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 May 2016
Online reporting of blood glucose may lower HbA1c in diabetes patients on oral meds
The results suggest that highly adherent diabetes patients who self-monitor their blood glucose could benefit from reporting their results, study authors concluded. More...
Adding DPP-4s to sulfonylureas may increase hypoglycemia risk
The review of 10 randomized controlled trials found 1 excess case of hypoglycemia for every 17 patients in the first 6 months of combined treatment. More...
1-hour glucose value may predict mortality risk
A 1-hour glucose value above 155 mg/dL predicted mortality even when the 2-hour glucose value was below 140 mg/dL, according to the 33-year study. More...
MKSAP quiz: first-line medication for type 2 diabetes
This month's quiz asks readers to choose a medication for a patient who has been managing her type 2 diabetes with lifestyle modifications. More...
From Annals of Internal Medicine
Heart failure hospitalizations similar with DPP-4 inhibitors and other drug options
The retrospective cohort study used data on almost 80,000 new saxagliptin users and almost 300,000 new sitagliptin users, gathered through the FDA's Mini-Sentinel program from 2006 to 2013. More...
From ACP Internist Weekly
Score may help predict which patients are likely to achieve type 2 diabetes cure after bariatric surgery
DiaRem, a weighted score ranging from 0 to 22 points, is based on age, insulin dependence, diabetes medication use, and HbA1c level. More...
Spotlight on metformin
In the past month, a new meta-analysis compared metformin to other diabetes drugs, and the FDA expanded metformin's indications in patients with reduced kidney function. 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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A 52-year-old man is evaluated for low back pain of 3 months' duration that is nonradiating, progressive, and worse with ambulation. He reports no preceding injury. Medical history is notable for smoldering multiple myeloma diagnosed 1 year ago; he has been stable since that time. His only medication is as-needed acetaminophen. Following a physical exam and lab results, what is the most appropriate management?
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