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...
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...
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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A 48-year-old man is evaluated during a follow-up visit for urinary frequency. He reports no hesitancy, urgency, dysuria, or change in urine color. He has not experienced fevers, chills, sweats, nausea, vomiting, diarrhea, or other gastrointestinal symptoms. He feels thirsty very often; drinking water and using lemon drops seem to help. He has a 33-pack-year history of smoking. He has hypertension, chronic kidney disease, and bipolar disorder. Medications are amlodipine, lisinopril, and lithium. He has tried other agents in place of lithium for his bipolar disorder, but none has controlled his symptoms as well as lithium. What is the most appropriate treatment intervention for this patient?
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