Endocrinology

Prompted by almost-epidemic rates of diabetes in the United States and globally, the American Diabetes Association recently convened a consensus panel to examine diabetic kidney disease, one of the most frequent complications associated with diabetes.

Type 2 diabetes occurs at roughly the same prevalence in men and women. Despite the similar prevalence in the sexes, women who develop diabetes feel the effect of its complications disproportionately.

Research presented at the European League Against Rheumatism's Annual Meeting indicates comorbid diabetes may be linked to increased osteoarthritis pain.

Calculation and interpretation of the anion gap is extremely useful in the evaluation and treatment of the patient with metabolic acidosis. In this installment, we look at case examples involving patients with multiple sclerosis and urosepsis; COPD, diabetes, and renal failure; and type 1 diabetes.

News from the literature on a possible link between atherosclerosis and psoriasis and quality of life for patients with this skin condition.

The days of sitting in front of the television with an Atari controller or driving Mario around on his cart are largely over but even the more interactive video games do not do enough to keep this generation of children healthy.

Those friendly reminders; you get them every day-Mrs X hasn’t refilled a scrip; Mr J needs an eye exam; Ms Q may be noncompliant with her ARB. Listen, I promise I DO know what the guidelines say!

The US Preventive Services Task Force (USPSTF) recently released a draft version of screening recommendations for abnormal glucose and type 2 diabetes mellitus in adults who are at increased risk for diabetes, and is seeking public input on the suggestions.

Researchers compared outcomes from bariatric surgery with those achieved through medical weight management in patients with diabetes to determine the effectiveness of bariatric surgery in patients with BMI less than 35. They also evaluated a potential biomarker for identifying patients likely to experience the best surgical outcomes.

A team of researchers at the University of Cambridge recently announced findings from a study that showed there is likely no link between a person's vitamin D levels and their risk of developing type 2 diabetes.

Trials of tabalumab showed "insufficient efficacy."

Research from Denmark finds that people with diabetes are nearly twice as likely as non-diabetic people to develop atrial fibrillation.

For individuals without diabetes, hemoglobin A1c (HbA1c) levels not only predicted the prevalence of coronary artery disease (CAD), but also anticipated its severity, according to research published in Mayo Clinic Proceedings.

There is a wide variety of evidence to support benefits of low-fat diets versus low carbohydrate diets and vice versa. As of today, no one can tell us with certainty whether the well-worn dictum "calories in calories out" is really true. The National Weight Control Registry data give us some confidence in recommending that to lose weight most people need to alter their diet to reduce calories, and need to exercise on a near-daily basis.

Resistant hypertension is common among patients with type 2 diabetes, and is strongly associated with microvascular disease.

In this installment, we look at underlying causes of metabolic acidosis, approaches for evaluating patients with suspected metabolic acidosis, and why measurement of the anion gap is of great usefulness in these cases.

Looking at the growing problem of childhood obesity it is easy to show the importance of exercise in preventing the younger generations from risking their health through a sedentary lifestyle. Researchers recently published study result showing that not only is exercise important, but also that the type of exercise also matters in the final result.

Allergan's Ozurdex (dexamethasone intravitreal implant) 0.7 mg is now approved for use in the general diabetic macular edema patient population.

As more practices and hospitals enter the digital age with Electronic Health Records (EHR) and other health information technology tools, a recent article points out that all those efforts are only half the battle.

Implementation of Massachusetts health care reform reduced all-cause mortality and mortality from causes amenable to health care

A 58 year old G2P2, married woman presents to your office for her annual well woman exam. Upon questioning, she tells you that for several months she's been having trouble with urinary leaking. "I just can't seem to get to the bathroom on time and I feel like I go more often than usual." She also has been urinating at least twice during the night. She denies urinary burning or dysuria

When you weigh the potential benefits to the patient against the risk of treatment-related adverse effects and drug-drug interactions, most diabetic patients will benefit from treatment with statins.

Researchers in Wisconsin recently announced the discovery of a gene which could help explain certain traits seen in patients diagnosed with diabetes.

In this issue of Cardiology Review, we cover a wide variety of topics while saying goodbye to the summer of 2014.

The 74th Scientific Sessions of the American Diabetes Association (ADA) brought together more than 17,300 attendees from more than 121 countries. This year's program included 96 symposia, 50 oral abstract sessions, 10 interest group discussions, 18 meet-the-expert sessions, and 10 special lectures and addresses. Cardiology Review is covering 6 of the top sessions.

The incidence of type 2 diabetes mellitus tripled in the last 20 years. What has that meant for rates of complications?

Trulicity (dulaglutide) is a once-weekly subcutaneous injection to improve glycemic control, along with diet and exercise, in adults with type 2 diabetes.

Patients diagnosed with type 1 diabetes have long known the benefits of ease and convenience that comes with using an insulin pump instead of relying on multiple daily insulin injections to control their condition. A recent study has shown that using a pump is also associated with positive effects on long-term cardiovascular risk and mortality.

Bodily pain and headache are highly prevalent in pituitary disease, making pain screening and therapy an important part of the work-up for these patients.

Researchers at the Children's Hospital of Philadelphia recently released the results of a study that identified a protein that could play a key role in a variety of diseases.