Primary Care/Hospitalist
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A Real Clinical Case: Before and After Starting a Continuous Glucose Monitoring and Insulin Pump System
Incorporating all the encompassing data to support decision-making and treatment plan adjustments can be a daunting task for healthcare professionals. A real clinical case illustrating a patient with full insulin replacement therapy is described here.
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Diabetes Technology: The Present and the Future
Diabetes-specific support and guidance from healthcare professionals can be amplified and strengthened through incorporating diabetes technology into delivering care to those for whom an educational and motivational boost is warranted. The various technological advances explored in this article include smart insulin pens and accessories, continuous glucose monitoring systems, insulin pumps, diabetes mobile applications, and remote glycemic monitoring platforms.
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Does Combined Obesity and Depression Treatment Result in Better Quality of Life and Psychosocial Functioning?
This study tracked measures of quality of life and psychosocial functioning in patients participating in a randomized clinical trial with the goal of reducing symptoms of obesity and depression. The authors found that both quality of life and psychosocial functioning significantly increased at six months compared to patients with “care as usual,” but not at 12 months.
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The Safety and Efficacy of Common Herbal and Dietary Supplements in Patients with Type 2 Diabetes Mellitus: Part 1
With an increasing number of diabetes cases, clinicians also are encountering more patients who are turning to complementary and alternative medicine to help control their glucose levels. In a 2015 National Consumer Survey on the Medication Experience and Pharmacist Roles, 35% of 26,157 respondents in the study reported the use of at least one herbal medicine. In all, 3,050 respondents had diabetes, and 41.2% of the respondents reported the use of a dietary supplement.3 The data revealed that respondents with diabetes were associated with higher herbal medicine use when compared to respondents without chronic diseases (41% vs. 34%, P < 0.001). The results also showed that herbal medicine use increased as age increased among the respondents.
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New Data on Pediatric Clinical Ethics Consults
Pediatric cases involve, at a minimum, three stakeholders: The patient, the parents, and the healthcare team. This decision-making triad can lead to a multitude of ethical quandaries.
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Drospirenone and Estetrol Tablets (Nextstellis)
Nextstellis can be prescribed to women of reproductive potential to prevent pregnancy.
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Vitamin D and COVID-19
Low levels of vitamin D are associated with in-hospital mortality in patients with COVID-19, but causality is unknown.
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Dairy, Bone Health, and Menopause
An analysis of data from the Study of Women’s Health Across the Nation cohort did not reveal a significant association between daily dairy intake frequency, femoral and spine bone mineral density loss, and non-traumatic fracture risk among women transitioning to menopause.
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Giving the Cold Shoulder to Drug Therapy for Atrial Fibrillation
In two randomized trials published simultaneously, cryoballoon ablation proved superior to drug therapy for prevention of arrhythmia recurrence in patients with paroxysmal atrial fibrillation.
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Study: STIs Can Affect State Medicaid Budgets
Screening and treatment of STIs can cost states tens of millions of dollars in Medicaid budgets, but public health activities to prevent STIs can help reduce these costs, according to a new study.