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Endocrinology
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A New Guideline for Treating Hypertriglyceridemia

The Endocrine Society has released a clinical practice guideline on hypertriglyceridemia that stresses the importance of individualizing treatments based on patient factors.

Calcium Supplementation After Thyroidectomy

Patients undergoing thyroidectomy often require calcium supplements after surgery, but routine calcium supplementation is controversial. A new study suggests that selective supplementation may enhance outcomes for patients.

Gaps in Gestational Hypothyroidism

In 2011, the American Thyroid Association (ATA) recommended more strin­gent thyroid stimulation hormone (TSH) testing criteria. More women will now be defined as having hypothyroidism during pregnancy. A study by scien­tists at Quest Diagnostics was conducted on a national sample of 502,036 preg­nant women in the United States to determine the prevalence of gestational hypothyroidism based on the ATA’s revised guidelines.…

OPINION ARTICLES

Addressing Treatment Burden in Diabetes

Patients with diabetes routinely discuss their burden of treatment with clinicians, but often with no effect. Access to care appears to be addressed, but administration and monitoring are largely unaddressed.

Analyzing Costs Associated With Cushing’s Disease

In a recent study, Dr. Swearingen and his colleagues found that aggressive management Cushing's Disease is cost-effective and decreases the overall healthcare burden associated with the disease.

The Endocrinologist’s Role in Bariatric Surgery

Endocrinologists should play a central role in helping decide the most appropriate bariatric operation and addressing non-surgical aspects of perioperative care, most notably nutritional and metabolic support.

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ADA Releases Consensus Report on Diabetes in Older Adults

PRESS RELEASE FROM THE AMERICAN DIABETES ASSOCIATION:

Adults age 65 and older are more likely to have diabetes than any other age group, but researchers and clinicians have the least amount of data regarding how best to treat this population, a consensus report published jointly by the American Diabetes Association and American Geriatrics Society concludes.…

Are You Afraid To Be Wrong?

Richard Smith, a former editor of the British Medical Journal, wrote a thoughtful essay offering guidance for new medical students. (Full text here.) Although it was published in 2003, someone just brought it to my attention via Twitter.

Dr. Smith lists many pearls of wisdom in a scholarly and lightly humorous way.…

2012 Guidelines for Diabetic Foot Infection

New guidelines released by the Infectious Diseases Society of America (IDSA) and publishing in the June issue of Clinical Infectious Diseases emphasize that proper treatment of diabetic foot infections not only saves limbs – but can save lives. Diabetic foot infections are becoming more common, and about 50% of patients who have a foot amputation die within 5 years.…

NEWS BRIEFS

Alternative Markers of Hyperglycemia & Diabetes Risk

Fructosamine, glycated albumin, and 1,5-anhydroglucitol (1,5-AG) appear to be associated with the development of diabetes, independent of baseline A1C and fasting glucose. In a study, patients with the highest levels of fructosamine and glycated albumin had significantly higher diabetes risk. Those with the lowest 1,5-AG levels had significantly lower diabetes risk.…

Health Insurance Coverage & Diabetes Status

About 2 million adults under age 65 with diabetes had no health insurance in 2009, according to a national survey. When compared with people without diabetes, those with the disease were more likely to have Medicare, or two insurance sources for those aged 18 to 64.…

Glycemic Control After Surgery in Kids

Tight glycemic control appears to be achievable following cardiac surgery in children ages 0 to 36 months, with low rates of hypoglycemia, according to a randomized, control trial. The researchers noted, however, that tight glycemic control does not significantly change infection rates, mortality, length of stay, or measures of organ failure when compared with standard care.…

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