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Journal of Family Practice

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https://www.readbyqxmd.com/read/28222461/elements-for-success-in-managing-type-2-diabetes-with-sglt-2-inhibitors-individualizing-treatment-with-sglt-2-inhibitor-therapy-in-type-2-diabetes-mellitus
#1
Eden M Miller
The largely self-managed nature of type 2 diabetes mellitus (T2DM) underscores the importance of a collaborative decision-making process between patient and provider that best aligns the medication characteristics with the needs, interests, and abilities of the patient and with the treatment goals. The treatment regimen should be kept as simple as possible. This article applies these general principles to the use of sodium glucose cotransporter-2 inhibitor (SGLT-2) therapy, based on evidence from published studies and the clinical experience of the author...
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222460/elements-for-success-in-managing-type-2-diabetes-with-sglt-2-inhibitors-overview-of-the-efficacy-and-safety-of-sglt-2-inhibitors-in-type-2-diabetes-mellitus
#2
Eden M Miller
Since the approval of the first sodium-glucose cotransporter-2 (SGLT-2) inhibitor by the US Food and Drug Administration (FDA) in 2013, the SGLT-2 inhibitors have assumed key roles in the management of patients with type 2 diabetes mellitus (T2DM). This review covers the safety and efficacy of these agents when used in this patient population.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222459/elements-for-success-in-managing-type-2-diabetes-with-sglt-2-inhibitors-role-of-the-kidney-in-glucose-homeostasis-implications-for-sglt-2-inhibition-in-the-treatment-of-type-2-diabetes-mellitus
#3
Eden M Miller
The focus on the kidney as a therapeutic target for the treatment of type 2 diabetes mellitus (T2DM) has led to the development of the sodium-glucose cotransporter-2 (SGLT-2) inhibitors, of which 3 are available in the United States. This article addresses the implications for SGLT-2 inhibition in the treatment of T2DM.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222458/purls-steroids-during-late-preterm-labor-better-later-than-never
#4
REVIEW
Corey Lyon, Jennifer K Bello
Steroids--even when administered in the last leg of the late preterm period--still reduce the likelihood of respiratory complications in newborns.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222457/hemodialysis-patient-with-finger-ulcerations
#5
Sahand Rahnama-Moghadam, Tina Motazedi, Jennifer Krejci-Manwaring
The patient reported pain and paresthesias of his left ring finger, and his left hand was cooler than his right. An angiogram helped us recognize the cause of his symptoms.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222456/nausea-vomiting-%C3%A2-tachycardia-%C3%A2-unintentional-weight-loss-%C3%A2-dx
#6
Daryl J Selen, Matthew P Gilbert
A 22-year-old woman presented to the emergency department (ED) with a 24-hour history of nausea, vomiting, diarrhea, generalized abdominal pain, and mild headache. She denied shortness of breath, chest pain, or anxiety, and didn't have a history of cardiac problems. The physical examination revealed tachycardia (heart rate, 135 beats/min) and a respiratory rate of 24 breaths per minute.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222455/muscle-cramps-pain-%C3%A2-weakness-%C3%A2-muscle-twitching-%C3%A2-dx
#7
Sommer Aldulaimi
A 39-year-old man who worked in construction presented to our clinic with complaints of muscle cramps and muscle pain that had been bothering him for several months. The cramps and pain started in both of his arms and subsequently became diffuse and generalized. He also reported an unintentional 15-pound weight loss.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222454/clinical-inquiries-can-mobile-technology-improve-weight-loss-in-overweight-and-obese-patients
#8
Lisa M Harris, Anne Mounsey, Joan Nashelsky
Yes, this technology can help in the short term. Mobile technology compared with minimal or no intervention increases short-term (⟨6 months) weight loss (1.4 to 2.7 kg) in overweight and obese patients. Interventions that combine nonelectronic measures with mobile technology increase weight loss more effectively (3.7 kg) than no intervention.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222453/recurrent-utis-in-women-how-you-can-refine-your-care
#9
REVIEW
Jeffrey D Quinlan, Sarah K Jorgensen
Which risk factors are (really) associated with recurrence? Which prophylactic and nonpharmacologic strategies are useful? This guide provides the answers.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222452/adult-adhd-addressing-a-unique-set-of-challenges
#10
REVIEW
Scott A Fields, William Michael Johnson, Madison B Hassig
ADHD diagnostic criteria are different for adults than they are for children. Plus, prescribing psychostimulants for adults raises the risk of misuse and diversion.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222451/what-family-physicians-can-do-to-combat-bullying
#11
REVIEW
Robert J McClowry, Marshal N Miller, Geoffrey D Mills
Bullying has significant health implications for young people and society at large. These screening tools, tips for responding to bullies, and Web resources can help.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222450/it-s-time-to-screen-for-bullying
#12
EDITORIAL
John Hickner
Because bullying occurs so frequently, public health, community-based, and school-based approaches, rather than one-on-one office-based interventions, are likely to have the greatest overall impact on decreasing bullying. Randomized trials bear this out, showing that prevention programs in schools can effectively reduce the behavior.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28188319/clinical-inquiry-do-pedometers-increase-activity-and-improve-health-outcomes
#13
Devin Schock, Jon O Neher, Sarah Safranek
In overweight and obese patients, exercise interventions using a pedometer increase steps by about a mile per day over the same interventions without access to pedometer information and are associated with a modest 4 mm Hg reduction in systolic blood pressure (BP) over baseline. In overweight patients with diabetes, pedometer use with nutritional counseling is associated with 0.86 kg greater weight loss than nutritional counseling alone.
January 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28188318/purls-need-an-add-on-to-metformin-consider-this
#14
REVIEW
David Wyncott, Corey Lyon, Anne Mounsey
Sulfonylureas have been the preferred add-on therapy to metformin for T2DM, but a study finds that DPP-4s have lower risks of death, CV events, and hypoglycemia.
January 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28188317/malodorous-discharge-redness-and-crusting-of-the-feet
#15
Alberto Marcelin, Jasmine R Marcelin, Larry M Baddour, Mark Davis
This man was initially treated with antifungals and antibiotics based on his history of tinea pedis. But 2 days later, his condition worsened and he was hospitalized.
January 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28188316/rash-on-eyebrows-and-periumbilical-region
#16
Richard P Usatine, Sharon E Jacob
Patch testing data indicate that the 5 most prevalent contact allergens out of more than 3700 that are known are: nickel (14.3% of patients tested), fragrance mix (14%), the topical antibiotic neomycin (11.6%), balsam of Peru (used in some perfumes, toiletries, and pharmaceutical items) (10.4%), and the mercury-based vaccine preservative thimerosal (10.4%).
January 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28188315/how-in-office-and-ambulatory-bp-monitoring-compare-a-systematic-review-and-meta-analysis
#17
Sergio Reino-Gonzalez, Salvador Pita-Fernández, Teresa Seoane-Pillado, Beatriz López-Calviño, Sonia Pértega Díaz
Isolated office BP measurement is insufficient to confirm or rule out poorly controlled hypertension, and it increases the likelihood of under- or overestimating BP control.
January 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28188314/firm-non-tender-mass-in-right-breast-%C3%A2-worsening-nonproductive-cough-%C3%A2-pleuritic-pain-%C3%A2-dx
#18
Trang D Lehman, Zubin Damania, Clifford N Tschetter, Norman L Lehman
Granulomatous lesions, such as foreign body granuloma, idiopathic granulomatous mastitis (IGM), and sarcoidosis can mimic breast carcinoma. IGM is associated with elevated prolactin (eg, pregnancy or oral contraceptive use) and is usually subareolar. Infection, however, is also commonly subareolar.
January 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28188313/cpstf-a-lesser-known-but-valuable-resource-for-fps
#19
REVIEW
Doug Campos-Outcalt
The Community Preventive Services Task Force provides evidence-based practice interventions and related practical tools to assist in achieving health-promotion and disease-prevention goals.
January 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28188312/is-diabetes-distress-on-your-radar-screen
#20
REVIEW
Elizabeth A Beverly, Nedyalko N Ivanov, Autumn B Court, Todd R Fredricks
Diabetes distress, which affects almost half of those with diabetes, contributes to worsening glycemic control. Recognizing and responding to it is essential.
January 2017: Journal of Family Practice
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