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 June 2016




Highlights

New clinical guidelines recommend bariatric surgery for obese patients with type 2 diabetes

Bariatric surgery should be recommended for type 2 diabetes patients with class III obesity, regardless of glycemic control, and those with class II obesity who have inadequately controlled hyperglycemia despite lifestyle and optimal medical therapy, the guidelines said. More...

Intensive glycemic treatment may be common, doubles risk of hypoglycemia

Intensive treatment was defined as use of more glucose-lowering medications than recommended by practice guidelines and was found in 18.7% of clinically complex Medicare patients. More...

Excess mortality examined in older patients with diabetes

Excess mortality associated with diabetes was highest in patients younger than age 75 who had had diabetes for a longer time period, with the relative hazard highest in women, a study found. More...


Test yourself

MKSAP quiz: Diagnosed in the ED

This month's quiz asks readers to evaluate a 66-year-old man with a random blood glucose level of 211 mg/dL, an HbA1c of 7.8%, and recent polyuria and polydipsia. More...


FDA update

Alert on canagliflozin and amputations

An ongoing clinical trial found an increase in leg and foot amputations, mostly affecting the toes, in patients treated with canagliflozin (Invokana, Invokamet), according to an FDA safety alert. More...


Care delivery

Practice transformation resource for diabetes care updated

The National Diabetes Education Program has updated its online resource Practice Transformation for Physicians and Health Care Teams. More...


Keeping tabs

Spotlight on predicting cardiovascular events

Predicting cardiovascular events in patients with type 2 diabetes was the focus of multiple recent studies. More...


Physician editor: David V. O'Dell, MD, FACP



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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.

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Test yourself

A 62-year-old man is evaluated for declining exercise capacity over the past year. He was diagnosed with moderate COPD 3 years ago. His symptoms had previously been well controlled with tiotropium and as-needed albuterol. He has not had any hospitalizations. He is adherent to his medication regimen, and his inhaler technique is good. Following a physical exam and review of previously performed chest radiographs and pulmonary function testing, what is the most appropriate management?

Find the answer

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