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Diabetes and Endocrinology

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Recommendations for the management and pharmacologic treatment of patients with diabetes have been updated; the new clinical guidelines were published online Sept. 12 in the Annals of Internal Medicine.

2017 Standards of Medical Care in Diabetes Released

Recommendations for T1D focus on monitoring, pharmacologic approaches to glycemic management
Does being a physician carry a moral obligation to respond to calls for medical assistance on airplanes? That is the topic of an article published in the Sept. 12 issue of the Journal of the American Medical Association.

Are Physicians Obligated to Help on Planes?

One administrative physician explains his sense of obligation to help
Plasma biomarkers that may improve the prediction of rapid decline in renal function in type 2 diabetes have been identified

Biomarkers Can Predict Rapid Drop in Renal Function in T2DM

ApoA4, CD5L, C1QB, IBP3 may improve prediction of rapid decline in renal function in type 2 diabetes
Cardiometabolic risk in young blacks is influenced by broad economic conditions

Socioeconomic Conditions Affect Metabolic Syndrome Risk

In study among low-income rural black youths, highest prevalence seen in poorest subjects
Several health care-related organizations have filed an amicus brief in support of veterans seeking a rule change that would amend or repeal the U.S. Department of Veterans Affairs policy of not covering sex-reassignment surgery for veterans with gender dysphoria

AMA Joins Brief Seeking VA Coverage of Sex Reassignment Sx

Several organizations support transgender veterans seeking to repeal policy of not covering SRS
High rates of body dissatisfaction and disordered eating behaviors are reported by adolescents with type 1 diabetes

Many Teens With Type 1 Diabetes Report Disordered Eating

Most also report body dissatisfaction, with females more likely to desire thinness
Intensive systolic blood pressure lowering is associated with an increased risk of chronic kidney disease events but a reduced risk of cardiovascular events and mortality

Intensive BP Control Associated With Increased CKD Risk

However, cardiovascular events, all-cause mortality risk decrease with intensive blood pressure lowering
Cytokines and chemokines produced by pancreatic islets in response to inflammatory and metabolic stress include interferon gamma-induced protein 10

Islet-Released Mediators Impact Transplant Outcome

IP10 is among highest-released, with high levels linked to poor islet transplant outcomes
Physicians should be aware of societal codes of conduct that affect family beliefs and behaviors regarding information disclosure to pediatric patients

Docs Should Be Aware of Family Beliefs Regarding Nondisclosure

Evidence from Middle East literature suggests variability in practices, preferences of truth telling
A cognitive test involving animal name recall can predict which elderly patients succeed in mastering an insulin self-injection technique within one week

Cognitive Test Predicts Elderly Insulin Injection Success

Number of animal names recalled in one minute was the most useful indicator