Glucose-Insulin-Potassium Infusion May Cause Early Harm After STEMI
Cardiology
Summary and Comment
Free
New analyses reveal a mortality risk in the first 3 days and confirm a lack of longer-term benefit.
Are We Losing the War Against Heart Disease?
Cardiology
Summary and Comment
Free
The once-rapid decline in the heart disease death rate has slowed significantly among young adults.
By JoAnne M. Foody, MD
November 28, 2007
Covering:
Ford ES and Capewell S., J Am Coll Cardiol 2007 Nov 27; 50:2128
Greenland P and Lloyd-Jones D., J Am Coll Cardiol 2007 Nov 27; 50:2133
Sirolimus-Eluting Stents Outperform Bare-Metal Stents in Patients with Diabetes
Cardiology
Summary and Comment
At 1 year of follow-up, results of the SCORPIUS study favored SES for both efficacy and safety.
By Howard C. Herrmann, MD
November 28, 2007
Covering:
Baumgart D et al., J Am Coll Cardiol 2007 Oct 23; 50:1627
Comparative Effectiveness of ACE Inhibitors and Angiotensin-Receptor Blockers for Hypertension
Cardiology
Summary and Comment
A meta-analysis revealed no between-class difference in effectiveness but a dearth of clinical outcomes data.
By Joel M. Gore, MD
November 28, 2007
Covering:
Matchar DB et al., Ann Intern Med 2007 Nov 5
Parfrey PS., Ann Intern Med 2007 Nov 5
Renin-Angiotensin System Inhibitors for Proteinuria: Monotherapy or Combination Therapy?
Cardiology
Summary and Comment
Monotherapy with either an ARB or an ACE inhibitor effectively reduces proteinuria; combining the two may pack even more of a punch.
By Joel M. Gore, MD
November 28, 2007
Covering:
Kunz R et al., Ann Intern Med 2007 Nov 5
Parfrey PS., Ann Intern Med 2007 Nov 5
Pelvic Floor Dysfunction, Diabetes, and Obesity
Women's Health
Summary and Comment
Free
Obese diabetic women were at highest risk for pelvic floor disorders.
Coronary Heart Disease Linked to Colorectal Tumors
Cardiology
Summary and Comment
Evidence from a prospective study implicates common risk factors, notably metabolic syndrome and smoking.
Omega-3 Fatty Acids May Reduce the Risk for Islet Cell Decline in Children
Cardiology
Summary and Comment
Analyses of intake and biomarker data strengthen the evidence for a protective effect against type I diabetes.
Initiating Insulin in Type 2 Diabetes – The "4-T" Trial
General Medicine
Summary and Comment
Free
First-year comparisons among prandial, biphasic, and basal insulins reveal tradeoffs in efficacy and safety.
By Allan S. Brett, MD
October 23, 2007
Covering:
Holman RR et al., N Engl J Med 2007 Oct 25; 357:1716
McMahon GT and Dluhy RG., N Engl J Med 2007 Oct 25; 357:1759
In a New Meta-Analysis, Thiazolidinediones Increase CHF but Not Cardiac Death
General Medicine
Summary and Comment
The results arent inconsistent with previous meta-analyses.
By Bruce Soloway, MD
October 11, 2007
Covering:
Lago RM et al., Lancet 2007 Sep 29; 370:1129
Cleland JGF and Atkin SL., Lancet 2007 Sep 29; 370:1103
Montori VM et al., Lancet 2007 Sep 29; 370:1104
Lancet 2007 Sep 29; 370:1101
Thiazolidinediones and Increased MI Risk: A Class Effect?
Cardiology
Summary and Comment
New meta-analyses support an increased risk for MI with rosiglitazone, but not with pioglitazone.
By JoAnne M. Foody, MD
October 10, 2007
Covering:
Lincoff AM et al., JAMA 2007 Sep 12; 298:1180
Singh S et al., JAMA 2007 Sep 12; 298:1189
Routine Use of Perindopril and Indapamide in Type 2 Diabetes
Cardiology
Summary and Comment
A simple and practical strategy emerges as an ADVANCE in the prevention of vascular events due to hypertension.
By Beat J. Meyer, MD
October 10, 2007
Covering:
Patel A et al. for the ADVANCE Collaborative Group., Lancet 2007 Sep 8; 370:829
Optimal Hemoglobin A1c Targets: Guidance from the ACP
General Medicine
Summary and Comment
The core recommendation is not new, but the ACP commendably focuses on individualizing goals for glycemic control.
Which Antidiabetic Drugs Are Safest for People with Diabetes and Heart Failure?
General Medicine
Summary and Comment
In this systematic review, metformin was associated with the best outcomes.
Aerobic Exercise and Resistance Training Benefit Glycemic Control
General Medicine
Summary and Comment
Free
Physical activity — especially aerobic exercise and resistance training combined — can significantly lower hemoglobin A1c levels in patients with type 2 diabetes.
Screening and Follow-Up for Gestational Diabetes
Women's Health
Practice Watch
Free
High-risk individuals require both initial screening and repeated testing during and after pregnancy.
The Questions Continue About Thiazolidinediones Safety
Cardiology
Summary and Comment
Free
A new meta-analysis shows an elevated risk for congestive HF but no increase in cardiovascular death rate with either rosiglitazone or pioglitazone
By Beat J. Meyer, MD
September 28, 2007
Covering:
Lago RM et al., Lancet 2007 Sep 29; 370:1129
Cleland JGF and Atkin SL., Lancet 2007 Sep 29; 370:1103
Montori VM et al., Lancet 2007 Sep 29; 370:1104
Lancet 2007 Sep 29; 370:1101
Fitness, Obesity, and Insulin Resistance
Exercise decreased insulin resistance despite no changes in fat or lean body mass.
Thiazolidinediones and Heart Disease Risk
General Medicine
Summary and Comment
Pioglitazone had a mixed risk profile, and rosiglitazone increased risk for ischemic heart disease, but neither increased mortality.
By Thomas L. Schwenk, MD
September 11, 2007
Covering:
Lincoff AM et al., JAMA 2007 Sep 12; 298:1180-8
Singh S et al., JAMA 2007 Sep 12; 298:1189-95
Solomon DH and Winkelmayer WC., JAMA 2007 Sep 12; 298:1216-8
Trim Weight, Reduce Apnea and Metabolic Abnormalities?
Neurology
Summary and Comment
Weight loss leads to proportionately fewer symptoms of sleep apnea, and apnea appears to be associated with diabetes and hypertriglyceridemia.
By David P. White, MD
September 11, 2007
Covering:
Grunstein RR et al., Sleep 2007 Jun 1; 30:703-10
Diabetes Increases Short-Term Mortality Risk in Patients with Acute Coronary Syndromes
Emergency Medicine
Summary and Comment
This is true for people with unstable angina, NSTEMI, and STEMI.
Eating Wisely Deters Diabetes
Women's Health
Summary and Comment
Free
Women with healthy diets as indicated by high Alternate Healthy Eating Index scores had reduced risk for type 2 diabetes.
Maternal Obesity Increases Risk for Birth Defects
General Medicine
Summary and Comment
Free
Maternal obesity and overweight increased risk for many birth defects, but obesity decreased risk for gastroschisis.
Weight Gain with Olanzapine: Does Metformin Help?
Psychiatry
Summary and Comment
Free
Patients lost a little, but not enough to make a difference.
By Jonathan Silver, MD
August 27, 2007
Covering:
Baptista T et al., Schizophr Res 2007 Jul; 93:99-108
Acute MI as a Marker for Diabetes Risk
Cardiology
Summary and Comment
Free
High rates of impaired fasting glucose and diabetes after MI suggest that MI could be a prediabetes risk equivalent.
By Beat J. Meyer, MD
August 23, 2007
Covering:
Mozaffarian D et al., Lancet 2007 Aug 25; 370:667-75
Opie LH., Lancet 2007 Aug 25; 370:634-5