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


ACP DiabetesMonthly

Welcome to this month's issue of ACP DiabetesMonthly, an update for internists published by the American College of Physicians.

In the News for the month of September 2014


Antibiotic and sulfonylurea reactions may cause serious hypoglycemic events

Hypoglycemia occurred more frequently in patients taking certain antibiotics while on sulfonylureas, a study found. More...

Universal screening for type 2 diabetes may be reasonable for patients age 35 and older

Opportunistic universal screening for type 2 diabetes may increase detection of undiagnosed prediabetes or diabetes at a low cost versus targeted screening, a new study indicates. More...

Test yourself

MKSAP quiz: Unconscious diabetes patient

This month's quiz asks readers to evaluate a 72-year-old woman with type 2 diabetes brought into the emergency department for loss of consciousness. More...

From Annals of Internal Medicine

Diabetes increases largely explained by BMI growth, especially in women

Since the late 1970s, diabetes prevalence has increased significantly more in men than women, and only in women did changes in body mass index (BMI) fully explain the diabetes trend. More...

From ACP Journal Club

In uncontrolled type 2 diabetes, CBT improved glycemic control and reduced depression

Patients with diabetes and depression who received cognitive behavioral therapy (CBT) had improvements in medication adherence, self-monitoring of glucose, depressive symptoms, and HbA1c compared to those who received usual care. More...

Bariatric surgery improved HbA1c more than intensive medical therapy in obese patients with uncontrolled type 2 DM

Longer-term outcomes show that adding Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy to intensive medical therapy enabled more obese, type 2 diabetes patients to maintain glycemic control. More...

From ACP HospitalistWeekly

HbA1c can be used to choose postdischarge diabetes medications

Basing hospitalized diabetes patients' postdischarge prescriptions on an HbA1c taken at admission was associated with improvements in glycemic control, a recent study found. More...

Keeping tabs

Spotlight on cardiovascular disease in women with diabetes

Two recent studies looked at cardiovascular disease (CVD) risk in women with type 2 diabetes, finding that fenofibrate may be associated with lowered risk and sulfonylureas with increased risk. More...

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

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Test yourself

A 69-year-old woman is evaluated for a lump under her arm found on self-examination. She is otherwise healthy and has no other symptoms. Medical and family histories are unremarkable, and she takes no medications. A needle aspirate of the right axillary mass reveals adenocarcinoma. Bilateral mammography and breast MRI are normal. CT scan of the chest, abdomen, and pelvis demonstrates the enlarged axillary lymph node and no other abnormalities. What is the most appropriate initial treatment?

Find the answer

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