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


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 January 2015


ADA issues revised standards of care for diabetes

The American Diabetes Association (ADA) has issued revised care standards for diabetes, with changes affecting glycemic targets, blood pressure goals, treatment, and other issues. More...

Diabetic foot ulcer treatment not always up to standard of care, consensus statement finds

Adequate off-loading with nonremovable casts or fixed ankle walking braces is the optimum modality for treating diabetic foot ulcers, but clinicians aren't always meeting this standard of care, a consensus statement found. More...

Initial intensive therapy associated with lower all-cause mortality in type 1 diabetes

Patients in the intensive treatment group of the Diabetes Control and Complications Trial (DCCT) appeared to have modestly lower all-cause mortality over long-term follow-up than those in the conventional treatment group, according to a new study. More...

Test yourself

MKSAP quiz: Infected diabetic foot ulcer

This month's quiz asks readers to evaluate a 74-year-old man with history of fever, chills, confusion, and a nonhealing ulcer on the plantar surface of his left foot. More...

From ACP Journal Club

Review: In adult outpatients, nurse-managed protocols improve HbA1c levels and blood pressure

Medication titration by nurses according to protocols was associated with a modest improvement in control of some chronic diseases, including diabetes, according to a review and meta-analysis. More...

From ACP Internist Weekly

Patients on tramadol more likely to be hospitalized for hypoglycemia

Patients who began taking tramadol were significantly more likely to be hospitalized for hypoglycemia than those prescribed codeine, a recent study found. More...

Keeping tabs

Spotlight on economics and diabetes

Two recent studies found associations between economic factors and diabetes incidence and control. More...

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

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Test yourself

A 58-year-old woman is seen for a follow-up evaluation of Parkinson disease, which she has had for 12 years. She was initially treated with ropinirole to which levodopa-carbidopa was added as the disease progressed. After 5 years of good control on medication, she began to experience involuntary generalized twisting and writhing movements after taking each dose of levodopa-carbidopa and noticed that the medication's effect waned after several hours. What is the best treatment for this patient.

Find the answer

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