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Switching From Metformin to Sulfonylurea Raises CV Risks In patients with type 2 diabetes not at glycemic goal, adding a sulfonylurea to metformin appears to be much safer than switching. <br /> <i>Medscape Medical News</i
Pricey Pee: Time to Regulate Vitamin and Dietary Supplements Multiple studies show that dietary supplements result in little more than expensive urine and in some cases may even cause harm. Melissa Walton-Shirley thinks it's high time they
&#39;Gaming Disorder&#39; Is Now Official In the latest iteration of ICD, gaming disorder falls under the umbrella of addiction. <br /> <i>Medscape Internal Medicine</i
Medicare Will Likely Face Pushback on Physician Pay Changes CMS has unveiled a proposed overhaul of evaluation and management billing that may create 'winners and losers' among specialties, while leaving the 2018 MIPS reporting period
Mobility Plan Gets Hospitalized Patients Moving Hospitalists at the University of Pennsylvania outline the mobility plan used at their institution to decrease the adverse effects of bedrest among hospitalized patients. <br
Little Difference Between Basal Insulin Analogs for Type 2 Diabetes Evidence comparing old versus new insulin analogs is poor quality. There are 'many options' and 'high price tags' but 'little ability to discern the potential benefits of one...
Canagliflozin Renal Outcomes Study Is Halted Early for Efficacy Hope that observed renoprotective effects of SGLT2 inhibitors will delay worsening of kidney disease in type 2 diabetes seems to be borne out, as the CREDENCE trial is stopped
All-Cause Mortality Higher With Occult Blood in Stool A new study finds that fecal hemoglobin can indicate more than an increased risk for colorectal cancer and is tied to an increased risk for all-cause mortality. <br /> <i>Medscape
Antibiotic Overuse Highest in Urgent Care Clinics Nearly half of urgent care patients diagnosed with conditions that don't require antibiotic treatment receive a prescription for an antibiotic. <br /> <i>Medscape Medical News</i
High HbA1c in Type 1 Diabetes Ups Risk of Heart Defects in Baby Among liveborn infants of mothers with type 1 diabetes, increasingly worse glycemic control in the periconceptional period was associated with progressively increased risk of major
Are Clinicians Reluctant to Prescribe Weight Loss Drugs? Despite a national obesity crisis, a recent survey shows that clinicians aren't using all available tools to help patients lose weight. <br /> <i>Medscape Internal Medicine</i
Apps May Promote Overdiagnosis of Mental Health Conditions Mobile apps that offer advice on managing mental health may 'medicalize' normal ups and downs and encourage the overdiagnosis of certain conditions, the results of a new study
Pediatric Adverse Events High, Unchanged, Study Finds Adverse events remain high among pediatric inpatients, particularly those in teaching hospitals and those with chronic conditions, a study has found. <br /> <i>Medscape Medical
&#39;Really Good&#39; New Guidelines for T2 Diabetes Dr Anne Peters applauds the latest changes to guidelines that put cardiovascular risk at the forefront of type 2 diabetes management. <br /> <i>Medscape Diabetes & Endocrinology</
Practice-Hospital Consolidation Increasing for Many Specialties The level of integration of certain kinds of primary care practices into hospitals and health systems more than doubled in recent years, with steeper increases seen in oncology and
FDA Approves Tecovirimat, First Drug for Smallpox Treatment Tecovirimat (TPOXX) provides a treatment option should smallpox ever be used as a bioweapon and is the first product to be awarded a material threat medical countermeasure priority
CDC Launches New ME/CFS Guidance for Clinicians New web content addresses diagnosis, management, and additional clinical considerations for managing patients with mylagic encephalomyelitis/chronic fatigue syndrome. <br /> <i>
Almost Half the World&#39;s Adult Population Now Hypertensive The prevalence of hypertension in developing countries appears similar to that in the West according to the new ACC/AHA guideline definition. <br /> <i>Medscape Medical News</i
Rheumatologists Cautioned to Avoid Overtreatment Six common approaches to treating inflammatory rheumatic diseases might lead to overdiagnosis and overtreatment, an expert warns. Another expert says overdiagnosis is less common
Paying the Piper: Marijuana Now, Psychosis Later Teens who used cannabis were followed for symptoms of psychosis. The findings are concerning. <br /> <i>Medscape Internal Medicine</i