Internal Medicine Alert – December 15, 2015

December 15, 2015

• Risk of New Onset Diabetes When Blood Pressure Becomes Elevated Over the Usual Measurement

  An increase of 20 mmHg in systolic blood pressure was associated with a 58% higher risk of new-onset diabetes mellitus, whereas an increase of 10 mmHg in diastolic blood pressure was associated with a 52% higher risk of developing new-onset diabetes mellitus.

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• Using Procalcitonin to Differentiate Bacterial from Viral Meningitis

  A meta-analysis based on nine studies found an elevated serum procalcitonin to be an accurate test for differentiating bacterial from viral meningitis in adults.

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• Beta-blocker Dose More Important Than Heart Rate in Systolic Heart Failure

  In chronic heart failure with reduced ejection fraction, titrating beta-blocker doses may confer a greater benefit than reducing heart rate.

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• Insulin Degludec Injection (Tresiba)

  Insulin degludec provides an alternative to insulin glargine and insulin detemir as long-acting human insulin analogs.

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• Clinical Briefs

  In this section: Are annual physicals worth it?; breakfast might be the most important meal of the day; and evaluating the total knee replacement.

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• ECG Review: Why are aVR Waveforms Positive?

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