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Most patients with type 1 diabetes of long duration have some degree of kidney disease

Kidney Damage Seen in Most Patients With Long-Lasting T1D

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Incidence of end-stage renal disease has declined but affects substantial portion of long-term T1D patients
Diabetes that follows pancreatic disease is frequently classified as type 2 diabetes but is associated with worse glycemic control and higher use of insulin within five years than type 2 diabetes

Diabetes of Exocrine Pancreas Often Classified as T2DM

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Worse glycemic control, more insulin use for diabetes following pancreatic disease than type 2 diabetes
Increased arterial stiffness

Arterial Stiffness Linked to Incidence of Diabetes

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Increased risk of diabetes across increasing tertiles of carotid-femoral pulse wave velocity
Incretin treatment appears to improve non-ST-elevation myocardial infarction outcomes in patients with type 2 diabetes and non-obstructive coronary artery stenosis

Incretin Tied to Better Outcomes in NOCS-Diabetes

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Prognosis for T2DM patients with NSTEMI, coronary artery stenosis improves with incretin
The demand for fertility preservation is increasing

Demand for Fertility Preservation Increasing for Women

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Oocyte cryopreservation by vitrification provides highest yield, suitable when cancer tx can be delayed
Receipt of gifts from pharmaceutical companies is associated with more prescriptions per patient and more costly prescriptions

Gifts From Pharma Companies Influence Prescribing Behavior

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Clinicians who receive gifts write more prescriptions per patient, more costly and branded prescriptions
For patients undergoing right heart catheterization

Borderline Pulmonary HTN Linked to Increased Mortality Risk

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Increase in hazard of death with higher mean pulmonary arterial pressure, with no threshold seen
Among patients with acute heart failure

Diabetes Tied to Worse Outcomes in Heart Failure Patients

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However, long-term prognosis has improved in heart failure patients regardless of diabetes status
For patients with chronic kidney disease

Vitamin D Supplements Improve Markers of Bone Turnover in CKD

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Cholecalciferol can also correct vitamin D deficiency in patients with chronic kidney disease
Management of type 2 diabetes should include shared decision making

New Clinical Practice Guideline for Management of T2DM

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Individualized management should include education, glycemic management plans, target HbA1c