in obese, overweight patients

Vitamin D aids weight loss in obese, overweight patients

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A significantly greater weight decrease was observed in patients assigned to receive vitamin D compared with patients who had no supplementation.

Certain gut microbes may be linked to obesity risk

Certain gut microbes may be linked to obesity risk

More than two dozen of metabolites were highly correlated with diet, and about half the molecules had not previously been linked to obesity risk.

Hyperglycemic crisis episodes up mortality risk in seniors

Hyperglycemic crisis episodes up mortality risk in seniors

Independent mortality predictors included older age, male sex, renal disease, stroke, cancer, COPD, and congestive heart failure.

Pediatric diabetic ketoacidosis incidence may be on the rise

Pediatric diabetic ketoacidosis incidence may be on the rise

The incidence of diabetic ketoacidosis in children in Colorado at the time of type 1 diabetes diagnosis increased by 55% from 1998 to 2012.

American Diabetes Association releases diabetes guidelines for primary-care providers

American Diabetes Association releases diabetes guidelines for primary-care providers

The report focuses on diabetes care concepts, which include patient centeredness, diabetes across the life span, and advocacy for patients with diabetes.

Diabetes goes undiagnosed in many acute myocardial infarction patients

Diabetes goes undiagnosed in many acute myocardial infarction patients

Few who were not recognized as having diabetes during hospitalization were on medications 6 months after discharge.

Exercise with calorie reduction benefits glucoregulation

Exercise with calorie reduction benefits glucoregulation

Weight losses were similar in all groups, but insulin sensitivity index values increased two-fold more in the calorie reduction and exercise group.

Fish oil may lower atherothrombotic risk in patients with suspected coronary artery disease

Fish oil may lower atherothrombotic risk in patients with suspected coronary artery disease

Regardless of lipid-lowering therapy, patients on fish oil supplementation had lower urinary 11-dehydrothromboxane B2 levels.

Type 2 diabetes screening does not improve mortality rates

Type 2 diabetes screening does not improve mortality rates

Treatment of impaired fasting glucose, impaired glucose tolerance can delay progression to diabetes.

Assessing third-line treatment options for type 2 diabetes

Assessing third-line treatment options for type 2 diabetes

Add-on thiazolidinedione decreased HbA1c significantly better than add-on glimepiride among patients inadequately controlled on metformin + exenatide, but there were significant increases in BMI and systolic blood pressure.

Applying pediatric cholesterol guidelines would increase statin use

Applying pediatric cholesterol guidelines would increase statin use

Under the pediatric guidelines, 2.5% of the patients surveyed would qualify for statin treatment while only 0.4% would qualify under the adult guidelines.

Few weight-loss programs backed by scientific evidence

Few weight-loss programs backed by scientific evidence

Only Weight Watchers and Jenny Craig had gone through studies showing that people not only lost weight but kept it off for at least a year.

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